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The effects of treadmill or overground walking training program on gait in Parkinson's disease.
Gait Posture. 2013 Sep; 38(4):590-5.GP

Abstract

BACKGROUND

Gait impairment in Parkinson's disease (PD) patients is characterized by the inability to generate appropriate stride length. Treadmill training has been proposed as a therapeutic tool for PD patients. However, it remains unknown whether treadmill training effects are different from overground walking training. Thus, our goal was to explore the effects of two training programs, walking on a treadmill and walking overground, in PD patients.

METHODS

22 PD patients were randomly assigned to a treadmill or overground training group. The training program consisted of 5 weeks (3 sessions/week). Before and after the program we evaluated gait kinematics during walking at preferred and maximal speed; Timed Up and Go (TUG); static posturography and knee extensors strength. Gait parameters were reevaluated in the treadmill training group one month after the cessation of the training.

RESULTS

Preferred speed walking improved in both groups after the training program. The treadmill training program, but not the overground, led to an improvement in the stride length at the preferred and maximal walking speed in the PD patients. In addition, the treadmill training group showed improvement of the TUG and static posturography tests. The improvement in gait parameters was maintained one month after the cessation of the treadmill training.

CONCLUSIONS

This study provides evidence of a specific therapeutic effect of treadmill training on Parkinsonian gait and balance. Walking on a treadmill may be used as an easy, effective and accessible way to improve the stride length and balance in PD patients.

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Authors+Show Affiliations

Bello O
Physical Therapy Department, University School of Physical Therapy, University of A Coruña, A Coruña, Spain.
Sanchez JA
No affiliation info available
Lopez-Alonso V
No affiliation info available
Márquez G
No affiliation info available
Morenilla L
No affiliation info available
Castro X
No affiliation info available
Giraldez M
No affiliation info available
Santos-García D
No affiliation info available
Fernandez-del-Olmo M
No affiliation info available

MeSH

AdultAgedExercise TherapyFemaleGait Disorders, NeurologicHumansMaleMiddle AgedParkinson DiseaseTreatment Outcome

Pub Type(s)

Comparative Study
Journal Article
Randomized Controlled Trial
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

23428884

Citation

Bello, O, et al. "The Effects of Treadmill or Overground Walking Training Program On Gait in Parkinson's Disease." Gait & Posture, vol. 38, no. 4, 2013, pp. 590-5.
Bello O, Sanchez JA, Lopez-Alonso V, et al. The effects of treadmill or overground walking training program on gait in Parkinson's disease. Gait Posture. 2013;38(4):590-5.
Bello, O., Sanchez, J. A., Lopez-Alonso, V., Márquez, G., Morenilla, L., Castro, X., Giraldez, M., Santos-García, D., & Fernandez-del-Olmo, M. (2013). The effects of treadmill or overground walking training program on gait in Parkinson's disease. Gait & Posture, 38(4), 590-5. https://doi.org/10.1016/j.gaitpost.2013.02.005
Bello O, et al. The Effects of Treadmill or Overground Walking Training Program On Gait in Parkinson's Disease. Gait Posture. 2013;38(4):590-5. PubMed PMID: 23428884.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - The effects of treadmill or overground walking training program on gait in Parkinson's disease. AU - Bello,O, AU - Sanchez,J A, AU - Lopez-Alonso,V, AU - Márquez,G, AU - Morenilla,L, AU - Castro,X, AU - Giraldez,M, AU - Santos-García,D, AU - Fernandez-del-Olmo,M, Y1 - 2013/02/19/ PY - 2012/09/18/received PY - 2013/01/06/revised PY - 2013/02/01/accepted PY - 2013/2/23/entrez PY - 2013/2/23/pubmed PY - 2014/5/31/medline KW - Balance KW - Exercise KW - Gait KW - Parkinson KW - Treadmill SP - 590 EP - 5 JF - Gait & posture JO - Gait Posture VL - 38 IS - 4 N2 - BACKGROUND: Gait impairment in Parkinson's disease (PD) patients is characterized by the inability to generate appropriate stride length. Treadmill training has been proposed as a therapeutic tool for PD patients. However, it remains unknown whether treadmill training effects are different from overground walking training. Thus, our goal was to explore the effects of two training programs, walking on a treadmill and walking overground, in PD patients. METHODS: 22 PD patients were randomly assigned to a treadmill or overground training group. The training program consisted of 5 weeks (3 sessions/week). Before and after the program we evaluated gait kinematics during walking at preferred and maximal speed; Timed Up and Go (TUG); static posturography and knee extensors strength. Gait parameters were reevaluated in the treadmill training group one month after the cessation of the training. RESULTS: Preferred speed walking improved in both groups after the training program. The treadmill training program, but not the overground, led to an improvement in the stride length at the preferred and maximal walking speed in the PD patients. In addition, the treadmill training group showed improvement of the TUG and static posturography tests. The improvement in gait parameters was maintained one month after the cessation of the treadmill training. CONCLUSIONS: This study provides evidence of a specific therapeutic effect of treadmill training on Parkinsonian gait and balance. Walking on a treadmill may be used as an easy, effective and accessible way to improve the stride length and balance in PD patients. SN - 1879-2219 UR - https://www.unboundmedicine.com/medline/citation/23428884/The_effects_of_treadmill_or_overground_walking_training_program_on_gait_in_Parkinson's_disease_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0966-6362(13)00100-8 DB - PRIME DP - Unbound Medicine ER -
Grapherence [↓23]

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