The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.

<h4>Objective</h4>To evaluate the effects of body weight-supported overground gait training (BWSOGT) on motor abilities, such as gait and balance, in patients with Parkinson's disease (PD).<h4>Design</h4>Retrospective case-controlled observational study with a 4-week fol...

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Autores principales: Yasuki Koyanagi, Isato Fukushi, Masatoshi Nakamura, Kouji Suzuki, Nobuhito Oda, Takashi Aita, Hareaki Seki
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Publicado: Public Library of Science (PLoS) 2021
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spelling oai:doaj.org-article:b0abc865d2594fe1be9deaa4f780aad62021-12-02T20:09:07ZThe effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.1932-620310.1371/journal.pone.0254415https://doaj.org/article/b0abc865d2594fe1be9deaa4f780aad62021-01-01T00:00:00Zhttps://doi.org/10.1371/journal.pone.0254415https://doaj.org/toc/1932-6203<h4>Objective</h4>To evaluate the effects of body weight-supported overground gait training (BWSOGT) on motor abilities, such as gait and balance, in patients with Parkinson's disease (PD).<h4>Design</h4>Retrospective case-controlled observational study with a 4-week follow-up.<h4>Setting</h4>Inpatient rehabilitation.<h4>Participants</h4>We selected 37 of 68 patients with PD. Inclusion criteria were (1) Hoehn & Yahr stage II-IV, (2) no medication adjustment during the study period, (3) at least 1 week since last medication adjustment, and (4) ability to walk more than 10 meters on their own. Exclusion criteria were (1) cerebrovascular disease or other complications affecting movement, (2) difficulty in measurement, (3) early discharge, (4) medication change during the study, and (5) development of complications.<h4>Interventions</h4>Patients were divided into two groups. Patients in Group I underwent 20 minutes of BWSOGT with a mobile hoist in addition to the standard exercises; Group II performed 20 minutes of gait training in place of BWSOGT. In both groups, training was performed for a total of 15 times/4 weeks.<h4>Main outcome measure(s)</h4>Participants were evaluated using the Unified Parkinson's Disease Rating Scale total, part II, and part III; 10-m walk test; velocity; stride length; 6-minute walk test; timed up and go test; Berg Balance Scale; and freezing of gait before and after the intervention.<h4>Results</h4>There were significant decreases in the Unified Parkinson's Disease Rating Scale total, part II, and part III in both groups; however, 6-minute walk test, timed up and go test, and freezing of gait results only improved in Group I.<h4>Conclusions</h4>BWSOGT for patients with PD improves gait ability and dynamic balance more than standard gait training.Yasuki KoyanagiIsato FukushiMasatoshi NakamuraKouji SuzukiNobuhito OdaTakashi AitaHareaki SekiPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 16, Iss 7, p e0254415 (2021)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Yasuki Koyanagi
Isato Fukushi
Masatoshi Nakamura
Kouji Suzuki
Nobuhito Oda
Takashi Aita
Hareaki Seki
The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
description <h4>Objective</h4>To evaluate the effects of body weight-supported overground gait training (BWSOGT) on motor abilities, such as gait and balance, in patients with Parkinson's disease (PD).<h4>Design</h4>Retrospective case-controlled observational study with a 4-week follow-up.<h4>Setting</h4>Inpatient rehabilitation.<h4>Participants</h4>We selected 37 of 68 patients with PD. Inclusion criteria were (1) Hoehn & Yahr stage II-IV, (2) no medication adjustment during the study period, (3) at least 1 week since last medication adjustment, and (4) ability to walk more than 10 meters on their own. Exclusion criteria were (1) cerebrovascular disease or other complications affecting movement, (2) difficulty in measurement, (3) early discharge, (4) medication change during the study, and (5) development of complications.<h4>Interventions</h4>Patients were divided into two groups. Patients in Group I underwent 20 minutes of BWSOGT with a mobile hoist in addition to the standard exercises; Group II performed 20 minutes of gait training in place of BWSOGT. In both groups, training was performed for a total of 15 times/4 weeks.<h4>Main outcome measure(s)</h4>Participants were evaluated using the Unified Parkinson's Disease Rating Scale total, part II, and part III; 10-m walk test; velocity; stride length; 6-minute walk test; timed up and go test; Berg Balance Scale; and freezing of gait before and after the intervention.<h4>Results</h4>There were significant decreases in the Unified Parkinson's Disease Rating Scale total, part II, and part III in both groups; however, 6-minute walk test, timed up and go test, and freezing of gait results only improved in Group I.<h4>Conclusions</h4>BWSOGT for patients with PD improves gait ability and dynamic balance more than standard gait training.
format article
author Yasuki Koyanagi
Isato Fukushi
Masatoshi Nakamura
Kouji Suzuki
Nobuhito Oda
Takashi Aita
Hareaki Seki
author_facet Yasuki Koyanagi
Isato Fukushi
Masatoshi Nakamura
Kouji Suzuki
Nobuhito Oda
Takashi Aita
Hareaki Seki
author_sort Yasuki Koyanagi
title The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
title_short The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
title_full The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
title_fullStr The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
title_full_unstemmed The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.
title_sort effect of body weight-supported overground gait training for patients with parkinson's disease: a retrospective case-control observational study.
publisher Public Library of Science (PLoS)
publishDate 2021
url https://doaj.org/article/b0abc865d2594fe1be9deaa4f780aad6
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