Treadmill Training Improves Forward and Backward Gait in Early Parkinson Disease

Tseng, Ing Jy; Yuan, Rey-Yue; Jeng, Chii

doi:10.1097/phm.0000000000000273

Cited by 17 publications

(13 citation statements)

References 31 publications

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“…The significant low to moderate correlations we observed between individual gait and postural response items may suggest the presence of some similar elements or impairments across tasks in PD that could potentially be addressed simultaneously with 1 type of targeted training. Similarly, there is some evidence that training gait in 1 direction may have beneficial effects on gait in the opposite direction (34,35), and the high correlations between forward and backward gait parameters observed in our data suggest that forward and backward gait impairments are related.…”

Section: Discussionsupporting

confidence: 77%

Low to moderate relationships between gait and postural responses in Parkinson disease

Sutter¹,

Seidler²,

Duncan³

et al. 2017

J Rehabil Med

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Section: Discussionsupporting

confidence: 77%

Low to moderate relationships between gait and postural responses in Parkinson disease

Sutter¹,

Seidler²,

Duncan³

et al. 2017

J Rehabil Med

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“…The stepping reaction, which is critical for successful recovery of balance, requires the integration of neural and sensorimotor control systems [ 39 ]. Previous studies indicated that stepping exercises on a treadmill and tango dancing increased balance and mobility in PD patients [ 39 , 40 ]. In addition, PD patients perform lateral weight shifting with less accuracy than do healthy controls [ 41 ].…”

Section: Discussionmentioning

confidence: 99%

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Yuan

Chen

Peng

et al. 2020

J NeuroEngineering Rehabil

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Background: This study aimed to evaluate the effectiveness of a customized interactive video game-based (IVGB) training on balance in older adults with mild-to-moderate Parkinson's disease (PD). Methods: In this 12-week crossover trial, PD patients ≥65 years of age were randomly divided into Group A (a 6week intervention phase followed by a 6-week control phase) and Group B (a 6-week control phase followed by a 6-week intervention phase). Participants received IVGB exercise training during the intervention phase and no exercise during the control phase. Functional outcomes were measured using behavioral evaluation scales and questionnaires at baseline, week 6 and week 12. Results: Twenty-four PD patients were included in this study, and were evenly divided into two groups. After Bonferroni adjustment, the changes in Modified Falls Efficacy Scale (MFES) and two subscales of Multi-Directional Reach Test were significantly different between two groups in the first 6-week period. In addition, the changes in Berg Balance Scale, MFES, and two subscales of Maximum Step Length were significantly different between two groups in the second 6-week period. Compared to controls, 6-week IVGB exercise intervention significantly improved different but overlapping functional outcomes in two groups of PD patients. Conclusions: The customized IVGB exercise training improves balance, postural stability and confidence in preventing falls in older adults with mild-to-moderate PD. However, this IVGB exercise doesn't have a significant impact on quality of life.

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“…A large number of studies regarding the effects of therapy of gait and balance have been related to the use of treadmill therapy (192, 193). Improvements in gait speed, stride length, and symptomatic scales have been noted both immediately and in the long-term following treadmill therapy (126, 146–148, 167). Additionally, some studies have noted improvement in post-urography following treadmill training, suggesting some level of generalizability (146).…”

Section: Effect Of Training On Pigdmentioning

confidence: 99%

Motor Learning Deficits in Parkinson's Disease (PD) and Their Effect on Training Response in Gait and Balance: A Narrative Review

2019

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Parkinson's disease (PD) is a neurological disorder traditionally associated with degeneration of the dopaminergic neurons within the substantia nigra, which results in bradykinesia, rigidity, tremor, and postural instability and gait disability (PIGD). The disorder has also been implicated in degradation of motor learning. While individuals with PD are able to learn, certain aspects of learning, especially automatic responses to feedback, are faulty, resulting in a reliance on feedforward systems of movement learning and control. Because of this, patients with PD may require more training to achieve and retain motor learning and may require additional sensory information or motor guidance in order to facilitate this learning. Furthermore, they may be unable to maintain these gains in environments and situations in which conscious effort is divided (such as dual-tasking). These shortcomings in motor learning could play a large part in degenerative gait and balance symptoms often seen in the disease, as patients are unable to adapt to gradual sensory and motor degradation. Research has shown that physical and exercise therapy can help patients with PD to adapt new feedforward strategies to partially counteract these symptoms. In particular, balance, treadmill, resistance, and repeated perturbation training therapies have been shown to improve motor patterns in PD. However, much research is still needed to determine which of these therapies best alleviates which symptoms of PIGD, the needed dose and intensity of these therapies, and long-term retention effects. The benefits of such technologies as augmented feedback, motorized perturbations, virtual reality, and weight-bearing assistance are also of interest. This narrative review will evaluate the effect of PD on motor learning and the effect of motor learning deficits on response to physical therapy and training programs, focusing specifically on features related to PIGD. Potential methods to strengthen therapeutic effects will be discussed.

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Treadmill Training Improves Forward and Backward Gait in Early Parkinson Disease

Abstract: A 12-wk TT program improves the 12-wk duration of FW and BW gait and can be considered a part of a rehabilitation strategy to overcome gait disturbances in early PD.

Cited by 17 publications

References 31 publications

Low to moderate relationships between gait and postural responses in Parkinson disease

Low to moderate relationships between gait and postural responses in Parkinson disease

Effects of interactive video-game–based exercise on balance in older adults with mild-to-moderate Parkinson’s disease

Motor Learning Deficits in Parkinson's Disease (PD) and Their Effect on Training Response in Gait and Balance: A Narrative Review

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