NDLI: The effects of treadmill or overground walking training program on gait in Parkinson's disease.

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The effects of treadmill or overground walking training program on gait in Parkinson's disease.

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The effects of treadmill or overground walking training program on gait in Parkinson's disease.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Bello, O. Sanchez, J. A. Lopez-Alonso, V. Márquez, G. Morenilla, L. Castro, X. Giraldez, M. Santos-García, D. Fernandez-del-Olmo, M.
Description	Country affiliation: Spain Author Affiliation: Bello O ( Physical Therapy Department, University School of Physical Therapy, University of A Coruña, A Coruña, Spain.)
Abstract	BACKGROUND: Gait impairment in Parkinson's disease (PD) patients is characterized by the inability to generate appropriate stride length. Treadmill training has been proposed as a therapeutic tool for PD patients. However, it remains unknown whether treadmill training effects are different from overground walking training. Thus, our goal was to explore the effects of two training programs, walking on a treadmill and walking overground, in PD patients. METHODS: 22 PD patients were randomly assigned to a treadmill or overground training group. The training program consisted of 5 weeks (3 sessions/week). Before and after the program we evaluated gait kinematics during walking at preferred and maximal speed; Timed Up and Go (TUG); static posturography and knee extensors strength. Gait parameters were reevaluated in the treadmill training group one month after the cessation of the training. RESULTS: Preferred speed walking improved in both groups after the training program. The treadmill training program, but not the overground, led to an improvement in the stride length at the preferred and maximal walking speed in the PD patients. In addition, the treadmill training group showed improvement of the TUG and static posturography tests. The improvement in gait parameters was maintained one month after the cessation of the treadmill training. CONCLUSIONS: This study provides evidence of a specific therapeutic effect of treadmill training on Parkinsonian gait and balance. Walking on a treadmill may be used as an easy, effective and accessible way to improve the stride length and balance in PD patients.
File Format	HTM / HTML
ISSN	09666362
Issue Number	4
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-09-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Research Support, Non-u.s. Gov't Discipline Orthopedics Comparative Study Complications Humans Middle Aged Instrumentation Male Treatment Outcome Gait Disorders, Neurologic Randomized Controlled Trial Exercise Therapy Journal Article Parkinson Disease Etiology Adult Female Aged Rehabilitation Methods
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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