title: Positive Effects of Specific Exercise and Novel Turning-based Treadmill Training on Turning Performance in Individuals with Parkinson's disease: A Randomized Controlled Trial.
abstract: Two different training strategies to improve turning performance in individuals with Parkinson's disease (PD) were designed and investigated in this study. Subjects were randomly assigned to a specific exercise group, turning-based training group, or control group to receive training that emphasized balance and strengthening, turning-based treadmill training, and general exercise training, respectively. A total of 12 30-min training sessions followed by 10 min of turning training on a level surface were administered over 4 to 6 weeks. The results (n = 12 for each group) showed that both the specific exercise and turning-based training group experienced improved turning performance, the primary outcome, compared with the control group (specific exercise, 33% change, p = 0.016; turning-based training, 35% change, p = 0.021). For the secondary outcomes, the specific exercise group performed better than the control group on the Tinetti balance scale, limit of stability test and lower extremity extensor and abductor strength. The turning-based training groups performed better than the control group in sensory organization and ankle plantar flexor strength. In summary, specific exercise training and turning-based treadmill training were both effective in improving turning performance in participants with PD. However, the improvements in turning performance of these two groups resulted from improving different aspects of impairment in individuals with PD.
authors.affiliation: Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, 112, Taiwan.
authors.forename: Fang-Yu
authors.initials: FY
authors.lastname: Cheng
authors.affiliation: Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, 112, Taiwan.
authors.forename: Yea-Ru
authors.initials: YR
authors.lastname: Yang
authors.affiliation: Department of Neurology, Cheng Hsin General Hospital, Taipei, 112, Taiwan.
authors.forename: Li-Mei
authors.initials: LM
authors.lastname: Chen
authors.affiliation: Department of Neuromuscular Disorder, Chang Gung Memorial Hospital, Linkou, 333, Taiwan.
authors.forename: Yih-Ru
authors.initials: YR
authors.lastname: Wu
authors.affiliation: Department of Neurology, Mackay Memorial Hospital, Taipei, 104, Taiwan.
authors.forename: Shih-Jung
authors.initials: SJ
authors.lastname: Cheng
authors.affiliation: Department of Physical Therapy and Assistive Technology, National Yang-Ming University, Taipei, 112, Taiwan.
authors.forename: Ray-Yau
authors.initials: RY
authors.lastname: Wang
mesh_terms: D000368:Aged; D005080:Exercise Test / Q000379:methods*; D005081:Exercise Therapy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D010300:Parkinson Disease / Q000503:physiopathology / Q000628:therapy*; D004856:Postural Balance / Q000502:physiology; D016138:Walking