Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease
Identifieur interne : 000E14 ( Main/Corpus ); précédent : 000E13; suivant : 000E15Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease
Auteurs : Silvi Frenkel-Toledo ; Nir Giladi ; Chava Peretz ; Talia Herman ; Leor Gruendlinger ; Jeffrey M. HausdorffSource :
- Movement Disorders [ 0885-3185 ] ; 2005-09.
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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. © 2005 Movement Disorder Society
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DOI: 10.1002/mds.20507
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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. 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xml:id="kwd6">treadmill</keyword></keywordGroup><fundingInfo><fundingAgency>NIA</fundingAgency></fundingInfo><fundingInfo><fundingAgency>NICHD</fundingAgency></fundingInfo><fundingInfo><fundingAgency>NCRR</fundingAgency></fundingInfo><fundingInfo><fundingAgency>Parkinson's Disease Foundation</fundingAgency></fundingInfo><abstractGroup><abstract type="main" xml:lang="en"><title type="main">Abstract</title><p>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. © 2005 Movement Disorder Society</p></abstract></abstractGroup></contentMeta></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>Treadmill Walking as an External Pacemaker</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Treadmill walking as an external pacemaker to improve gait rhythm and stability in Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Silvi</namePart><namePart type="family">Frenkel‐Toledo</namePart><namePart type="termsOfAddress">MScPt</namePart><affiliation>Department of Physical Therapy, Sackler School of Medicine, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Nir</namePart><namePart type="family">Giladi</namePart><namePart type="termsOfAddress">MD</namePart><affiliation>Department of Physical Therapy, Sackler School of Medicine, Tel‐Aviv, Israel</affiliation><affiliation>Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Chava</namePart><namePart type="family">Peretz</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Physical Therapy, Sackler School of Medicine, Tel‐Aviv, Israel</affiliation><affiliation>Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Talia</namePart><namePart type="family">Herman</namePart><namePart type="termsOfAddress">MScPt</namePart><affiliation>Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Leor</namePart><namePart type="family">Gruendlinger</namePart><namePart type="termsOfAddress">BSc</namePart><affiliation>Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Jeffrey M.</namePart><namePart type="family">Hausdorff</namePart><namePart type="termsOfAddress">PhD</namePart><affiliation>Department of Physical Therapy, Sackler School of Medicine, Tel‐Aviv, Israel</affiliation><affiliation>Movement Disorders Unit, Department of Neurology, Tel‐Aviv Sourasky Medical Center, Tel‐Aviv, Israel</affiliation><affiliation>Division on Aging, Harvard Medical School, Boston, Massachusetts, USA</affiliation><description>Correspondence: Movement Disorders Unit, Tel‐Aviv Sourasky Medical Center, 6 Weizman St., Tel‐Aviv, Israel</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2005-09</dateIssued><dateCaptured encoding="w3cdtf">2004-09-22</dateCaptured><dateValid encoding="w3cdtf">2004-12-17</dateValid><copyrightDate encoding="w3cdtf">2005</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="figures">1</extent><extent unit="tables">2</extent><extent unit="references">47</extent><extent unit="words">5066</extent></physicalDescription><abstract 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. © 2005 Movement Disorder Society</abstract><note type="funding">NIA</note><note type="funding">NICHD</note><note type="funding">NCRR</note><note type="funding">Parkinson's Disease Foundation</note><subject lang="en"><genre>Keywords</genre><topic>gait</topic><topic>Parkinson's disease</topic><topic>physical therapy</topic><topic>pacemaker</topic><topic>cueing</topic><topic>treadmill</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. Disord.</title></titleInfo><genre type="Journal">journal</genre><subject><genre>article category</genre><topic>Research Article</topic></subject><identifier type="ISSN">0885-3185</identifier><identifier type="eISSN">1531-8257</identifier><identifier type="DOI">10.1002/(ISSN)1531-8257</identifier><identifier type="PublisherID">MDS</identifier><part><date>2005</date><detail type="volume"><caption>vol.</caption><number>20</number></detail><detail type="issue"><caption>no.</caption><number>9</number></detail><extent unit="pages"><start>1109</start><end>1114</end><total>6</total></extent></part></relatedItem><identifier type="istex">0136EBCD37AF9FF461974CEA248E15E105450CA1</identifier><identifier type="DOI">10.1002/mds.20507</identifier><identifier type="ArticleID">MDS20507</identifier><accessCondition type="use and reproduction" contentType="copyright">Copyright © 2005 Movement Disorder Society</accessCondition><recordInfo><recordContentSource>WILEY</recordContentSource><recordOrigin>Wiley Subscription Services, Inc., A Wiley Company</recordOrigin></recordInfo></mods></metadata><serie></serie></istex></record>Pour manipuler ce document sous Unix (Dilib)
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