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Treadmill training frequency influences walking improvement in subjects with Parkinson's disease: a randomized pilot study.
Eur J Phys Rehabil Med. 2017 Apr; 53(2):201-208.EJ

Abstract

BACKGROUND

Treadmill training (TT) has been indicated as a potential therapeutic tool for improving balance and gait in patients with Parkinson's disease (PD). However, the lack of evidences about the best modality of intervention (e.g.: number of sessions) and the lack of reliable follow-up measures, made difficult to hand down these results into the clinical practice.

AIM

The aim of this study was to compare the efficacy of 3 different modalities of TT program on gait performance in PD patients.

DESIGN

A randomized, single-blind pilot study.

SETTING

Outpatients clinic, Department of Neuroscience, University of Genoa.

POPULATION

Thirty patients (out of 42 screened) with PD were randomized.

METHODS

Participants underwent the same TT program (ten sessions, 45 minute each) but with a different frequency throughout a week: 1) low-frequency (LF) group: 2-times a week; 2) intermediate-frequency (IF) group: 3-times a week; and 3) high-frequency (HF) group: 5-times a week. Patients were evaluated by Timed Up and Go (TUG) test, 10-meter walking test (10M-WT), Berg Balance Scale (BBS), Falls Efficacy Scale (FES) and falls diary before TT, immediately after the training was stopped, and 2 and 4 months later.

RESULTS

At baseline, no significant differences were found among groups. Immediately after the end of the TT, TUG Test, 10 MWT, FES and falls diary scores significantly improved in the LF and IF groups, whereas they did not change in the HF group. Improvements were sustained for up 2-months in the IF and LF groups. At 4-months evaluation, outcome measures were either comparable or sometimes even better than at baseline in the LF and IF groups, whereas in the HF group, 10M-WT and FES score worsened.

CONCLUSIONS

According to the results of this study, we might postulate that the frequency of TT influences short and long-lasting effects on walking performance and falls.

CLINICAL REHABILITATION IMPACT

The present study confirms that TT is effective in improving gait disturbances and reducing falls risk in patients with PD. The short- and long-lasting effects induced by TT on walking performance are specifically affected by the frequency of training, possibly in relationship to learning mechanisms and fatigue.

Authors+Show Affiliations

Department of Neurosciences (DINOGMI), University of Genoa, Genoa, Italy.Section of Human Physiology, Department of Experimental Medicine, Centro Polifunzionale di Scienze Motorie, University of Genoa, Genoa, Italy.Azienda Sanitaria Locale 3 Genovese - S.C. Riabilitazione Territoriale N.O. Polo Riabilitativo Levante, Genoa, Italy.Azienda Sanitaria Locale 3 Genovese - S.C. Riabilitazione Territoriale N.O. Polo Riabilitativo Levante, Genoa, Italy.Azienda Sanitaria Locale 3 Genovese - S.C. Riabilitazione Territoriale N.O. Polo Riabilitativo Levante, Genoa, Italy.Department of Neurosciences (DINOGMI), University of Genoa, Genoa, Italy.Section of Human Physiology, Department of Experimental Medicine, Centro Polifunzionale di Scienze Motorie, University of Genoa, Genoa, Italy.Azienda Sanitaria Locale 3 Genovese - S.C. Riabilitazione Territoriale N.O. Polo Riabilitativo Levante, Genoa, Italy.Department of Neurosciences (DINOGMI), University of Genoa, Genoa, Italy - giabbr@unige.it.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

