Article

OBJECTIVE: To evaluate the effect of conventional gait training (CGT) and partial
weight-supported treadmill training (PWSTT) on gait and clinical manifestation.
DESIGN: Prospective experimental research design. SETTING: Hospital.
PARTICIPANTS: Patients with idiopathic Parkinson disease (PD) (N=60; mean age,
58.15+/-8.7y) on stable dosage of dopaminomimetic drugs were randomly assigned
into the 3 following groups (20 patients in each group): (1) nonexercising PD
group, (2) CGT group, and (3) PWSTT group. INTERVENTIONS: The interventions
included in the study were CGT and PWSTT. The sessions of the CGT and PWSTT
groups were given in patient's self-reported best on status after regular
medications. The interventions were given for 30min/d, 4d/wk, for 4 weeks (16
sessions). MAIN OUTCOME MEASURES: Clinical severity was measured by the Unified
Parkinson Disease Rating Scale (UPDRS) and its subscores. Gait was measured by 2
minutes of treadmill walking and the 10-m walk test. Outcome measures were
evaluated in their best on status at baseline and after the second and fourth
weeks. RESULTS: Four weeks of CGT and PWSTT gait training showed significant
improvements of UPDRS scores, its subscores, and gait performance measures.
Moreover, the effects of PWSTT were significantly better than CGT on most
measures. CONCLUSIONS: PWSTT is a promising intervention tool to improve the
clinical and gait outcome measures in patients with PD.
CI - Copyright (c) 2015 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS