Does dual task walking affect gait symmetry in individuals with Parkinson’s disease?

Ribeiro, Tatiana Souza; Sousa, Angélica C. de; Lucena, Larissa Coutinho de; Santiago, Lorenna M. M.; Lindquist, Ana Raquel Rodrigues

doi:10.1080/21679169.2018.1444086

Cited by 9 publications

(14 citation statements)

References 41 publications

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“…In our study, the asymmetry between the sides was considered when the valued was less than 5% in the statistic test [23]. Probably, the general symmetry observed in the pre-test seems to be explained due to mild stage (H&Y median: 1.5 points) of PD and phase of medication "ON" utilized in the present study [26,36]. Furthermore, the disease duration is 7.3 ± 5.4 years, and, at this stage of the disease, the people with PD have a similar likelihood of unilateral and bilateral motor impairments [37].…”

Section: Discussionmentioning

confidence: 85%

“…Calculation of the sample size was carried out using the Gpower v.3.1 program. Values of maximal flexion of the knee and maximal abduction of the hip from the study of Ribeiro et al, (2018) were used for the calculation [26], with a level of 5% and a power of 85%. A number of 14 subjects was estimated, considering the possible sample losses and a good adhesion rate estimated at 70% [27].…”

Section: Participantsmentioning

confidence: 99%

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Effects of Nordic Walking on Gait Symmetry in Mild Parkinson’s Disease

et al. 2019

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Individuals with Parkinson’s disease (PD) have gait asymmetries, and exercise therapy may reduce the differences between more and less affected limbs. The Nordic walking (NW) training may contribute to reducing the asymmetry in upper and lower limb movements in people with PD. We compared the effects of 11 weeks of NW aerobic training on asymmetrical variables of gait in subjects with mild PD. Fourteen subjects with idiopathic PD, age: 66.8 ± 9.6 years, and Hoehn and Yard stage of 1.5 points were enrolled. The kinematic analysis was performed pre and post-intervention. Data were collected at two randomized walking speeds (0.28 m·s−1 and 0.83 m·s−1) during five minutes on the treadmill without poles. The more affected and less affected body side symmetries (threshold at 5% between sides) of angular kinematics and spatiotemporal gait parameters were calculated. We used Generalized Estimating Equations with Bonferroni post hoc (α = 0.05). Maximal flexion of the knee (p = 0.007) and maximal abduction of the hip (p = 0.041) were asymmetrical pre and became symmetrical post NW intervention. The differences occurred in the knee was less affected and the hip was more affected. We concluded that 11 weeks of NW training promoted similarities in gait parameters and improved knee and hip angular parameters for PD subjects.

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Section: Discussionmentioning

confidence: 85%

Section: Participantsmentioning

confidence: 99%

Effects of Nordic Walking on Gait Symmetry in Mild Parkinson’s Disease

et al. 2019

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“…This study showed the exact gait phases in which dual-task gait interfered on the joint kinematics of lower limb when compared to single gait in people with PD and FOG. Most of daily activities include dual task situations, which require an appropriate body response [ 8 ], especially for people with PD. The knowledge of how this challenge task influence lower limb kinematics may be important for gait training strategies in this population.…”

Section: Discussionmentioning

confidence: 99%

“…Twenty-six participants were calculated as necessary to detect a mean difference of 3.59 degrees in the knee RoM, with standard deviation of 5.8, 80% of power and alpha value of 0.05 [ 8 ]. We used the software G Power 3.0.10 for sample size calculation.…”

Section: Methodsmentioning

confidence: 99%

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Dual-task walking reduces lower limb range of motion in individuals with Parkinson’s disease and freezing of gait: But does it happen during what events through the gait cycle?

et al. 2020

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Background It is unclear how dual-task gait influences the lower limb range of motion (RoM) in people with Parkinson’s disease (PD) and freezing of gait (FOG). The lower limb kinematics during dual-task gait might differ from regular gait, but during what events in the gait cycle? Methods This is an observational within-subjects study. Thirty-two individuals with PD and FOG underwent a gait analysis. Single and dual-task gait was assessed by a 3D motion analysis system and the RoM data of the lower limb were extracted from hips, knees and ankles in the sagittal plane. Dual-task assignment was performed using word-color interference test. To compare both gait conditions, we used two different analyses: (1) common discrete analysis to provide lower limb RoM and (2) Statistical Parametric Mapping analysis (SPM) to provide lower limb joint kinematics. A correlation between lower limb RoM and spatiotemporal gait parameters was also performed for each gait condition. Results Common discrete analysis evidenced reductions in RoM of hips, knees and ankles during the dual task gait when compared to single gait. SPM analysis showed reductions in flexion-extension of hip, knees and ankles joints when dual task was compared to single task gait. These reductions were observed in specific gait events as toe off (for knees and ankles) and heel strike (for all joints). The reduction in lower limb RoM was positively correlated with the reduction in step length and gait speed. Conclusions Lower limb joints kinematics were reduced during toe off and heel strike in dual task gait when compared to single gait. These findings might help physiotherapists to understand the influence of dual and single walking in lower limb RoM throughout the gait cycle in people with PD and FOG.

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