%0 Journal Article
%T The effects of speed-dependent treadmill training and rhythmic auditory-cued overground walking on balance function, fall incidence, and quality of life in individuals with idiopathic Parkinson's disease: A randomized controlled trial
%J NeuroRehabilitation
%D 2014
%A Harro, C. C.
%A Shoemaker, M. J.
%A Frey, O.
%A Gamble, A. C.
%A Harring, K. B.
%A Karl, K. L.
%A McDonald, J. D.
%A Murray, C. J.
%A Vandyke, J. M.
%A Tomassi, E. M.
%A Vanhaitsma, R. J.
%V 34
%N 3
%P 541-556
%X OBJECTIVES: The purpose of this single-blinded, randomized controlled study was to examine and compare the immediate and retention effects of progressive speed-dependent treadmill training (SDTT) and rhythmic auditory-cued (RAC) training on balance function, fall incidence, and quality of life (QOL) in individuals with PD. METHODS: Twenty participants (mean age 66.1 yrs) with idiopathic PD were randomized into either SDTT (n = 10) or RAC (n = 10) progressive, interval-based locomotor training for 6 weeks. Measures included the Berg Balance Scale (BBS), Rapid Step-Up Test (RST), Activities-specific Balance Confidence Scale, Parkinson's Disease Questionnaire-39 (PDQ), and the NeuroCom Sensory Organization Test (SOT), Motor Control Test, and Limits of Stability (LOS). Fall incidence was assessed prospectively post-training based on six monthly self-report fall calendars. RESULTS: Significant gains in balance measures were observed post-training in BBS, RST and SOT for the RAC group and in RST, SOT and LOS for the SDTT group. Gains were retained at 3 months post-training in all measures for RAC group, but only the RST for the SDTT group. No clear trend in reduction in fall frequency was evident. CONCLUSION: Externally-cued locomotor training paradigms with progressive speed challenges produced significant improvements in dynamic balance function in persons with PD, with stronger retention of gains in RAC group.<p /> <p>Language: en</p>
%G en
%I IOS Press
%@ 1053-8135
%U http://dx.doi.org/10.3233/NRE-141048