Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study
Since turning is often impaired in Parkinson's disease (PD) and may lead to falls, it is important to develop targeted treatment strategies for turning. We determined the effects of rotating treadmill training on turning in individuals with PD. This randomized controlled study evaluated 180∘ i...
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| Format: | Article |
| Language: | English |
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Wiley
2012-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2012/623985 |
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| _version_ | 1832560953855574016 |
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| author | Marie E. McNeely Gammon M. Earhart |
| author_facet | Marie E. McNeely Gammon M. Earhart |
| author_sort | Marie E. McNeely |
| collection | DOAJ |
| description | Since turning is often impaired in Parkinson's disease (PD) and may lead to falls, it is important to develop targeted treatment strategies for turning. We determined the effects of rotating treadmill training on turning in individuals with PD. This randomized controlled study evaluated 180∘
in-place turns, functional turning (timed-up-and-go), and gait velocity before and after 15 minutes of rotating treadmill training or stepping in place in 26 people with PD and 27 age-matched controls. A subset of participants with PD (𝑛=3)
completed five consecutive days of rotating treadmill training. Fast as possible gait velocity, timed-up-and-go time, 180∘
turn duration, and steps to turn 180∘
were impaired in PD compared to controls (𝑃<0.05) and did not improve following either intervention (𝑃>0.05). Preferred pace gait velocity and timing of yaw rotation onset of body segments (head, trunk, pelvis) during 180∘
turns were not different in PD (𝑃>0.05) and did not change following either intervention. No improvements in gait or turning occurred after five days of rotating treadmill training, compared to one day. The rotating treadmill is not recommended for short-term rehabilitation of impaired in-place turning in the general PD population. |
| format | Article |
| id | doaj-art-8172c73f92af45b19b0c0846152d23cc |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-8172c73f92af45b19b0c0846152d23cc2025-02-03T01:26:20ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/623985623985Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled StudyMarie E. McNeely0Gammon M. Earhart1Program in Physical Therapy, Washington University in St. Louis, St. Louis, MO 63108, USAProgram in Physical Therapy, Washington University in St. Louis, St. Louis, MO 63108, USASince turning is often impaired in Parkinson's disease (PD) and may lead to falls, it is important to develop targeted treatment strategies for turning. We determined the effects of rotating treadmill training on turning in individuals with PD. This randomized controlled study evaluated 180∘ in-place turns, functional turning (timed-up-and-go), and gait velocity before and after 15 minutes of rotating treadmill training or stepping in place in 26 people with PD and 27 age-matched controls. A subset of participants with PD (𝑛=3) completed five consecutive days of rotating treadmill training. Fast as possible gait velocity, timed-up-and-go time, 180∘ turn duration, and steps to turn 180∘ were impaired in PD compared to controls (𝑃<0.05) and did not improve following either intervention (𝑃>0.05). Preferred pace gait velocity and timing of yaw rotation onset of body segments (head, trunk, pelvis) during 180∘ turns were not different in PD (𝑃>0.05) and did not change following either intervention. No improvements in gait or turning occurred after five days of rotating treadmill training, compared to one day. The rotating treadmill is not recommended for short-term rehabilitation of impaired in-place turning in the general PD population.http://dx.doi.org/10.1155/2012/623985 |
| spellingShingle | Marie E. McNeely Gammon M. Earhart Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study Parkinson's Disease |
| title | Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study |
| title_full | Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study |
| title_fullStr | Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study |
| title_full_unstemmed | Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study |
| title_short | Lack of Short-Term Effectiveness of Rotating Treadmill Training on Turning in People with Mild-to-Moderate Parkinson's Disease and Healthy Older Adults: A Randomized, Controlled Study |
| title_sort | lack of short term effectiveness of rotating treadmill training on turning in people with mild to moderate parkinson s disease and healthy older adults a randomized controlled study |
| url | http://dx.doi.org/10.1155/2012/623985 |
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