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Home-based treadmill training for individuals with Parkinson's disease: a randomized controlled pilot trial.
MedLine Citation:
PMID:  22257506     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Objective: To investigate the feasibility and effectiveness of six weeks of home-based treadmill training in people with mild Parkinson's disease.Design: Pilot randomized controlled trial of a six-week intervention followed by a further six weeks follow-up.Setting: Home-based treadmill training with outcome measures taken at a hospital clinic.Participants: Twenty cognitively intact participants with mild Parkinson's disease and gait disturbance. Two participants from the treadmill training group and one from the control group dropped out.Interventions: The treadmill training group undertook a semi-supervised home-based programme of treadmill walking for 20-40 minutes, four times a week for six weeks. The control group received usual care.Main outcome measures: The feasibility of the intervention was assessed by recording exercise adherence and acceptability, exercise intensity, fatigue, muscle soreness and adverse events. The primary outcome measure of efficacy was walking capacity (6-minute walk test distance).Results: Home-based treadmill training was feasible, acceptable and safe with participants completing 78% (SD 36) of the prescribed training sessions. The treadmill training group did not improve their walking capacity compared to the control group. The treadmill training group showed a greater improvement than the control group in fatigue at post test (P = 0.04) and in quality of life at six weeks follow-up testing (P = 0.02).Conclusions: Semi-supervised home-based treadmill training is a feasible and safe form of exercise for cognitively intact people with mild Parkinson's disease. Further investigation regarding the effectiveness of home-based treadmill training is warranted.
Authors:
Colleen G Canning; Natalie E Allen; Catherine M Dean; Lina Goh; Victor Sc Fung
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-1-18
Journal Detail:
Title:  Clinical rehabilitation     Volume:  -     ISSN:  1477-0873     ISO Abbreviation:  -     Publication Date:  2012 Jan 
Date Detail:
Created Date:  2012-1-19     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8802181     Medline TA:  Clin Rehabil     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Affiliation:
Clinical and Rehabilitation Sciences Research Group, Faculty of Health Sciences, The University of Sydney, Australia.
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