Posted by Leigh MacKenzie, January 31, 2013,
Cueing techniques combined with treadmill training benefit gait rehabilitation with patients living with Parkinson disease. This is an excellent article by Schlick C, Struppler A, Boetzel K, Plate A, Ilmberger J on this promising treatment strategy.
Schlick C, Struppler A, Boetzel K, Plate A, Ilmberger J: Dynamic visual cueing in
combination with treadmill training for gait rehabilitation in Parkinson disease. Am
J Phys Med Rehabil 2012;91:75Y79.
Various cueing techniques as well as treadmill training have been shown to be
effective in the gait rehabilitation of patients with Parkinson disease. We present a
novel setup combining both dynamic visual cueing and body weightYsupported
treadmill training. A nonambulatory patient with Parkinson disease received six
training sessions. Continuous improvement of gait parameters was observed
throughout the course of training. When comparing cued and noncued conditions
in individual training sessions, it was found that step length was larger and that gait
symmetry was enhanced in the cued condition. At the end of the training period, the
patient was capable of walking short distances with a walking frame. In conclusion,
dynamic visual cueing in combination with body weightYsupported treadmill
training seems to be a promising treatment strategy for patients with Parkinson
disease, even in the case of severe impairment.
For the full case report Am J Phys Med Rehabil. 2012 Jan;91(1):75-9. doi: 10.1097/PHM.0b013e3182389fe2.
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