Effect of Partial Weight–Supported Treadmill Gait Training on Balance in Patients With Parkinson Disease

Ganesan, Mohan; Sathyaprabha, Talakad N.; Gupta, Anupam; Pal, Pramod Kumar

doi:10.1016/j.pmrj.2013.08.604

Cited by 70 publications

(69 citation statements)

References 32 publications

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“…All subjects with PD were "on" PD medication during data collection. The eligibility criteria for all subjects were: age between 60 and 80 years, no pain, fracture or severe soft tissue injury in the past 6 months, no cardiovascular, respiratory or cognitive impairments (score >24 in the Mini Mental State Examination) [15]. Equipment -The Bluetooth Channels Myotrace 400 (Noraxon®) biological sampling module, with a sampling frequency of 2000 Hz, a 500-fold gain amplifier, and a 16-bit analogue / digital conversion card with 4 channels was used to collect the EMG data with bipolar Ag / AgCl surface electrodes 1cm in diameter and with an inter-electrode distance of 2cm.…”

Section: Methodsmentioning

confidence: 99%

Muscle Activation of Older Adults With and Without Parkinson’s Disease During Street Crossing Simulations

Lucas¹,

Brbara²,

Kennedy³

et al. 2018

Anais Do v Congresso Brasileiro De Eletromiografia E Cinesiologia E X Simpósio De Engenharia Biomédica

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Abstract:Crossing streets is a complex daily activity that requires planning and represents great attentional demand. Changes in gait in older adults can make street crossing a risky situation, especially for those with Parkinson's disease (PD). The objective of this study was to analyze the activation of ankle muscles of older adults with and without PD during comfortable speed gait and during street crossing simulations. The participants were 21 older adults without PD (age = 69±2) and 19 older adults with PD (age = 69±2). The electromyographic activity of the lower limb muscles was analyzed during comfortable speed gait (I), gait during simulated street crossing with regular (II) and with reduced time (III). The anterior tibialis and gastrocnemius activation of older adults without PD were not different in conditions I and II, but were higher in condition III than in conditions I and II. Older adults with PD presented higher levels of activation of all muscles in condition II and III than in condition I, and higher in condition III than in condition II. There was an effect of street crossing simulations in the muscular activity in both groups also; however, the older adults with PD tend to had a greater increase in the activity of the ankle muscles.

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Section: Methodsmentioning

confidence: 99%

Muscle Activation of Older Adults With and Without Parkinson’s Disease During Street Crossing Simulations

Lucas¹,

Brbara²,

Kennedy³

et al. 2018

Anais Do v Congresso Brasileiro De Eletromiografia E Cinesiologia E X Simpósio De Engenharia Biomédica

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“…The sample size was calculated based on a study by Ganesan et al (13) . Functional balance measured using the Berg scale was considered for the calculation due to the fact that this scale represents an important clinical outcome and is directly related to the proposed intervention.…”

Section: Sample Sizementioning

confidence: 99%

Effects of Virtual Reality on Parkinsonian Gait: Blind Controlled Randomized Clinical Trial Protocol

Melo¹,

Moura²,

Fonseca³

et al. 2020

mtprehabjournal

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Background: Parkinson's disease (PD) is a neurodegenerative condition that exerts a negative influence on postural control and mobility, predominantly among older adults, affecting mobility and increasing the risk of slipping, tripping and falls. Objectives: Determine the effectiveness of gait training with the aid of virtual reality on balance and gait in comparison to treadmill training and conventional gait training for subjects with PD. Methods/design: A prospective, randomized, controlled blind, clinical trial is proposed. The sample will comprise 45 individuals with Parkinson's disease randomly allocated to three groups (Control: conventional gait training; Experimental I: treadmill training; and Experimental II: gait training involving virtual reality). Evaluations will be conducted on four occasions: 1) pre-intervention; 2) immediately after one session; 3) post-intervention; and 4) one month after last session. The evaluations will involve the Berg Balance Scale, Tinetti Test, Unified Parkinson's Disease Rating Scale and Hoehn and Yahr Scale. The G-WALK (BTS) inertial sensor will be used for the evaluation of spatiotemporal gait variables, the Timed Up and Go test and the Six-Minute Walk Test. Training will involve 20-minute sessions held three times per week for four consecutive weeks. The results will be analyzed statistically by two-way ANOVA for the data with parametric distribution or Friedman's two-way ANOVA for non-parametric data (α<0.05). Conclusion:The proposed study will compare gait conventional training, treadmill training and training with virtual reality with regard to improvements in gait and balance in patients with PD. The results will be published and will contribute evidence on the use of these interventions for individuals with PD.

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“…3,15,28,30,37,40,47,56,63 There are also a number of recent studies that have examined the efficacy of specific therapy techniques, including some novel approaches. 36,37,55,62,[64][65][66][67] These are summarized in Table 2.…”

Section: Therapy Techniquesmentioning

confidence: 99%

“…Improvements in a range of outcomes have been shown with advanced balance exercises, 37 dance, 55 tai chi, 36 resistance training 65,66 and aerobic exercise, such as treadmill training 67 ( Table 2). A recent systematic review of musicbased movement therapy has also found small, but significant benefits in balance, functional mobility and gait.…”

Section: Therapy Techniquesmentioning

confidence: 99%

Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease

Goodwin

Lan

2014

Rev. Clin. Gerontol.

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SummaryParkinson's disease (PD) is a common and costly condition affecting a predominantly older population. Physical rehabilitation has been shown to enhance motor performance and functional mobility in the shortterm. However, there is limited information available about how best to design and deliver an ambulatory rehabilitation (AR) programme for this patient group. This article reviews the current evidence, aiming to provide guidance about best-practice service provision. We highlight the benefits of group therapy and techniques aimed at reducing falls. Further research is required to determine the optimal dose and intensity of AR necessary to provide sustained benefits in people with different stages of PD.

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Effect of Partial Weight–Supported Treadmill Gait Training on Balance in Patients With Parkinson Disease

Abstract: PWSTT may be a better interventional choice than CGT for gait and balance rehabilitation in patients with PD.

Cited by 70 publications

References 32 publications

Muscle Activation of Older Adults With and Without Parkinson’s Disease During Street Crossing Simulations

Muscle Activation of Older Adults With and Without Parkinson’s Disease During Street Crossing Simulations

Effects of Virtual Reality on Parkinsonian Gait: Blind Controlled Randomized Clinical Trial Protocol

Evaluation and delivery of ambulatory rehabilitation for people with Parkinson's disease

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