Effectiveness of Treadmill Training Alone Versus Treadmill Training with External Clues on Improving Gait and Functional Ability in Parkinson’s Patient

Improving Gait and Functional Ability in Parkinson’s Patient

Authors

  • Faisal Ghafoor Department of Physical Therapy, Faculty of Allied Health Sciences, The Superior University, Lahore, Pakistan
  • Kanwal Fatima Department of Physical Therapy, University of Sargodha, Sargodha, Pakistan
  • Muhammad Fawad Department of Physical Therapy, The Superior University, Faisalabad, Pakistan
  • Aisha Munawar Department of Physical Therapy, The Superior University, Sargodha, Pakistan
  • Muhammad Jawwad Baig Isra Institute of Rehabilitation Sciences, ISRA University, Karachi, Pakistan
  • Zunaira Ahmad Department of Physical Therapy, Faculty of Allied Health Sciences, The Superior University, Lahore, Pakistan

DOI:

https://doi.org/10.54393/pjhs.v4i10.1085

Keywords:

Treadmill Training, Parkinson, Gait, Functional Activity

Abstract

Parkinson's disease is a progressive neurological disease caused by degeneration of nerve cells in Substantia Nigra. It is characterized by postural instability, slowing of movement and tremor. Treadmill Training with Visual clues extensively used as an intervention to improve gait and Functional mobility. Objective: To compare the Treadmill training alone versus treadmill training with visual clues on improve gait and functional ability in Parkinson’s disease. Methods: It is assessor blind randomized controlled trial conducted in CMA Research and Teaching hospital, Lahore from 6th June 2022 to 6th January 2023.The sample size of 74 were divided into two groups. Group A received treadmill training session for 30 minutes while. The Group B received treadmill training with external clues like visual, auditory, etc. Each Participant received total 56 sessions for 28 weeks. The outcome measures was functional Activity measures with Wisconsin gait scale for Gait and Motor Aspects of Experiences of Daily Living (M-EDL) questionnaire. The Data were assessing at baseline by using these two scales. Results: The between groups comparison of post value showed that Group B showed a significant (<0.05) improvement in the (M-EDL) scale for the activities of daily living and significant (<0.05) improvement in the step length, stance width, hip hiking, pelvic rotation, external rotation, and toe clearance. Conclusions: It was concluded that the treadmill training with external clues is better as compared to the treadmill training alone for improving the gait and functional ability in the Parkinson patient.  

 

References

Bearss KA and DeSouza JF. Parkinson’s disease motor symptom progression slowed with multisensory dance learning over 3-years: A preliminary longitudinal investigation. Brain Sciences. 2021 Jul; 11(7): 895. doi: 10.3390/brainsci11070895. DOI: https://doi.org/10.3390/brainsci11070895

Gomez LF, Morales A, Fierrez J, Orozco-Arroyave JR. Exploring facial expressions and action unit domains for Parkinson detection. Plos one. 2023 Feb; 18(2): e0281248. doi: 10.1371/journal.pone.0281248. DOI: https://doi.org/10.1371/journal.pone.0281248

Marino BL, de Souza LR, Sousa K, Ferreira JV, Padilha EC, da Silva CH, et al. Parkinson’s disease: a review from pathophysiology to treatment. Mini Reviews in Medicinal Chemistry. 2020 Jun; 20(9): 754-67. doi: 10.2174/1389557519666191104110908. DOI: https://doi.org/10.2174/1389557519666191104110908

Simon DK, Tanner CM, Brundin P. Parkinson disease epidemiology, pathology, genetics, and pathophysiology. Clinics in Geriatric Medicine. 2020 Feb; 36(1): 1-2. doi: 10.1016/j.cger.2019.08.002. DOI: https://doi.org/10.1016/j.cger.2019.08.002

Soh SE, McGinley JL, Watts JJ, Iansek R, Morris ME. Health-related quality of life of australians with Parkinson disease: a comparison with international studies. Physiotherapy Canada. 2012 Oct; 64(4): 338-46. doi: 10.3138/ptc.2011-26. DOI: https://doi.org/10.3138/ptc.2011-26

Yitayeh A and Teshome A. The effectiveness of physiotherapy treatment on balance dysfunction and postural instability in persons with Parkinson’s disease: a systematic review and meta-analysis. BMC Sports Science, Medicine and Rehabilitation. 2016 Dec; 8: 1-10. doi: 10.1186/s13102-016-0042-0. DOI: https://doi.org/10.1186/s13102-016-0042-0

Palacios-Navarro G, Albiol-Pérez S, García IG. Effects of sensory cueing in virtual motor rehabilitation. A review. Journal of Biomedical Informatics. 2016 Apr; 60: 49-57. doi: 10.1016/j.jbi.2016.01.006. DOI: https://doi.org/10.1016/j.jbi.2016.01.006

Lebold CA and Almeida QJ. An evaluation of mechanisms underlying the influence of step cues on gait in Parkinson’s disease. Journal of Clinical Neuroscience. 2011 Jun; 18(6): 798-802. doi: 10.1016/j.jocn.2010.07.151. DOI: https://doi.org/10.1016/j.jocn.2010.07.151

