Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease.
Identifieur interne : 001270 ( Ncbi/Checkpoint ); précédent : 001269; suivant : 001271Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease.
Auteurs : Silvi Frenkel-Toledo [Israël] ; Nir Giladi ; Chava Peretz ; Talia Herman ; Leor Gruendlinger ; Jeffrey M. HausdorffSource :
- Movement disorders : official journal of the Movement Disorder Society [ 0885-3185 ] ; 2005.
English descriptors
- KwdEn :
- MESH :
- rehabilitation : Parkinson Disease.
- Anthropometry, Cues, Demography, Exercise Test, Female, Gait, Humans, Middle Aged, Periodicity, Physical Therapy Modalities, Walking.
Abstract
Recent reports suggest that external cueing improves stride length and gait speed in Parkinson's disease (PD). The purpose of the present study was to examine the influence of treadmill walking on gait variability. The 36 PD patients (Hoehn and Yahr stage 2--2.5) were compared to 30 controls. Subjects walked three times for 2 minutes each: (1) walking on level ground (unassisted), (2) walking on level ground while using a walker, and (3) walking on a treadmill. Stride time variability and swing time variability were significantly increased in the patients compared to the control subjects when walking on level ground with a walker. In both groups, the use of a walking aid did not significantly affect stride time variability or swing time variability, but the treadmill reduced stride time variability and swing time variability in the patients and in the controls. These results indicate that, during treadmill walking, PD subjects are able to walk with a less variable and more stable gait. Because the treadmill walking speed was set to the gait speed on level ground and because this effect was not seen with a walking aid, we suggest that the treadmill may be acting as an external cue to enhance gait rhythmicity and reduce gait variability.
DOI: 10.1002/mds.20507
PubMed: 15929090
Affiliations:
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pubmed:15929090Le document en format XML
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<author><name sortKey="Giladi, Nir" sort="Giladi, Nir" uniqKey="Giladi N" first="Nir" last="Giladi">Nir Giladi</name>
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<author><name sortKey="Peretz, Chava" sort="Peretz, Chava" uniqKey="Peretz C" first="Chava" last="Peretz">Chava Peretz</name>
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<author><name sortKey="Herman, Talia" sort="Herman, Talia" uniqKey="Herman T" first="Talia" last="Herman">Talia Herman</name>
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<author><name sortKey="Gruendlinger, Leor" sort="Gruendlinger, Leor" uniqKey="Gruendlinger L" first="Leor" last="Gruendlinger">Leor Gruendlinger</name>
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<author><name sortKey="Gruendlinger, Leor" sort="Gruendlinger, Leor" uniqKey="Gruendlinger L" first="Leor" last="Gruendlinger">Leor Gruendlinger</name>
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<term>Gait</term>
<term>Humans</term>
<term>Middle Aged</term>
<term>Parkinson Disease (rehabilitation)</term>
<term>Periodicity</term>
<term>Physical Therapy Modalities</term>
<term>Walking</term>
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<term>Exercise Test</term>
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<front><div type="abstract" xml:lang="en">Recent reports suggest that external cueing improves stride length and gait speed in Parkinson's disease (PD). The purpose of the present study was to examine the influence of treadmill walking on gait variability. The 36 PD patients (Hoehn and Yahr stage 2--2.5) were compared to 30 controls. Subjects walked three times for 2 minutes each: (1) walking on level ground (unassisted), (2) walking on level ground while using a walker, and (3) walking on a treadmill. Stride time variability and swing time variability were significantly increased in the patients compared to the control subjects when walking on level ground with a walker. In both groups, the use of a walking aid did not significantly affect stride time variability or swing time variability, but the treadmill reduced stride time variability and swing time variability in the patients and in the controls. These results indicate that, during treadmill walking, PD subjects are able to walk with a less variable and more stable gait. Because the treadmill walking speed was set to the gait speed on level ground and because this effect was not seen with a walking aid, we suggest that the treadmill may be acting as an external cue to enhance gait rhythmicity and reduce gait variability.</div>
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<name sortKey="Gruendlinger, Leor" sort="Gruendlinger, Leor" uniqKey="Gruendlinger L" first="Leor" last="Gruendlinger">Leor Gruendlinger</name>
<name sortKey="Hausdorff, Jeffrey M" sort="Hausdorff, Jeffrey M" uniqKey="Hausdorff J" first="Jeffrey M" last="Hausdorff">Jeffrey M. Hausdorff</name>
<name sortKey="Herman, Talia" sort="Herman, Talia" uniqKey="Herman T" first="Talia" last="Herman">Talia Herman</name>
<name sortKey="Peretz, Chava" sort="Peretz, Chava" uniqKey="Peretz C" first="Chava" last="Peretz">Chava Peretz</name>
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<country name="Israël"><noRegion><name sortKey="Frenkel Toledo, Silvi" sort="Frenkel Toledo, Silvi" uniqKey="Frenkel Toledo S" first="Silvi" last="Frenkel-Toledo">Silvi Frenkel-Toledo</name>
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