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Treadmill training for the treatment of gait disturbances in people with Parkinson's disease: a mini-review
Abstract
This report reviews recent investigations of the effects of treadmill training (TT) on the gait of patients with Parkinson's disease. A literature search identified 14 relevant studies. Three studies reported on the immediate effects of TT; over-ground walking improved (e.g., increased speed and stride length) after one treadmill session. Effects persisted even 15 min later. Eleven longer-term trials demonstrated feasibility, safety and efficacy, reporting positive benefits in gait speed, stride length and other measures such as disease severity (e.g., Unified Parkinson's Disease Rating Scale) and health-related quality of life, even several weeks after cessation of the TT. Long-term carryover effects also raise the possibility that TT may elicit positive neural plastic changes. While encouraging, the work to date is preliminary; none of the identified studies received a quality rating of Gold or level Ia. Additional high quality randomized controlled studies are needed before TT can be recommended with evidence-based support.
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“Studies, using treadmill exercise (with or without body weight support typically used for the purpose of maintaining safety) have shown that through exercise practice individuals with mild to moderate stages of PD can improve gait performance, including velocity, stride length, cadence, postural stability, gait rhythmicity, and joint excursion 24, 25.”
From Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease (2013) · cites this paper as [25]
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Metadata
- Authors
- Herman, T., Giladi, N., & Hausdorff, J. M.
- Affiliations
- Tel Aviv Sourasky Medical Center (IL)
- Tel Aviv University (IL)
- Harvard University (US)
- Corresponding author
- Hausdorff, J. M.
- Venue
- Journal of Neural Transmission
- Published
- 2008-11-04
- Volume
- 116
- Issue
- 3
- Pages
- 307-318
- ISSN
- 0300-9564 (ISSN-L)
- 1435-1463
- OpenAlex
- W2101329822
- Cited by
- 193
- References
- 86
- Citations by year
- 2026: 3 · 2025: 3 · 2024: 14 · 2023: 8 · 2022: 5 · 2021: 6 · 2020: 10 · 2019: 11 · 2018: 12 · 2017: 10 · 2016: 13 · 2015: 18 · 2014: 18 · 2013: 15 · 2012: 16
- FWCI
- 1.40
- Type
- journal article
- Language
- en
- Open access
- closed
- Licence
- www.springer.com/tdm (tdm)
- Locations
- Journal of Neural Transmission (publishedVersion)
- PubMed (publishedVersion)
- Funders
- European Commission
- National Institutes of Health
- National Institute on Aging (AG 14100)
- Topics
- Health Sciences › Health Professions › Physical Therapy, Sports Therapy and Rehabilitation › Balance, Gait, and Falls Prevention
- Health Sciences › Medicine › Rehabilitation › Stroke Rehabilitation and Recovery
- Health Sciences › Medicine › Clinical Neurology › Parkinson's Disease Mechanisms and Treatments
- Keywords
- treadmill training, Parkinson's disease, gait disturbance, walking speed, stride length, residual effects, neuroplasticity, health-related quality of life, exercise therapy
- MeSH terms
- Clinical Trials as Topic, Exercise Therapy, Gait, Humans, Parkinson Disease, Quality of Life, Severity of Illness Index, Time Factors, Treatment Outcome
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