Luessi F, Mueller LK, Breimhorst M, Vogt T. Influence of visual cues on gait in Parkinson's disease during treadmill walking at multiple velocities. Journal of the Neurological Sciences. 2012 Mar; 314(1-2): 78-82. doi: 10.1016/j.jns.2011.10.027. DOI: https://doi.org/10.1016/j.jns.2011.10.027

Magdi A, Sayed Ahmed AM, Elsayed E, Ahmad R, Ramakrishnan S, Gabor MG. Effects of cueing techniques on gait, gait-related mobility, and functional activities in patients with parkinson’s disease: a systematic review and meta-analysis. Physical Therapy Reviews. 2021 Mar; 26(3): 188-201. doi: 10.1080/10833196.2021.1908728. DOI: https://doi.org/10.1080/10833196.2021.1908728

Arfa-Fatollahkhani P, Safar Cherati A, Habibi SA, Shahidi GA, Sohrabi A, Zamani B. Effects of treadmill training on the balance, functional capacity and quality of life in Parkinson’s disease: A randomized clinical trial. Journal of Complementary and Integrative Medicine. 2019 Aug; 17(1): 20180245. doi: 10.1515/jcim-2018-0245. DOI: https://doi.org/10.1515/jcim-2018-0245

Nadeau A, Pourcher E, Corbeil P. Effects of 24 weeks of treadmill training on gait performance in Parkinson disease. Medicine and Science in Sports and Exercise. 2014 Apr; 46(4): 645-55. doi: 10.1249/MSS.0000000000000144. DOI: https://doi.org/10.1249/MSS.0000000000000144

Yaliman A, Kesiktas N, Ozkaya M, Eskiyurt N, Erkan O, Yilmaz E. Evaluation of intrarater and interrater reliability of the Wisconsin Gait Scale with using the videotaped stroke patients in a Turkish sample. NeuroRehabilitation. 2014 Jan; 34(2): 253-8. doi: 10.3233/NRE-131033. DOI: https://doi.org/10.3233/NRE-131033

Sritipsukho P. Inter-rater and intra-rater reliability of the gross motor function measure (GMFM-66) by Thai pediatric physical therapists. Journal of Medical Association of Thailand. 2011; 94: 139-44.

Zhao Y, Nonnekes J, Storcken EJ, Janssen S, van Wegen EE, Bloem BR, et al. Feasibility of external rhythmic cueing with the Google Glass for improving gait in people with Parkinson’s disease. Journal of Neurology. 2016 Jun; 263: 1156-65. doi: 10.1007/s00415-016-8115-2. DOI: https://doi.org/10.1007/s00415-016-8115-2

Frazzitta G, Maestri R, Uccellini D, Bertotti G, Abelli P. Rehabilitation treatment of gait in patients with Parkinson's disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training. Movement Disorders. 2009 Jun; 24(8): 1139-43. doi: 10.1002/mds.22491. DOI: https://doi.org/10.1002/mds.22491

Calabrò RS, Naro A, Filoni S, Pullia M, Billeri L, Tomasello P, et al. Walking to your right music: a randomized controlled trial on the novel use of treadmill plus music in Parkinson’s disease. Journal of Neuroengineering and Rehabilitation. 2019 Dec; 16(1): 1-4. doi: 10.1186/s12984-019-0533-9. DOI: https://doi.org/10.1186/s12984-019-0533-9

Chawla G, Hoppe M, Browner N, Lewek MD. Individuals with Parkinson’s disease retain spatiotemporal gait control with music and metronome cues. Motor Control. 2020 Oct; 25(1): 33-43. doi: 10.1123/mc.2020-0038. DOI: https://doi.org/10.1123/mc.2020-0038

Sherron MA, Stevenson SA, Browner NM, Lewek MD. Targeted rhythmic auditory cueing during treadmill and overground gait for individuals with Parkinson disease: A case series. Journal of Neurologic Physical Therapy. 2020 Oct; 44(4): 268-74. doi: 10.1097/NPT.0000000000000315. DOI: https://doi.org/10.1097/NPT.0000000000000315

Rodriguez J. Is Auditory Cueing during Treadmill Training a More Effective Method to Improve Gait Parameters in Individuals with Parkinson’s disease Compared to Either Intervention Alone? California State University, Fresno; 2021.

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Published

2023-10-31
CITATION
DOI: 10.54393/pjhs.v4i10.1085
Published: 2023-10-31

How to Cite

Ghafoor, F., Fatima, K., Fawad, M., Munawar, A., Baig, M. J., & Ahmad, Z. (2023). Effectiveness of Treadmill Training Alone Versus Treadmill Training with External Clues on Improving Gait and Functional Ability in Parkinson’s Patient: Improving Gait and Functional Ability in Parkinson’s Patient. Pakistan Journal of Health Sciences, 4(10), 105–110. https://doi.org/10.54393/pjhs.v4i10.1085

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