Backward compared to forward over ground gait retraining have additional benefits for gait in individuals with mild to moderate Parkinson’s disease: A randomized controlled trial
| Autor: | Ranel Venter, Karen Welman, Roné Grobbelaar |
|---|---|
| Rok vydání: | 2017 |
| Předmět: |
Male
030506 rehabilitation medicine.medical_specialty Parkinson's disease Activities of daily living medicine.medical_treatment Biophysics Walking law.invention 03 medical and health sciences 0302 clinical medicine Gait (human) Physical medicine and rehabilitation Randomized controlled trial Disease severity law medicine Humans Orthopedics and Sports Medicine Gait Gait Disorders Neurologic Aged Aged 80 and over Rehabilitation Gait retraining Parkinson Disease Middle Aged medicine.disease Exercise Therapy Walking Speed Physical therapy Female 0305 other medical science Cadence Psychology human activities 030217 neurology & neurosurgery |
| Zdroj: | Gait & Posture. 58:294-299 |
| ISSN: | 0966-6362 |
| Popis: | Over ground gait retraining in the reverse direction has shown to be beneficial for neurological rehabilitation, but has not yet been investigated in Parkinson's disease (PD). Backwards walking (BW) might be a useful training alternative to improve PD gait and possibly reduce fall risk during complex multi-directional daily activities. The primary aim was to compare the effect of an eight-week forward (FWG) and backwards (BWG) gait retraining program on gait parameters in PD individuals. Twenty-nine participants (aged 71.0±8.8years; UPDRS-III 38.1±12.3; HY 2.7±0.5) were randomly assigned to either the control (FWG; n=14) or experimental group (BWG; n=15). Baseline measures included disease severity (UPDRS III), global cognition (MoCA) and depression (PHQ-9). Outcome measures were selected gait variables on the 10m-instrumented-walk-test (i10mWT) assessed before and after the interventions. Both groups improved usual gait speed (FWG: p=0.03, d=0.35; BWG: p0.01, d=0.35) and height-normalized gait speed (FWG: p=0.04, d=0.35; BWG: p0.01, d=0.57). Additionally, the BWG demonstrated improved cadence (p0.01, d=0.67) and stride length (SL; p=0.02, d=0.39). Both interventions were effective to improved gait speed sufficiently to independently navigate in the community. |
| Databáze: | OpenAIRE |
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