Multicomponent and mat Pilates training increased gait speed in individuals with Parkinson's disease when walking and carrying a load: A single-blinded randomized controlled trial.

IF 1.5 Q3 REHABILITATION Physiotherapy Research International Pub Date : 2023-10-01 Epub Date: 2023-07-03 DOI:10.1002/pri.2031

Júlia de Faria, Lucas Resende Sousa, Ana Cláudia Pamplona Dorásio, Miriam Pimenta Pereira, Renato Moraes, Luciano Fernandes Crozara, Camilla Zamfolini Hallal

{"title":"Multicomponent and mat Pilates training increased gait speed in individuals with Parkinson's disease when walking and carrying a load: A single-blinded randomized controlled trial.","authors":"Júlia de Faria, Lucas Resende Sousa, Ana Cláudia Pamplona Dorásio, Miriam Pimenta Pereira, Renato Moraes, Luciano Fernandes Crozara, Camilla Zamfolini Hallal","doi":"10.1002/pri.2031","DOIUrl":null,"url":null,"abstract":"Background and purpose: Gait disorders in individuals with Parkinson's disease (IwPD) are among the most disabling symptoms. Physical exercise has been proposed for the treatment of IwPD because it shows positive effects on gait variables. Given the importance of physical activity in the rehabilitation process of IwPD, the assessment of interventions to identify those most promising for improving or maintaining gait performance is of great relevance. Therefore, this study evaluated the effects of Mat Pilates Training (MPT) and Multicomponent Training (MCT) on the spatiotemporal variables of gait in situations of daily dual-task performance in IwPD. Gait analysis in a daily dual-task context allows the simulation of real-life conditions where individuals have a higher risk of falling than in single-task walking.Methods: We conducted a single-blinded randomized controlled trial with 34 mild-to-moderate IwPD (Hoehn-Yahr stage 1-2). They were randomized to one of two interventions: MPT or MCT. All participants performed the training for 60 min, three times per week, for 20 weeks. Spatiotemporal gait variables were evaluated in a daily life situation to increase the ecological validity of the measurements, which included gait speed, stride time, double support time, swing time, and cadence. The individuals walked on a platform holding two bags with a load corresponding to 10% of their body mass.Results: After the intervention, there was a significant improvement in gait speed in both groups: MPT (p = 0.047) and MCT (p = 0.015). The MPT group reduced the cadence (p = 0.005) and the MCT group increased the stride length (p = 0.026) after the intervention.Discussion: Both groups had positive effects on gait speed with load transport resulting from the two proposed interventions. However, the MPT group showed a spatiotemporal adjustment of speed and cadence that can increase gait stability, which was not found in the MCT group.","PeriodicalId":47243,"journal":{"name":"Physiotherapy Research International","volume":null,"pages":null},"PeriodicalIF":1.5000,"publicationDate":"2023-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Research International","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.1002/pri.2031","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2023/7/3 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"REHABILITATION","Score":null,"Total":0}

引用次数: 0

Abstract

Background and purpose: Gait disorders in individuals with Parkinson's disease (IwPD) are among the most disabling symptoms. Physical exercise has been proposed for the treatment of IwPD because it shows positive effects on gait variables. Given the importance of physical activity in the rehabilitation process of IwPD, the assessment of interventions to identify those most promising for improving or maintaining gait performance is of great relevance. Therefore, this study evaluated the effects of Mat Pilates Training (MPT) and Multicomponent Training (MCT) on the spatiotemporal variables of gait in situations of daily dual-task performance in IwPD. Gait analysis in a daily dual-task context allows the simulation of real-life conditions where individuals have a higher risk of falling than in single-task walking.

Methods: We conducted a single-blinded randomized controlled trial with 34 mild-to-moderate IwPD (Hoehn-Yahr stage 1-2). They were randomized to one of two interventions: MPT or MCT. All participants performed the training for 60 min, three times per week, for 20 weeks. Spatiotemporal gait variables were evaluated in a daily life situation to increase the ecological validity of the measurements, which included gait speed, stride time, double support time, swing time, and cadence. The individuals walked on a platform holding two bags with a load corresponding to 10% of their body mass.

Results: After the intervention, there was a significant improvement in gait speed in both groups: MPT (p = 0.047) and MCT (p = 0.015). The MPT group reduced the cadence (p = 0.005) and the MCT group increased the stride length (p = 0.026) after the intervention.

Discussion: Both groups had positive effects on gait speed with load transport resulting from the two proposed interventions. However, the MPT group showed a spatiotemporal adjustment of speed and cadence that can increase gait stability, which was not found in the MCT group.

查看原文

微信好友朋友圈 QQ好友复制链接

本刊更多论文

多组分和垫式普拉提训练提高了帕金森病患者行走和负重时的步态速度：一项单盲随机对照试验。

背景和目的：帕金森病患者的步态障碍是最常见的致残症状之一。由于体育锻炼对步态变量有积极影响，因此有人建议将其用于治疗IwPD。鉴于体育活动在IwPD康复过程中的重要性，评估干预措施以确定那些最有希望改善或保持步态表现的干预措施具有重要意义。因此，本研究评估了垫式普拉提训练（MPT）和多成分训练（MCT）对IwPD日常双任务表现情况下步态时空变量的影响。在日常双任务环境中的步态分析可以模拟现实生活中的情况，在这种情况下，个人摔倒的风险比单任务行走更高。方法：我们对34例轻度至中度IwPD（Hoehn-Yahr 1-2期）进行了单盲随机对照试验。他们被随机分为两种干预措施之一：MPT或MCT。所有参与者进行了60分钟的训练，每周三次，为期20周。在日常生活中评估时空步态变量，以提高测量的生态有效性，包括步态速度、步幅时间、双支撑时间、摆动时间和节奏。受试者拿着两个袋子在平台上行走，袋子的负荷相当于他们体重的10%。结果：干预后，两组的步态速度都有显著改善：MPT（p=0.047）和MCT（p=0.015）。干预后，MPT组降低了步频（p=0.005），MCT组增加了步幅（p=0.026）。讨论：两组都对步态速度和负荷转移产生了积极影响，这是由两种拟议的干预措施引起的。然而，MPT组表现出速度和节奏的时空调节，可以提高步态稳定性，这在MCT组中没有发现。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

求助全文

约1分钟内获得全文去求助

来源期刊

Physiotherapy Research International REHABILITATION-

CiteScore

3.30

自引率

5.90%

发文量

期刊介绍： Physiotherapy Research International is an international peer reviewed journal dedicated to the exchange of knowledge that is directly relevant to specialist areas of physiotherapy theory, practice, and research. Our aim is to promote a high level of scholarship and build on the current evidence base to inform the advancement of the physiotherapy profession. We publish original research on a wide range of topics e.g. Primary research testing new physiotherapy treatments; methodological research; measurement and outcome research and qualitative research of interest to researchers, clinicians and educators. Further, we aim to publish high quality papers that represent the range of cultures and settings where physiotherapy services are delivered. We attract a wide readership from physiotherapists and others working in diverse clinical and academic settings. We aim to promote an international debate amongst the profession about current best evidence based practice. Papers are directed primarily towards the physiotherapy profession, but can be relevant to a wide range of professional groups. The growth of interdisciplinary research is also key to our aims and scope, and we encourage relevant submissions from other professional groups. The journal actively encourages submissions which utilise a breadth of different methodologies and research designs to facilitate addressing key questions related to the physiotherapy practice. PRI seeks to encourage good quality topical debates on a range of relevant issues and promote critical reflection on decision making and implementation of physiotherapy interventions.