Immediate effects of speed-dependent treadmill training on gait parameters in early Parkinson’s disease11No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.

Pohl, Marcus; Rockstroh, G; Rückriem, Stefan; Mrass, Gregor; Mehrholz, Jan

doi:10.1016/s0003-9993(03)00433-7

Cited by 171 publications

(19 citation statements)

References 40 publications

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“…Conventional treadmill training improves gait symmetry in persons post-stroke, but the improvements do not exceed established minimal detectable change values (Tyrell, 2011). Similarly, Pohl and colleagues (2003) did not find any positive effect of conventional treadmill walking on gait symmetry in PD. However, previous research by Reisman and colleagues and preliminary data from our lab suggest that interventions using SBT may improve gait symmetry in these populations (Reisman, 2009; Reisman, 2010).…”

Section: Introductionmentioning

confidence: 77%

Lower extremity sagittal joint moment production during split-belt treadmill walking

Roemmich

Stegemöller

Hass

2012

Journal of Biomechanics

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The split-belt treadmill (SBT) has recently been used to rehabilitate locomotor asymmetries in clinical populations. However, the joint mechanics produced while walking on a SBT are not well-understood. The purpose of this study was to investigate the lower extremity sagittal joint moments produced by each limb during SBT walking and provide insight as to how these joint moment patterns may be useful in rehabilitating unilateral gait deficits. Thirteen healthy young volunteers walked on the SBT with the belts tied and in a “SPLIT” session in which one belt moved twice as fast as the other. Sagittal lower extremity joint moment and ground reaction force impulses were then calculated over the braking and propulsive phases of the gait cycle. Paired t-tests were performed to analyze magnitude differences between conditions (i.e. the fast and slow limbs during SPLIT vs. the same limb during tied-belt walking) and between the fast and slow limbs during SPLIT. During the SPLIT session, the fast limb produced higher ground reaction force and ankle moment impulses during the propulsive and braking phases, and lower knee moment impulses during the propulsive phase when compared to the slow limb. The knee moment impulse was also significantly higher during braking in the slow limb than in the fast limb. The mechanics of each limb during the SPLIT session also differed from the mechanics observed when the belt speeds were tied. Based on these findings, we suggest that each belt may have intrinsic value in rehabilitating specific unilateral locomotor deficits.

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Section: Introductionmentioning

confidence: 77%

Lower extremity sagittal joint moment production during split-belt treadmill walking

Roemmich

Stegemöller

Hass

2012

Journal of Biomechanics

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“…There are few comparisons between higher- and lower-intensity treadmill exercises for PD. Pohl et al 15 studied the immediate effects of 30 minutes of high- and low-speed treadmill training compared with conventional gait training and a sedentary control. Both high- and low-speed treadmill training resulted in similar improvements in gait speed, with no improvements in the nontreadmill groups.…”

Section: Commentmentioning

confidence: 99%

Randomized Clinical Trial of 3 Types of Physical Exercise for Patients With Parkinson Disease

Shulman

Katzel²,

Ivey³

et al. 2013

JAMA Neurol

346

309

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“…It may be that more intense rotating treadmill training sessions or increased number of sessions may result in detectable changes, as previous traditional treadmill studies report improvements after completion of 10–28 training sessions of 20–30 minutes each [26, 31]. However, there are also reports of acute effects on gait from just one session of traditional treadmill training [32–34]. Another possibility is that the rotating treadmill may be more useful for people with PD when combined with other cueing strategies.…”

Section: Discussionmentioning

confidence: 99%

Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study

McNeely

Earhart²

2012

Parkinson's Disease

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Since turning is often impaired in Parkinson's disease (PD) and may lead to falls, it is important to develop targeted treatment strategies for turning. We determined the effects of rotating treadmill training on turning in individuals with PD. This randomized controlled study evaluated 180° in-place turns, functional turning (timed-up-and-go), and gait velocity before and after 15 minutes of rotating treadmill training or stepping in place in 26 people with PD and 27 age-matched controls. A subset of participants with PD (n = 3) completed five consecutive days of rotating treadmill training. Fast as possible gait velocity, timed-up-and-go time, 180° turn duration, and steps to turn 180° were impaired in PD compared to controls (P < 0.05) and did not improve following either intervention (P > 0.05). Preferred pace gait velocity and timing of yaw rotation onset of body segments (head, trunk, pelvis) during 180° turns were not different in PD (P > 0.05) and did not change following either intervention. No improvements in gait or turning occurred after five days of rotating treadmill training, compared to one day. The rotating treadmill is not recommended for short-term rehabilitation of impaired in-place turning in the general PD population.

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Cited by 171 publications

References 40 publications

Lower extremity sagittal joint moment production during split-belt treadmill walking

Lower extremity sagittal joint moment production during split-belt treadmill walking

Randomized Clinical Trial of 3 Types of Physical Exercise for Patients With Parkinson Disease

Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study

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