Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: A comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training
Identifieur interne : 002089 ( Main/Exploration ); précédent : 002088; suivant : 002090Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: A comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training
Auteurs : Giuseppe Frazzitta [Italie] ; Roberto Maestri [Italie] ; Davide Uccellini [Italie] ; Gabriella Bertotti [Italie] ; Paola Abelli [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2009-06-15.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Congélation, Homme.
English descriptors
- KwdEn :
- Acoustic Stimulation (methods), Aged, Comparative study, Cues, Disability Evaluation, Exercise Test, Exercise Therapy (methods), Female, Freezing, Freezing Reaction, Cataleptic (physiology), Gait Disorders, Neurologic (etiology), Gait Disorders, Neurologic (rehabilitation), Human, Humans, Male, Nervous system diseases, Parkinson Disease (complications), Parkinson Disease (rehabilitation), Parkinson disease, Parkinson's disease, Photic Stimulation (methods), Questionnaires, Rehabilitation, Severity of Illness Index, Time Factors, Treatment, Treatment Outcome, Visual cue, freezing, rehabilitation, treadmill training.
- MESH :
- complications : Parkinson Disease.
- etiology : Gait Disorders, Neurologic.
- methods : Acoustic Stimulation, Exercise Therapy, Photic Stimulation.
- physiology : Freezing Reaction, Cataleptic.
- rehabilitation : Gait Disorders, Neurologic, Parkinson Disease.
- Aged, Cues, Disability Evaluation, Exercise Test, Female, Humans, Male, Questionnaires, Severity of Illness Index, Time Factors, Treatment Outcome.
Abstract
Freezing is a disabling symptom in patients with Parkinson's disease. We investigated the effectiveness of a new rehabilitation strategy based on treadmill training associated with auditory and visual cues. Forty Parkinsonian patients with freezing were randomly assigned to two groups: Group 1 underwent a rehabilitation program based on treadmill training associated with auditory and visual cues, while Group 2 followed a rehabilitation protocol using cues and not associated with treadmill. Functional evaluation was based on the Unified Parkinson's Disease Rating Scale Motor Section (UPDRS III), Freezing of Gait Questionnaire (FOGQ), 6‐minute walking test (6MWT), gait speed, and stride cycle. Patients in both the groups had significant improvements in all variables considered by the end of the rehabilitation program (all P = 0.0001). Patients treated with the protocol including treadmill, had more improvement than patients in Group 2 in most functional indicators (P = 0.007, P = 0.0004, P = 0.0126, and P = 0.0263 for FOGQ, 6MWT, gait speed, stride cycle, respectively). The most striking result was obtained for 6MWT, with a mean increase of 130 m in Group 1 compared with 57 m in Group 2. Our results suggest that treadmill training associated with auditory and visual cues might give better results than more conventional treatments. Treadmill training probably acts as a supplementary external cue. © 2009 Movement Disorder Society
Url:
DOI: 10.1002/mds.22491
Affiliations:
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Maugeri Foundation IRCCS, Montescano</wicri:regionArea><wicri:noRegion>Montescano</wicri:noRegion></affiliation></author><author><name sortKey="Uccellini, Davide" sort="Uccellini, Davide" uniqKey="Uccellini D" first="Davide" last="Uccellini">Davide Uccellini</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Neurology, Tradate Hospital, Varese</wicri:regionArea><wicri:noRegion>Varese</wicri:noRegion></affiliation></author><author><name sortKey="Bertotti, Gabriella" sort="Bertotti, Gabriella" uniqKey="Bertotti G" first="Gabriella" last="Bertotti">Gabriella Bertotti</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Physical Therapy, Scientific Institute of Montescano, S. Maugeri Foundation IRCCS, Montescano</wicri:regionArea><wicri:noRegion>Montescano</wicri:noRegion></affiliation></author><author><name sortKey="Abelli, Paola" sort="Abelli, Paola" uniqKey="Abelli P" first="Paola" last="Abelli">Paola Abelli</name><affiliation wicri:level="1"><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Physical Therapy, Scientific Institute of Montescano, S. Maugeri Foundation IRCCS, Montescano</wicri:regionArea><wicri:noRegion>Montescano</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2009-06-15">2009-06-15</date><biblScope