Treadmill training with body weight support: Its effect on Parkinson's disease

被引:204
作者
Miyai, I [1 ]
Fujimoto, Y [1 ]
Ueda, Y [1 ]
Yamamoto, H [1 ]
Nozaki, S [1 ]
Saito, T [1 ]
Kang, J [1 ]
机构
[1] Toneyama Natl Hosp, Dept Neurol, Toyonaka, Osaka 5608552, Japan
来源
ARCHIVES OF PHYSICAL MEDICINE AND REHABILITATION | 2000年 / 81卷 / 07期
关键词
body-weight-supported treadmill training; Parkinson's disease; physical therapy; rehabilitation;
D O I
10.1053/apmr.2000.4439
中图分类号
R49 [康复医学];
学科分类号
100215 ;
摘要
Objective: To test whether body weight-supported treadmill training (BWSTT) is effective in improving functional outcome of patients with Parkinson's disease. Design: Prospective crossover trial. Patients were randomized to receive either a 4-week program of BWSTT with up to 20% of their body weight supported followed by 4 weeks of conventional physical therapy (PT), or the same treatments in the opposite order. Medications for parkinsonism were not modified throughout the study. Setting: Inpatient rehabilitation unit for neurologic diseases. Subjects: Ten patients (5 men, 5 women) with Hoehn and Yahr stage 2.5 or 3 parkinsonism; mean age 67.6 years, mean duration of Parkinson's disease 4.2 years. Main Outcome Measures: The Unified Parkinson's Disease Rating Scale (UPDRS); ambulation endurance and speed (sec/10m), and number of steps for 10-meter walk. Results: The mean total UPDRS before/after BWSTT was 31.6/25.6, and before/after PT was 29.1/28.0. Analysis of covariance for improvement of UPDRS demonstrated a significant effect of type of therapy (F(1, 16) = 42.779, p < .0001) but not order of therapy (F(1, 16) = 0.157, p = .6971). Patients also had significantly greater improvement with BWSTT than with PT in ambulation speed (BWSTT, before/after = 10.0/8.3; PT, 9.5/8.9), and number of steps (BWSTT, 22.3/19.6; PT, 21.5/20.8). Conclusions: In persons with Parkinson's disease, treadmill training with body weight support produces greater improvement in activities of daily living, motor performance, and ambulation than does physical therapy.
引用
收藏
页码:849 / 852
页数:4
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