In a nutshell
This study reviewed the different physical therapies for gait complications in patients with Parkinson's disease in order to make new clinical guidelines. Researchers suggested that visual and auditory cueing (VAC) with treadmill training is a good option for these patients.
Some background
Parkinson's disease affects certain brain cells. These cells lose their abilities to control body functions. This causes symptoms such as freezing of gait (FOG). FOG consists of the absence or reduction of walking despite the intention to walk. This complication often results in falls and fear of walking. This affects the quality of life of these patients.
Medication only has a limited effectiveness in treating FOG. Therefore, non-medication treatments such as physical therapy are necessary for disease control. However, no guidelines have been established for the application of this treatment in clinical practice.
Methods & findings
This study reviewed 20 other studies including information about 762 patients.
The treatments evaluated were VAC, treadmill walking, aquatic and slackline training. VAC consists of using seeing and hearing cues to stimulate body movement. These treatments maintained their effectiveness when combined. However, there are no long-term follow-up studies.
Balance training, aquatic gait training, and touching cues showed effectiveness but need further studies. Treadmill training and VAC showed effectiveness for other gait impairments in patients with Parkinson's disease.
The bottom line
This study concluded that VAC and treadmill training are good options for gait impairments in patients with Parkinson's disease.
The fine print
This study was based on medical records. Results might be missing which can affect the results of the study.
Published By :
PM & R: the journal of injury, function, and rehabilitation
Date :
Jan 29, 2020