unit="vol">24</biblScope><biblScope unit="issue">8</biblScope><biblScope unit="page" from="1139">1139</biblScope><biblScope unit="page" to="1143">1143</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">4F43080A7D030D312039617AAE731179CDFF05FC</idno><idno type="DOI">10.1002/mds.22491</idno><idno type="ArticleID">MDS22491</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation (methods)</term><term>Aged</term><term>Comparative study</term><term>Cues</term><term>Disability Evaluation</term><term>Exercise Test</term><term>Exercise Therapy (methods)</term><term>Female</term><term>Freezing</term><term>Freezing Reaction, Cataleptic (physiology)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Gait Disorders, Neurologic (rehabilitation)</term><term>Human</term><term>Humans</term><term>Male</term><term>Nervous system diseases</term><term>Parkinson Disease (complications)</term><term>Parkinson Disease (rehabilitation)</term><term>Parkinson disease</term><term>Parkinson's disease</term><term>Photic Stimulation (methods)</term><term>Questionnaires</term><term>Rehabilitation</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment</term><term>Treatment Outcome</term><term>Visual cue</term><term>freezing</term><term>rehabilitation</term><term>treadmill training</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Acoustic Stimulation</term><term>Exercise Therapy</term><term>Photic Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Freezing Reaction, Cataleptic</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Cues</term><term>Disability Evaluation</term><term>Exercise Test</term><term>Female</term><term>Humans</term><term>Male</term><term>Questionnaires</term><term>Severity of Illness Index</term><term>Time Factors</term><term>Treatment Outcome</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Congélation</term><term>Etude comparative</term><term>Homme</term><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Repère visuel</term><term>Réhabilitation</term><term>Traitement</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Congélation</term><term>Homme</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Freezing is a disabling symptom in patients with Parkinson's disease. We investigated the effectiveness of a new rehabilitation strategy based on treadmill training associated with auditory and visual cues. Forty Parkinsonian patients with freezing were randomly assigned to two groups: Group 1 underwent a rehabilitation program based on treadmill training associated with auditory and visual cues, while Group 2 followed a rehabilitation protocol using cues and not associated with treadmill. Functional evaluation was based on the Unified Parkinson's Disease Rating Scale Motor Section (UPDRS III), Freezing of Gait Questionnaire (FOGQ), 6‐minute walking test (6MWT), gait speed, and stride cycle. Patients in both the groups had significant improvements in all variables considered by the end of the rehabilitation program (all P = 0.0001). Patients treated with the protocol including treadmill, had more improvement than patients in Group 2 in most functional indicators (P = 0.007, P = 0.0004, P = 0.0126, and P = 0.0263 for FOGQ, 6MWT, gait speed, stride cycle, respectively). The most striking result was obtained for 6MWT, with a mean increase of 130 m in Group 1 compared with 57 m in Group 2. Our results suggest that treadmill training associated with auditory and visual cues might give better results than more conventional treatments. Treadmill training probably acts as a supplementary external cue. © 2009 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Italie</li></country></list><tree><country name="Italie"><noRegion><name sortKey="Frazzitta, Giuseppe" sort="Frazzitta, Giuseppe" uniqKey="Frazzitta G" first="Giuseppe" last="Frazzitta">Giuseppe Frazzitta</name></noRegion><name sortKey="Abelli, Paola" sort="Abelli, Paola" uniqKey="Abelli P" first="Paola" last="Abelli">Paola Abelli</name><name sortKey="Bertotti, Gabriella" sort="Bertotti, Gabriella" uniqKey="Bertotti G" first="Gabriella" last="Bertotti">Gabriella Bertotti</name><name sortKey="Maestri, Roberto" sort="Maestri, Roberto" uniqKey="Maestri R" first="Roberto" last="Maestri">Roberto Maestri</name><name sortKey="Uccellini, Davide" sort="Uccellini, Davide" uniqKey="Uccellini D" first="Davide" last="Uccellini">Davide Uccellini</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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