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Titre : | Polestriding Intervention Improves Gait and Axial Symptoms in Mild to Moderate Parkinson Disease (2017) |
Auteurs : | Narayanan Krishnamurthi ; Holly Shill ; Darolyn O'Donnell |
Type de document : | Article |
Dans : | Archives of Physical Medicine and Rehabilitation (2017/4, 2017) |
Article en page(s) : | pp. 613-621 |
Langues: | Anglais |
Descripteurs : |
HE Vinci Maladie de Parkinson ; Rééducation et réadaptation ; Traitement par les exercices physiques |
Mots-clés: | Exercise therapy ; Gait ; Démarche ; Neurological rehabilitation ; Rééducation neurologique ; Parkinson disease ; Postural balance ; Équilibre postural |
Résumé : |
Objective To evaluate the effects of 12-week polestriding intervention on gait and disease severity in people with mild to moderate Parkinson disease (PD). Design A-B-A withdrawal study design. Setting Outpatient movement disorder center and community facility. Participants Individuals (N=17; 9 women [53%] and 8 men [47%]; mean age, 63.7+4.9y; range, 5372y) with mild to moderate PD according to United Kingdom brain bank criteria with Hoehn & Yahr score ranging from 2.5 to 3.0 with a stable medication regimen and ability to tolerate off medication state. Interventions Twelve-week polestriding intervention with 12-week follow-up. Main Outcome Measures Gait was evaluated using several quantitative temporal, spatial, and variability measures. In addition, disease severity was assessed using clinical scales such as Unified Parkinson's Disease Rating Scale (UPDRS), Hoehn & Yahr scale, and Parkinson's Disease Questionnaire-39. Results Step and stride lengths, gait speed, and step-time variability were improved significantly (P<.05 because of polestriding intervention. also the updrs motor score axial and scores subscales on walking balance improved significantly after> Conclusions Because increased step-time variability and decreased step and stride lengths are associated with PD severity and an increased risk of falls in PD, the observed improvements suggest that regular practice of polestriding may reduce the risk of falls and improve mobility in people with PD. |
Disponible en ligne : | Oui |
En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999316311820 |