Parkinson Disease
Conditions
Keywords
Multisensory training, Gait variability
Brief summary
People with Parkinson's disease (PD) were characterized by many motor symptoms, including rigidity, postural instability, bradykinesia, and resting tremor. These motor symptoms might cause gait dysfunction. Gait dysfunction represented a common sign of PD, including reduced gait velocity, reduced stride length, reduced arm swing, and increased gait variability. Poor postural control in people with PD might result to increase gait variability and then increase fall risk. Previous studies reported that proprioceptive-vestibular multisensory training improved postural stability in people with PD. However, no literature investigated the effects of proprioceptive-vestibular multisensory training on gait variability. Therefore, the purpose of this study is to examine the effect of proprioceptive-vestibular multisensory training on gait variability in people with PD.
Interventions
Multisensory training included marching on the foam with visual deprivation and treadmill training with visual deprivation
Conventional training included strengthening, balance training and gait training
Sponsors
Study design
Eligibility
Inclusion criteria
* Idiopathic PD * Hoehn and Yahr stage I to III * Age 60\ 80 y/o * Mini-Mental State Examination (MMSE) ≥24 * Ability to ambulate independently (with or without walking aid)
Exclusion criteria
* Affecting the peripheral vestibular system * Medical condition that substantially influenced their gait and balance performance * People had joined any rehabilitation past 1 month
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Gait variability | Change from baseline at 6 weeks | Using GAITRite system to measure coefficient of variation |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Gait performance | Change from baseline at 6 weeks | Using the GAITRite system to evaluate saptiotemporal parameters |
| Sensory organization test | Change from baseline at 6 weeks | Using NeuroCom Smart Balance Master |
| Timed up and go test | Change from baseline at 6 weeks | To evaluate functional mobility |
| Dynamic Gait Index | Change from baseline at 6 weeks | To evaluate functional mobility |