Effects of two different exercise programs on gait parameters in individuals with Parkinson's disease: A pilot study
Highlights • Land and water plus land based exercises have similar effects on gait parameters. • Both exercise programs improved stride length and single/double support time. • Biomechanical analysis is not essential for testing the exercise effect on the gait.
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| Published in | Gait & posture Vol. 39; no. 1; pp. 648 - 651 |
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| Main Authors | , , , |
| Format | Journal Article |
| Language | English |
| Published |
England
Elsevier B.V
01.01.2014
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| Abstract | Highlights • Land and water plus land based exercises have similar effects on gait parameters. • Both exercise programs improved stride length and single/double support time. • Biomechanical analysis is not essential for testing the exercise effect on the gait. |
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| AbstractList | Highlights • Land and water plus land based exercises have similar effects on gait parameters. • Both exercise programs improved stride length and single/double support time. • Biomechanical analysis is not essential for testing the exercise effect on the gait. To date, little attempt has been made to compare or evaluate the effects of different physical exercise programs on gait disorders in people with Parkinson's disease (PD). This pilot study is aimed at obtaining preliminary data of the effects of two different exercise programs on gait parameters in people with PD by means of a biomechanical three-dimensional motion analysis. Twenty-five individuals with idiopathic PD participated either in a land-based (LB) or in a LB plus water-based (LWB) exercise program for 16 weeks. The efficacy of both exercise programs was quantified by means of a biomechanical gait analysis from which spatiotemporal and sagittal plane kinetic (gait speed, stride length, cadence, stride time, simple support time, double support time) and kinematic (angles of the hip, knee, and ankle joints) variables were recorded. Once the intervention ended, significant changes were observed in stride length and single/double support time variables in all the patients. The intergroup analysis revealed the existence of significant differences only in the gait Speed and hip Angle parameters. Few significant improvements in the amplitude of lower limb joints were found. These results suggest that land-based and land-plus-water-based exercise programs can be considered as a useful physical rehabilitation alternative, both equally capable of improving gait impairment on Parkinson's disease. •Land and water plus land based exercises have similar effects on gait parameters.•Both exercise programs improved stride length and single/double support time.•Biomechanical analysis is not essential for testing the exercise effect on the gait. To date, little attempt has been made to compare or evaluate the effects of different physical exercise programs on gait disorders in people with Parkinson's disease (PD). This pilot study is aimed at obtaining preliminary data of the effects of two different exercise programs on gait parameters in people with PD by means of a biomechanical three-dimensional motion analysis. Twenty-five individuals with idiopathic PD participated either in a land-based (LB) or in a LB plus water-based (LWB) exercise program for 16 weeks. The efficacy of both exercise programs was quantified by means of a biomechanical gait analysis from which spatiotemporal and sagittal plane kinetic (gait speed, stride length, cadence, stride time, simple support time, double support time) and kinematic (angles of the hip, knee, and ankle joints) variables were recorded. Once the intervention ended, significant changes were observed in stride length and single/double support time variables in all the patients. The intergroup analysis revealed the existence of significant differences only in the gait Speed and hip Angle parameters. Few significant improvements in the amplitude of lower limb joints were found. These results suggest that land-based and land-plus-water-based exercise programs can be considered as a useful physical rehabilitation alternative, both equally capable of improving gait impairment on Parkinson's disease. |
| Author | Prieto, I Cancela, J.M Gutiérrez-Santiago, A Ayán, C |
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| BackLink | https://www.ncbi.nlm.nih.gov/pubmed/24021522$$D View this record in MEDLINE/PubMed |
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Normalization strategies and underlying mechanisms publication-title: Brain doi: 10.1093/brain/119.2.551 contributor: fullname: Morris – volume: 93 start-page: 1709 year: 2012 ident: 10.1016/j.gaitpost.2013.08.019_bib0045 article-title: Feasibility of 2 different water-based exercise training programs in patients with Parkinson's disease: a pilot study publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2012.03.029 contributor: fullname: Ayán – volume: 92 start-page: 1202 year: 2011 ident: 10.1016/j.gaitpost.2013.08.019_bib0025 article-title: Aquatic therapy versus conventional land-based therapy for Parkinson's disease: an open-label pilot study publication-title: Arch Phys Med Rehabil doi: 10.1016/j.apmr.2011.03.017 contributor: fullname: Vivas – volume: 35 start-page: 669 year: 2012 ident: 10.1016/j.gaitpost.2013.08.019_bib0060 article-title: Progressive resistance training improves gait initiation in individuals with Parkinson's disease publication-title: Gait Posture doi: 10.1016/j.gaitpost.2011.12.022 contributor: fullname: Hass – volume: 92 start-page: 893 year: 2012 ident: 10.1016/j.gaitpost.2013.08.019_bib0005 article-title: Treadmill training for individuals with Parkinson disease publication-title: Phys Ther doi: 10.2522/ptj.20110471 contributor: fullname: Earhart – volume: 9 start-page: 76 year: 1994 ident: 10.1016/j.gaitpost.2013.08.019_bib0040 article-title: Unified Parkinson's disease rating scale characteristics and structure. The cooperative multicentric group publication-title: Mov Disord doi: 10.1002/mds.870090112 contributor: fullname: Martinez-Martin – volume: 26 start-page: 452 year: 2007 ident: 10.1016/j.gaitpost.2013.08.019_bib0015 article-title: Does gait analysis quantify motor rehabilitation efficacy in Parkinson's disease patients? publication-title: Gait Posture doi: 10.1016/j.gaitpost.2006.11.207 contributor: fullname: Peppe – volume: 51 start-page: M303 year: 1996 ident: 10.1016/j.gaitpost.2013.08.019_bib0065 article-title: Step length reductions in advanced age: the role of ankle and hip kinetics publication-title: J Gerontol A Biol Sci Med Sci doi: 10.1093/gerona/51A.6.M303 contributor: fullname: Judge |
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| Snippet | Highlights • Land and water plus land based exercises have similar effects on gait parameters. • Both exercise programs improved stride length and... •Land and water plus land based exercises have similar effects on gait parameters.•Both exercise programs improved stride length and single/double support... To date, little attempt has been made to compare or evaluate the effects of different physical exercise programs on gait disorders in people with Parkinson's... |
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| SubjectTerms | Aged Aged, 80 and over Biomechanical Phenomena Exercise Therapy - methods Female Gait Disorders, Neurologic - etiology Gait Disorders, Neurologic - rehabilitation Gait disturbances Humans Male Middle Aged Orthopedics Parkinson Disease - complications Parkinson Disease - rehabilitation Parkinson's disease Physical exercise Pilot Projects Treatment Outcome |
| Title | Effects of two different exercise programs on gait parameters in individuals with Parkinson's disease: A pilot study |
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