Effects of different percentages of body weight-supported treadmill training in Parkinson’s disease: a double-blind randomized controlled trial

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dc.contributor.authorAtan, Tuğba
dc.contributor.authorÖzyemişçi Taşkıran, Özden
dc.contributor.authorBora Tokçaer, Ayşe
dc.contributor.authorKaymak Karataş, Gülçin
dc.contributor.authorKarakuş Çalışkan, Aslı
dc.contributor.authorKaraoğlan, Belgin
dc.date.accessioned2021-11-01T18:14:56Z
dc.date.available2021-11-01T18:14:56Z
dc.date.issued2019
dc.departmentHitit Üniversitesi, Tıp Fakültesi, Dahili Tıp Bilimleri Bölümü
dc.description.abstractBackground/aim: Body weight-supported treadmill training (BWSTT) might have greater effects than conventional treadmill training (TT) in neurological diseases such as Parkinson’s disease (PD). The aim of this study was to evaluate the effects of different percentages of BWSTT on gait, balance, quality of life, and fatigue in PD. Materials and methods: Thirty-five patients with moderate to advanced PD were randomized into three BWSTT groups according to the supported percentage of body weight: 0% BWSTT (control group; unsupported TT), 10% BWSTT, or 20% BWSTT. Five patients were excluded due to early discharge and 30 patients completed BWSTT sessions lasting 30 min, 5 days a week, for 6 weeks during their inpatient rehabilitation stay. The primary outcome was 6-min walk distance (6MWD). Secondary outcomes were Unified Parkinson’s Disease Rating Scale (UPDRS), Berg Balance Scale (BBS), Nottingham Health Profile (NHP), Fatigue Impact Scale, and Fatigue Severity Scale scores. Measurements were performed before and after the training. Results: The unsupported TT group demonstrated no significant improvement in the outcome measures after a 6-week training except for BBS and NHP emotional subscores. Moreover, the NHP pain subscore increased in the unsupported TT group after training. The 10% and 20% supported BWSTT groups demonstrated significant improvements in 6MWD (P = 0.004 and P < 0.001, respectively), UPDRS - motor score (P = 0.012 and P = 0.005, respectively), NHP pain subscore (P = 0.003 and P = 0.002, respectively), and fatigue (P = 0.005 for both) after training. The 20% BWSTT provided the highest improvement in balance among the three groups (P < 0.001) and greater relief of fatigue than 10% BWSTT (P = 0.002). Conclusion: Six weeks of BWSTT improved walking distance and balance ability, relieved fatigue, and additionally reduced pain in patients with moderate to advanced PD.
dc.identifier.citationAtan, T., Taşkıran, Ö. Ö., Tokçaer, A. B., Karataş, G. K., Çalışkan, A. K., & Karaoğlan, B. (2019). Effects of different percentages of body weight-supported treadmill training in Parkinson's disease: a double-blind randomized controlled trial. Turkish journal of medical sciences, 49(4), 999-1007.
dc.identifier.doi10.3906/sag-1812-57
dc.identifier.endpage1007en_US
dc.identifier.issn1300-0144
dc.identifier.issn1303-6165
dc.identifier.issue4en_US
dc.identifier.pmid31292107
dc.identifier.scopus2-s2.0-85071351689
dc.identifier.scopusqualityQ1
dc.identifier.startpage999en_US
dc.identifier.urihttps://doi.org10.3906/sag-1812-57
dc.identifier.urihttps://app.trdizin.gov.tr/makale/TXpNMk16SXhNUT09
dc.identifier.urihttps://hdl.handle.net/11491/7591
dc.identifier.volume49en_US
dc.identifier.wosWOS:000480360000005
dc.identifier.wosqualityN/A
dc.indekslendigikaynakWeb of Science
dc.indekslendigikaynakScopus
dc.indekslendigikaynakTR-Dizin
dc.indekslendigikaynakPubMed
dc.institutionauthorAtan, Tuğba
dc.language.isoen
dc.relation.ispartofTurkish Journal of Medical Sciences
dc.relation.publicationcategoryMakale - Uluslararası Hakemli Dergi - Kurum Öğretim Elemanı
dc.rightsinfo:eu-repo/semantics/openAccess
dc.subjectParkinson’s Diseaseen_US
dc.subjectGaiten_US
dc.subjectBalanceen_US
dc.subjectTreadmill Trainingen_US
dc.subjectFatigueen_US
dc.titleEffects of different percentages of body weight-supported treadmill training in Parkinson’s disease: a double-blind randomized controlled trial
dc.typeArticle

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