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Visual cues combined with treadmill training to improve gait performance in Parkinson's disease: a pilot randomized controlled trial.
Clin Rehabil. 2016 May; 30(5):463-71.CR

Abstract

OBJECTIVE

To evaluate the effects of visual cues combined with treadmill training on gait performance in patients with Parkinson's disease and to compare the strategy with pure treadmill training.

DESIGN

Pilot, exploratory, non-blinded, randomized controlled trial.

SETTING

University Hospital of Munich, Germany.

SUBJECTS

Twenty-three outpatients with Parkinson's disease (Hoehn and Yahr stage II-IV).

INTERVENTIONS

Patients received 12 training sessions within five weeks of either visual cues combined with treadmill training (n = 12) or pure treadmill training (n = 11).

MAIN MEASURES

Outcome measures were gait speed, stride length and cadence recorded on the treadmill. Functional tests included the Timed Up and Go Test, the Unified Parkinson's Disease Rating Scale and the Freezing of gait-questionnaire. Assessments were conducted at baseline, after the training period and at two months follow-up.

RESULTS

After the training period (n = 20), gait speed and stride length had increased in both groups (p ⩽ 0.05). Patients receiving the combined training scored better in the Timed Up and Go Test compared with the patients receiving pure treadmill training (p ⩽ 0.05). At two months follow-up (n = 13), patients who underwent the combined training sustained better results in gait speed and stride length (p ⩽ 0.05) and sustained the improvement in the Timed Up and Go Test (p ⩽ 0.05).

CONCLUSIONS

This pilot study suggests that visual cues combined with treadmill training have more beneficial effects on gait than pure treadmill training in patients with a moderate stage of Parkinson's disease. A large-scale study with longer follow-up is required.

Authors+Show Affiliations

Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Munich, Germany German Center for Vertigo and Balance Disorders, Ludwig-Maximilians-University, Munich, Germany cornelia.schlick@med.uni-muenchen.de.Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Munich, Germany.Department of Neurology, University Hospital of Munich (LMU), Munich, Germany.Department of Neurology, University Hospital of Munich (LMU), Munich, Germany.Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Munich, Germany.Department of Orthopedic Surgery, Physical Medicine and Rehabilitation, University Hospital of Munich (LMU), Munich, Germany.

Pub Type(s)

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

Language

eng

PubMed ID

26038610

Citation

Schlick, Cornelia, et al. "Visual Cues Combined With Treadmill Training to Improve Gait Performance in Parkinson's Disease: a Pilot Randomized Controlled Trial." Clinical Rehabilitation, vol. 30, no. 5, 2016, pp. 463-71.
Schlick C, Ernst A, Bötzel K, et al. Visual cues combined with treadmill training to improve gait performance in Parkinson's disease: a pilot randomized controlled trial. Clin Rehabil. 2016;30(5):463-71.
Schlick, C., Ernst, A., Bötzel, K., Plate, A., Pelykh, O., & Ilmberger, J. (2016). Visual cues combined with treadmill training to improve gait performance in Parkinson's disease: a pilot randomized controlled trial. Clinical Rehabilitation, 30(5), 463-71. https://doi.org/10.1177/0269215515588836
Schlick C, et al. Visual Cues Combined With Treadmill Training to Improve Gait Performance in Parkinson's Disease: a Pilot Randomized Controlled Trial. Clin Rehabil. 2016;30(5):463-71. PubMed PMID: 26038610.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Visual cues combined with treadmill training to improve gait performance in Parkinson's disease: a pilot randomized controlled trial. AU - Schlick,Cornelia, AU - Ernst,Alina, AU - Bötzel,Kai, AU - Plate,Annika, AU - Pelykh,Olena, AU - Ilmberger,Josef, Y1 - 2015/06/02/ PY - 2014/03/31/received PY - 2015/05/04/accepted PY - 2015/6/4/entrez PY - 2015/6/4/pubmed PY - 2017/1/17/medline KW - Parkinson’s disease KW - cueing KW - gait KW - rehabilitation KW - treadmill training SP - 463 EP - 71 JF - Clinical rehabilitation JO - Clin Rehabil VL - 30 IS - 5 N2 - OBJECTIVE: To evaluate the effects of visual cues combined with treadmill training on gait performance in patients with Parkinson's disease and to compare the strategy with pure treadmill training. DESIGN: Pilot, exploratory, non-blinded, randomized controlled trial. SETTING: University Hospital of Munich, Germany. SUBJECTS: Twenty-three outpatients with Parkinson's disease (Hoehn and Yahr stage II-IV). INTERVENTIONS: Patients received 12 training sessions within five weeks of either visual cues combined with treadmill training (n = 12) or pure treadmill training (n = 11). MAIN MEASURES: Outcome measures were gait speed, stride length and cadence recorded on the treadmill. Functional tests included the Timed Up and Go Test, the Unified Parkinson's Disease Rating Scale and the Freezing of gait-questionnaire. Assessments were conducted at baseline, after the training period and at two months follow-up. RESULTS: After the training period (n = 20), gait speed and stride length had increased in both groups (p ⩽ 0.05). Patients receiving the combined training scored better in the Timed Up and Go Test compared with the patients receiving pure treadmill training (p ⩽ 0.05). At two months follow-up (n = 13), patients who underwent the combined training sustained better results in gait speed and stride length (p ⩽ 0.05) and sustained the improvement in the Timed Up and Go Test (p ⩽ 0.05). CONCLUSIONS: This pilot study suggests that visual cues combined with treadmill training have more beneficial effects on gait than pure treadmill training in patients with a moderate stage of Parkinson's disease. A large-scale study with longer follow-up is required. SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/26038610/Visual_cues_combined_with_treadmill_training_to_improve_gait_performance_in_Parkinson's_disease:_a_pilot_randomized_controlled_trial_ L2 - https://journals.sagepub.com/doi/10.1177/0269215515588836?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -