Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Obstacle Negotiation Training on Gait Parameters in Individuals with Idiopathic Parkinson's Disease


Affiliations
1 ISIC Institute of Rehabilitation Sciences, New Delhi, India
2 Jamia Milia, New Delhi, India
     

   Subscribe/Renew Journal


Background and purpose: Gait disturbances are very common in Parkinson's disease. The reduction of stride length is considered the most prominent feature of Parkinson's gait often accompanied by lower walking speed 6,7. Traditional gait training generally fails to fully address these deficits. Thus, the main objective of this study was to check the effectiveness of obstacle negotiation training on gait parameters in individuals with idiopathic Parkinson's disease.

Subject and method: 24 subjects with Idiopathic Parkinson's disease were randomly allocated to one of the two groups: Experimental group (group 1, n = 12) received 6 sessions of conventional therapy along with obstacle negotiation training and the control group (group 2, n = 12) received only the conventional training. Performance of both the groups was evaluated on 10m walkway (normalized stride length, cadence and walking speed).

Results: The post intervention gait parameters of experimental group were more statistically significant over control group with p

Conclusion: Obstacle negotiation training has a significant impact in improving normalized stride length, cadence and walking speed in Idiopathic Parkinson's disease.


Keywords

Idiopathic Parkinson's Disease, Obstacle Negotiation Training, Gait
Subscription Login to verify subscription
User
Notifications
Font Size


  • Eduardo Tolosa, Gregor Wenning, Werner Poewe; The diagnosis of Parkinson’s disease; Lancet Neurol 2006; 5: 75–86

  • Margaret M. Hoehn and Melvin D. Yahr Parkinsonism : onset, progression, and mortality Neurology 1967;17;427

  • Olumide Sofuwa, Alice Nieuwboer, Kaat Desloovere,Anne-Marie Willems, Fabienne Chavret, Ilse Jonkers; Quantitative Gait Analysis in Parkinson’s Disease: Comparison With a Healthy Control Group: Arch Phys Med Rehabil 2005; 86: 1007-1014

  • Meg E Morris, Robert Iansek, Thomas A Matyas, Jeffery J Summers ;Ability to modulate walking cadence remains intact in Parkinson’s disease: Journal of Neurology,Neurosurgery and Psychiatry 1994;57:1532-1534

  • Meg E. Morris, Robert Iansek, Thomas A. Matyas and Jeffery J. Summers; Stride length regulation in Parkinson’s disease Normalization strategies and underlying mechanisms: Brain1996; 119: 551-568

  • Morris ME, Iansek R, Matyas TA, Summers JJ. The pathogenesis of gait hypokinesia in Parkinson’s disease. Brain 1994;117:1161-81.

  • Jankovic, J., & Kapadia, A. S. (2001). Functional decline in Parkinson disease. Archives of Neurology, 58(10), 1611-1615.

  • Bloem, B. R., Valkenburg, V. V., Slabbekoorn, M., & van Dijk, J. G.: The multiple tasks test. Strategies in Parkinson’s disease. Experimental Brain Research, 137(3-4), 478-486.

  • Lesley A. Brown, Natalie de Bruin, Jon Doan, Oksana Suchowersky, Bin Hu: Obstacle crossing among people with Parkinson disease is influenced by concurrent music: Journal of Rehabilitation Research & Development 2010; 47 (3): 225–232

  • Anat mirelman, Inbal maidan et al; Virtual reality for gait training:can it induce motor learning to enhance complex walking and reduce fall risk in patients with parkinson’s disease? J. of gerontology 2010: 1-7

  • Marcus Pohl, Gunter Rockstroh, Stefan Ruckriem, Gregor Mrass, Jan Mehrholz; Immediate effects of speed-dependent treadmill training on gait parameters in Early Parkinson’s Disease. Arch Phys Med Rehab 2003: 84: 215-216

  • Jean-Philippe Azulay, Serge Mesure, Bernard Amblard, Olivier Blin, Iban Sangla and Jean Pouget .Visual control of locomotion in Parkinson’s disease.;Brain1999: 122: 111–120

  • Ben Sidaway, Jennifer Anderson, Garth Danielson, Lucas Martin, Garth Smith; Effects of long term gait training using visual cues in an individual with parkinson’s disease. Phy thr. Vol.86 no.2 Feb.2006

  • A. Nieuwboer, G Kwakkel, L Rochester: Cueing training in the home improves gait-related mobility in Parkinson’s disease: the RESCUE trial: J Neurol Neurosurg Psychiatry 2007;78:134-140.

  • Natalie de Bruin, Jon B. Doan, George Turnbull, Oksana Suchowersky, Stephan Bonfield, Bin Hu, and Lesley A. Brown; Walking with Music Is a Safe and Viable Tool for Gait Training in Parkinson’s Disease: The Effect of a 13-Week Feasibility Study on Single and Dual Task walking: Parkinson’s Disease 2010: 1-9

  • Behrman AL, Teitelbaum P, Cauraugh JH. Verbal instructional sets to normalise the temporal and spatial gait variables in Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1998;65:580 –582

  • Jean-Philippe Azulay , Serge Mesure , Olivier Blin Influence of visual cues on gait in Parkinson’s disease: Contribution to attention or sensory dependence? Journal of the Neurological Sciences 248 (2006) 192 – 195

  • David L. Jaffe, Ellie Buckley, Cheryl D. Pierson- Carey, David A. Brown: Improving Stepping- Over Responses in the Elderly using Simulated Obstacles

  • David L. Jaffe, David A. Brown, Chaeryl D. Pierson-carey, Ellie L. Buckley; Stepping over obstacles to improve walking in individuals with poststroke hemiplegia .J Rehabil Res Dev 2004;41;283-292

  • A. Peppe, C. Chiavalon, P. Pasqualetti, D. Crovato, C. Caltagirone ;Does gait analysis quantify motor rehabilitation efficacy in Parkinson’s disease patients? Gait & Posture 2007;26: 452–462

  • Lesley A. Brown, Natalie de Bruin, Jon Doan, Oksana Suchowersky, Bin Hu: Obstacle crossing among people with Parkinson disease is influenced by concurrent music: Journal of Rehabilitation Research & Development 2010; 47(3) : 225–232

  • Becky G, Farley and Gail F. Koshland; Training BIG to move faster: the application of the speed– amplitude relation as a rehabilitation strategy for people with Parkinson’s disease; Exp Brain Res volume 167, Number 3, 462-467.

  • Karen L, Troy, Mark D. Grabiner; The presence of an obstacle influences the stepping responseduring induced trips and surrogate tasks; Exp Brain Res 2005; 161: 343–350

  • Rodrigo Victoria, Frederico Pieruccini- Faria et al; Effects of obstacle height on obstacle crossing in mild parkinson’s disease: Gait and posture 2010; 31: 143-146

  • Brook Galna, Anna T. Murphy, Meg E. Morris; Obstacle crossing in people with Parkinson’s disease; foot clearance and spatiotemporal deficits. Hum Mov Sci.2010;29;843-852

  • Georgiou N, Iansek R, Bradshaw JL, Phillips JG, Mattingley JB, Bradshaw JA. An evaluation of the role of internal cues in the pathogenesis of parkinsonian hypokinesia. Brain 1993; 116: 1575-1587.

  • A E Patla, S Rietdyk; Visual control of limb trajectory over obstacles during locomotion: effect of obstacle height and width; Gait & Posture 1993; 1: 45-60


Abstract Views: 586

PDF Views: 0




  • Effect of Obstacle Negotiation Training on Gait Parameters in Individuals with Idiopathic Parkinson's Disease

Abstract Views: 586  |  PDF Views: 0

Authors

Jain Gunjan
ISIC Institute of Rehabilitation Sciences, New Delhi, India
Walia Shefali
ISIC Institute of Rehabilitation Sciences, New Delhi, India
Noohu M. Majumi
Jamia Milia, New Delhi, India

Abstract


Background and purpose: Gait disturbances are very common in Parkinson's disease. The reduction of stride length is considered the most prominent feature of Parkinson's gait often accompanied by lower walking speed 6,7. Traditional gait training generally fails to fully address these deficits. Thus, the main objective of this study was to check the effectiveness of obstacle negotiation training on gait parameters in individuals with idiopathic Parkinson's disease.

Subject and method: 24 subjects with Idiopathic Parkinson's disease were randomly allocated to one of the two groups: Experimental group (group 1, n = 12) received 6 sessions of conventional therapy along with obstacle negotiation training and the control group (group 2, n = 12) received only the conventional training. Performance of both the groups was evaluated on 10m walkway (normalized stride length, cadence and walking speed).

Results: The post intervention gait parameters of experimental group were more statistically significant over control group with p

Conclusion: Obstacle negotiation training has a significant impact in improving normalized stride length, cadence and walking speed in Idiopathic Parkinson's disease.


Keywords


Idiopathic Parkinson's Disease, Obstacle Negotiation Training, Gait

References