Effects of Speed-Dependent Treadmill training and Rhythmic Auditory-Cued Overground Walking on Gait and Balance Function and Fall Risk in Individuals with idiopathic Parkinson's Disease: A Randomized Controlled Trial
Location
Hager-Lubbers Exhibition Hall
Description
PURPOSE: This single-blinded, randomized controlled study examined the immediate effects of interval-based and progressive speed-dependent treadmill training (SDTT) and rhythmic auditory-cued (RAC) overground training protocols on gait and balance function and fall risk in individuals with Parkinson’s Disease (PD). SUBJECTS: Twenty participants with idiopathic PD were randomly assigned into either SDTT (n=10) or RAC (n=10). METHODS AND MATERIALS: Training consisted of 30-minute sessions, 3x/week for 6 weeks. Dependent measures included comfortable and fast gait speed (CGS, FGS), Functional Gait Assessment (FGA), 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), Rapid Step-Up Test (RST), and NeuroCom Sensory Organization Test (SOT), Motor Control Test (MCT), and Limits of Stability (LOS). ANALYSES: Paired t-test and independent t-tests analyzed within and between group training effects. RESULTS: The within-group training effects revealed statistically significant gains in CGS (p = 0.013), 6MWT (p = 0.007) and FGA (p = 0.003) for the RAC group, and in FGS (p = 0.012), 6MWT (p = 0.027) and FGA (p =0.000) for the SDTT group. Within-group training effects revealed statistically significant improvements in BBS (p = 0.017), RST (p = 0.037) and SOT Composite score (p = 0.049) for the RAC group, and in RST (p = 0.045), LOS Composite- EPE (p =0.046), and SOT Composite score (p =0.019) for the SDTT group. No statistically significant differences in training effects were found between-groups. CONCLUSIONS: These results provide evidence that SDTT and RAC protocols produced significant short-term improvements in gait and balance function in a PD cohort of community ambulators.
Effects of Speed-Dependent Treadmill training and Rhythmic Auditory-Cued Overground Walking on Gait and Balance Function and Fall Risk in Individuals with idiopathic Parkinson's Disease: A Randomized Controlled Trial
Hager-Lubbers Exhibition Hall
PURPOSE: This single-blinded, randomized controlled study examined the immediate effects of interval-based and progressive speed-dependent treadmill training (SDTT) and rhythmic auditory-cued (RAC) overground training protocols on gait and balance function and fall risk in individuals with Parkinson’s Disease (PD). SUBJECTS: Twenty participants with idiopathic PD were randomly assigned into either SDTT (n=10) or RAC (n=10). METHODS AND MATERIALS: Training consisted of 30-minute sessions, 3x/week for 6 weeks. Dependent measures included comfortable and fast gait speed (CGS, FGS), Functional Gait Assessment (FGA), 6-Minute Walk Test (6MWT), Berg Balance Scale (BBS), Rapid Step-Up Test (RST), and NeuroCom Sensory Organization Test (SOT), Motor Control Test (MCT), and Limits of Stability (LOS). ANALYSES: Paired t-test and independent t-tests analyzed within and between group training effects. RESULTS: The within-group training effects revealed statistically significant gains in CGS (p = 0.013), 6MWT (p = 0.007) and FGA (p = 0.003) for the RAC group, and in FGS (p = 0.012), 6MWT (p = 0.027) and FGA (p =0.000) for the SDTT group. Within-group training effects revealed statistically significant improvements in BBS (p = 0.017), RST (p = 0.037) and SOT Composite score (p = 0.049) for the RAC group, and in RST (p = 0.045), LOS Composite- EPE (p =0.046), and SOT Composite score (p =0.019) for the SDTT group. No statistically significant differences in training effects were found between-groups. CONCLUSIONS: These results provide evidence that SDTT and RAC protocols produced significant short-term improvements in gait and balance function in a PD cohort of community ambulators.