Downhill walking training in individuals with Parkinson's disease: a randomized controlled trial.

Abstract:

OBJECTIVE:The purpose of this study was to examine the effects of downhill walking training on gait and thoracic kyphosis in patients with Parkinson's disease. DESIGN:Thirty-three patients with Parkinson's disease were randomized into an experimental group (n = 16) or a control group (n = 17). Subjects in the experimental group underwent 4-wks of downhill walking training, whereas subjects in the control group received conventional therapy for 4 wks. Gait parameters, thoracic kyphosis, and muscle strength of knee were measured at pretraining, posttraining, and at 1-mo follow-up. RESULTS:There were significant interaction effects between group and time of evaluation on gait parameters and thoracic kyphotic curve. There was also a significant group effect for muscle strength of knee extensors. CONCLUSIONS:Our results suggest that downhill walking training is beneficial for improving gait performance in patients with Parkinson's disease and may contribute to maintenance of thoracic posture in these subjects.

journal_name

Am J Phys Med Rehabil

authors

Yang YR,Lee YY,Cheng SJ,Wang RY

doi

10.1097/PHM.0b013e3181e721c5

subject

Has Abstract

pub_date

2010-09-01 00:00:00

pages

706-14

issue

9

eissn

0894-9115

issn

1537-7385

journal_volume

89

pub_type

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