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Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: A randomized controlled trial.
Parkinsonism Relat Disord. 2017 Oct; 43:20-26.PR

Abstract

INTRODUCTION

The purpose of this study was to investigate the effects of curved-walking training (CWT) on curved-walking performance and freezing of gait (FOG) in people with Parkinson's disease (PD).

METHODS

Twenty-four PD subjects were recruited and randomly assigned to the CWT group or control exercise (CE) group and received 12 sessions of either CWT with a turning-based treadmill or general exercise training for 30 min followed by 10 min of over-ground walking in each session for 4-6 weeks. The primary outcomes included curved-walking performance and FOG. All measurements were assessed at baseline, after training, and at 1-month follow-up.

RESULTS

Our results showed significant improvements in curved-walking performance (speed, p = 0.007; cadence, p = 0.003; step length, p < 0.001) and FOG, measured by a FOG questionnaire (p = 0.004). The secondary outcomes including straight-walking performance (speed, cadence and step length, p < 0.001), timed up and go test (p = 0.014), functional gait assessment (p < 0.001), Unified Parkinson's disease Rating Scale III (p = 0.001), and quality of life (p < 0.001) were also improved in the experimental group. We further noted that the improvements were maintained for at least one month after training (p < 0.05).

CONCLUSION

A 12-session CWT program can improve curved-walking ability, FOG, and other measures of functional walking performance in individuals with PD. Most of the improvements were sustained for at least one month after training.

Authors+Show Affiliations

Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan, ROC; Department of Rehabilitation, Taoyuan General Hospital, Ministry of Health and Welfare, Taoyuan, Taiwan, ROC.Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan, ROC.Department of Neurology, Chang Gung Memorial Hospital, Linkou, Taiwan, ROC.Department of Neurology, Mackay Memorial Hospital, Taipei, Taiwan, ROC. Electronic address: csjneuro@gmail.com.Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, Taiwan, ROC. Electronic address: rywang@ym.edu.tw.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

28673611

Citation

Cheng, Fang-Yu, et al. "Effects of Curved-walking Training On Curved-walking Performance and Freezing of Gait in Individuals With Parkinson's Disease: a Randomized Controlled Trial." Parkinsonism & Related Disorders, vol. 43, 2017, pp. 20-26.
Cheng FY, Yang YR, Wu YR, et al. Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: A randomized controlled trial. Parkinsonism Relat Disord. 2017;43:20-26.
Cheng, F. Y., Yang, Y. R., Wu, Y. R., Cheng, S. J., & Wang, R. Y. (2017). Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: A randomized controlled trial. Parkinsonism & Related Disorders, 43, 20-26. https://doi.org/10.1016/j.parkreldis.2017.06.021
Cheng FY, et al. Effects of Curved-walking Training On Curved-walking Performance and Freezing of Gait in Individuals With Parkinson's Disease: a Randomized Controlled Trial. Parkinsonism Relat Disord. 2017;43:20-26. PubMed PMID: 28673611.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of curved-walking training on curved-walking performance and freezing of gait in individuals with Parkinson's disease: A randomized controlled trial. AU - Cheng,Fang-Yu, AU - Yang,Yea-Ru, AU - Wu,Yih-Ru, AU - Cheng,Shih-Jung, AU - Wang,Ray-Yau, Y1 - 2017/06/28/ PY - 2017/01/05/received PY - 2017/05/15/revised PY - 2017/06/27/accepted PY - 2017/7/5/pubmed PY - 2018/6/13/medline PY - 2017/7/5/entrez KW - Curved-walking KW - Freezing of gait KW - Parkinson's disease KW - Turning-based treadmill training SP - 20 EP - 26 JF - Parkinsonism & related disorders JO - Parkinsonism Relat Disord VL - 43 N2 - INTRODUCTION: The purpose of this study was to investigate the effects of curved-walking training (CWT) on curved-walking performance and freezing of gait (FOG) in people with Parkinson's disease (PD). METHODS: Twenty-four PD subjects were recruited and randomly assigned to the CWT group or control exercise (CE) group and received 12 sessions of either CWT with a turning-based treadmill or general exercise training for 30 min followed by 10 min of over-ground walking in each session for 4-6 weeks. The primary outcomes included curved-walking performance and FOG. All measurements were assessed at baseline, after training, and at 1-month follow-up. RESULTS: Our results showed significant improvements in curved-walking performance (speed, p = 0.007; cadence, p = 0.003; step length, p < 0.001) and FOG, measured by a FOG questionnaire (p = 0.004). The secondary outcomes including straight-walking performance (speed, cadence and step length, p < 0.001), timed up and go test (p = 0.014), functional gait assessment (p < 0.001), Unified Parkinson's disease Rating Scale III (p = 0.001), and quality of life (p < 0.001) were also improved in the experimental group. We further noted that the improvements were maintained for at least one month after training (p < 0.05). CONCLUSION: A 12-session CWT program can improve curved-walking ability, FOG, and other measures of functional walking performance in individuals with PD. Most of the improvements were sustained for at least one month after training. SN - 1873-5126 UR - https://www.unboundmedicine.com/medline/citation/28673611/Effects_of_curved_walking_training_on_curved_walking_performance_and_freezing_of_gait_in_individuals_with_Parkinson's_disease:_A_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1353-8020(17)30228-6 DB - PRIME DP - Unbound Medicine ER -