medigraphic.com
Instituto Nacional de Ciencias Médicas y Nutrición Salvador Zubirán

2014, Number S1

<< Back Next >>

Rev Invest Clin 2014; 66 (S1)

Familiarization to treadmill walking in unimpaired Parkinson’s disease patients

Pérez-Sanpablo AI, Hernández-Arenas C, Rodríguez-Reyes G, Quiñones-Uriostegui I, Montero AA, Núñez-Carrera L, Boll-Woehrlen MC, Galván Duque-Gastelum C

Language: Spanish
References: 18
Page: 24-31
PDF size: 177.45 Kb.


ABSTRACT

Familiarization to treadmill walking in unimpaired Parkinson’s disease (PD) patients is assessed, across multiple treadmill walking sessions. Thirteen PD subjects were enrolled into the study (Eight were in a moderate stage of the disease, and 5 in an advanced stage). PD subjects attended a progressive program consisting of 12 sessions of 20 min. Walking speed, cadence, step length and coefficient of variation were assessed. ANOVA test were used to evaluate progression of disease and time influence over familiarization. PD Subjects baseline characteristics did not differ significantly between both groups and typical dependencies over progression of disease and velocity were found for cadence, step length and coefficient of variation. However, we showed that some PD subjects may require longer familiarization times and that familiarization is an adaptation process which involves parameters as velocity, cadence and gait stability. A better definition of familiarization to treadmill is needed since some parameters such as step length does not change significantly while others such as cadence, coefficient of variation and intraclass correlation coefficient does. Therefore familiarization to treadmill walking should remain on measures of velocity, cadence, reliability and variability. However, a bigger sample size is needed in order to improve the results of the present study.


REFERENCES

  1. Van Den Eeden SK, Tanner CM, Bernstein AL, Fross RD, Leimpeter A, Bloch DA, et al. Incidence of Parkinson’s Disease: Variation by Age, Gender, and Race/Ethnicity. Am J of Epidemiol 2011; 157(11): 1015-22.

  2. Protas EJ, Mitchell K, Williams A, Qureshy H, Caroline K, et al. Gait and step training to reduce falss in Parkinson’s disease. Neurorehabilitation 2005; 20(3): 183-190.

  3. Mehrholz J, Friis R, Kugler J, Twork S, Storch A, Pohl M. Treadmill training for patients with Parkinson’s disease. Cochrane Database Syst Rev 2010; 1: CD007830.

  4. Bello O, Sanchez JA, Fernandez-del-Olmo M. Treadmill walking in Parkinson’s disease patients: adaptation and generalization effect. Mov Disord 2008; 23(9): 1243-9.

  5. Chang MD, Shaikh S, Chau T. Effect of treadmill walking on the stride interval dynamics of human gait. Gait Posture 2009; 30(4): 431-5. Pérez-Sanpablo AI, et al. Familiarización de la marcha en banda sinfín. Rev Invest Clin 2014; 66 (Supl.1): s24-s31 s31

  6. Matsas A, Taylor N, McBurney H. Knee joint kinematics from familiarized treadmill walking can be generalized to overground walking in young unimpaired subjects. Gait Posture 2000; 11(1): 46-53.

  7. Lavcanska V, Taylor NF, Schache AG. Familiarization to treadmill running in young unimpaired adults. Human Mov Sci 2005; 24(4): 544-57.

  8. Wass E, Taylor NF, Matsas A. Familiarisation to treadmill walking in unimpaired older people. Gait Posture 2005; 21(1): 72-9.

  9. Schellenbach M, Lovden M, Verrel J, Kruger A, Lindenberger U. Adult age differences in familiarization to treadmill walking within virtual environments. Gait Posture 2010; 31(3): 295-9.

  10. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967; 17: 427-42.

  11. Jankovic J, McDermott M, Carter J, Gauthier S, Goetz C, Golbe L, et al. Variable expression of Parkinson’s disease: a baseline analysis of the DATATOP cohort. Neurology 1990; 50: 1529-34.

  12. Movement Disorder Society Task Force on Rating Scales for PD. Unified Parkinson’s disease rating scale: status and recommendations. Mov Disord 2003; 18(7): 738-50.

  13. Folstein MF, Folstein SE, McHugh PR. Mini-mental state. A practical method for grading the cognitive state of patients for the clinician. J Psychiatr Res 1975; 12(3): 189-98.

  14. The GAITRite Electronic Walkay. GAITRite Operating Manual. CIR Systems Inc, Version 4.7.4, Jul 2012.

  15. Biodex. Biodex Gait Trainer 2 Reference Manual. Biodex Medical Systems Inc, Rev 12/04-DV.

  16. Stansfield BW, et al. Normalization of gait data in children. Gait Posture 2003; 17(1): 81-7. 2003.

  17. Hagell P, Brundin L. Towards an understanding of fatigue in Parkinson disease. J Neurol Neurosurg Psychiatry 2009; 80: 489-93.

  18. Bryant MS, Rintala DH, Hou JG, Charness AL, Fernandez AL, et al. Gait variability in Parkinson’s disease: influence of walking speed and dopaminergic treatment. Neurological Research 2011; 33(9): 959-64.




2020     |     www.medigraphic.com