Parkinson's Disease
Conditions
Keywords
Parkinson's Disease, treadmill training, gait, balance, mobility
Brief summary
Persons with Morbus Parkinson commonly develop gait and balance disorders leading to dependence, loss of mobility and a high risk of falling. This study investigates the effectiveness of a sensorimotor treadmill intervention to improve walking and balance abilities in persons with early stages of Parkinson's disease. The sensorimotor treadmill training is conducted on a special treadmill device which is challenging the participants by small oscillations. This intervention, which is supposed to simulate walking on natural, uneven surfaces, is compared to a conventional treadmill training. Hypothesis: Sensorimotor treadmill training leads to larger improvements in walking and balance abilities as compared to conventional treadmill exercise.
Interventions
Sponsors
Study design
Eligibility
Inclusion criteria
* Parkinson's disease stage 1-3 Hoehn and Yahr * United Parkinson Disease Rating Scale (UPDRS) 'gait' or 'postural stability' subscore of 1 or more * Ability to stand unaided and walk without an assistive device * Stable medication during the study period
Exclusion criteria
* On-off and wearing-off phenomena * Unstable medical or psychiatric illness * Clinically relevant cardiovascular or orthopaedic disease * Severe polyneuropathy * Cognitive impairment
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Gait Speed | 8 weeks and 20 weeks | Self selected walking speed is assessed on a 10 meter walk distance |
| Change from Baseline Balance | 8 weeks and 20 weeks | Mini - Balance Evaluation Systems Test (Mini - BESTest), Postural Sway in the Romberg Test with eyes open and eyes closed for 30 seconds |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Change from Baseline Gait Performance | 8 weeks and 20 weeks | Two Minute Walk Test (2MWT), Timed up-and-go Test, Assessment of tempo-spatial gait parameters |
| Change from Baseline Mobility | 8 weeks and 20 weeks | Rivermead Mobility Index |
| Change from Baseline Unified Parkinson's Disease Rating Scale (UPDRS) | 8 weeks and 20 weeks | — |
Countries
Germany