27434611

Citation

Pelosin, Elisa, et al. "Treadmill Training Frequency Influences Walking Improvement in Subjects With Parkinson's Disease: a Randomized Pilot Study." European Journal of Physical and Rehabilitation Medicine, vol. 53, no. 2, 2017, pp. 201-208.
Pelosin E, Avanzino L, Barella R, et al. Treadmill training frequency influences walking improvement in subjects with Parkinson's disease: a randomized pilot study. Eur J Phys Rehabil Med. 2017;53(2):201-208.
Pelosin, E., Avanzino, L., Barella, R., Bet, C., Magioncalda, E., Trompetto, C., Ruggeri, P., Casaleggio, M., & Abbruzzese, G. (2017). Treadmill training frequency influences walking improvement in subjects with Parkinson's disease: a randomized pilot study. European Journal of Physical and Rehabilitation Medicine, 53(2), 201-208. https://doi.org/10.23736/S1973-9087.16.04301-X
Pelosin E, et al. Treadmill Training Frequency Influences Walking Improvement in Subjects With Parkinson's Disease: a Randomized Pilot Study. Eur J Phys Rehabil Med. 2017;53(2):201-208. PubMed PMID: 27434611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Treadmill training frequency influences walking improvement in subjects with Parkinson's disease: a randomized pilot study. AU - Pelosin,Elisa, AU - Avanzino,Laura, AU - Barella,Roberta, AU - Bet,Cristina, AU - Magioncalda,Elisabetta, AU - Trompetto,Carlo, AU - Ruggeri,Piero, AU - Casaleggio,Mauro, AU - Abbruzzese,Giovanni, Y1 - 2016/07/19/ PY - 2016/7/20/pubmed PY - 2018/4/5/medline PY - 2016/7/20/entrez SP - 201 EP - 208 JF - European journal of physical and rehabilitation medicine JO - Eur J Phys Rehabil Med VL - 53 IS - 2 N2 - BACKGROUND: Treadmill training (TT) has been indicated as a potential therapeutic tool for improving balance and gait in patients with Parkinson's disease (PD). However, the lack of evidences about the best modality of intervention (e.g.: number of sessions) and the lack of reliable follow-up measures, made difficult to hand down these results into the clinical practice. AIM: The aim of this study was to compare the efficacy of 3 different modalities of TT program on gait performance in PD patients. DESIGN: A randomized, single-blind pilot study. SETTING: Outpatients clinic, Department of Neuroscience, University of Genoa. POPULATION: Thirty patients (out of 42 screened) with PD were randomized. METHODS: Participants underwent the same TT program (ten sessions, 45 minute each) but with a different frequency throughout a week: 1) low-frequency (LF) group: 2-times a week; 2) intermediate-frequency (IF) group: 3-times a week; and 3) high-frequency (HF) group: 5-times a week. Patients were evaluated by Timed Up and Go (TUG) test, 10-meter walking test (10M-WT), Berg Balance Scale (BBS), Falls Efficacy Scale (FES) and falls diary before TT, immediately after the training was stopped, and 2 and 4 months later. RESULTS: At baseline, no significant differences were found among groups. Immediately after the end of the TT, TUG Test, 10 MWT, FES and falls diary scores significantly improved in the LF and IF groups, whereas they did not change in the HF group. Improvements were sustained for up 2-months in the IF and LF groups. At 4-months evaluation, outcome measures were either comparable or sometimes even better than at baseline in the LF and IF groups, whereas in the HF group, 10M-WT and FES score worsened. CONCLUSIONS: According to the results of this study, we might postulate that the frequency of TT influences short and long-lasting effects on walking performance and falls. CLINICAL REHABILITATION IMPACT: The present study confirms that TT is effective in improving gait disturbances and reducing falls risk in patients with PD. The short- and long-lasting effects induced by TT on walking performance are specifically affected by the frequency of training, possibly in relationship to learning mechanisms and fatigue. SN - 1973-9095 UR - https://www.unboundmedicine.com/medline/citation/27434611/Treadmill_training_frequency_influences_walking_improvement_in_subjects_with_Parkinson's_disease:_a_randomized_pilot_study_ L2 - http://www.minervamedica.it/index2.t?show=R33Y2017N02A0201 DB - PRIME DP - Unbound Medicine ER -