Journal of Neural Transmission

, Volume 116, Issue 3, pp 307–318

Treadmill training for the treatment of gait disturbances in people with Parkinson’s disease: a mini-review

Basic Neurosciences, Genetics and Immunology - Review Article

DOI: 10.1007/s00702-008-0139-z

Cite this article as:
Herman, T., Giladi, N. & Hausdorff, J.M. J Neural Transm (2009) 116: 307. doi:10.1007/s00702-008-0139-z

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.

Keywords

Parkinson’s diseaseGaitTreadmillNeuroplasticity

Copyright information

© Springer-Verlag 2008

Authors and Affiliations

  1. 1.Laboratory for Gait and Neurodynamics, Movement Disorders Unit and Parkinson Center, Department of NeurologyTel-Aviv Sourasky Medical CenterTel AvivIsrael
  2. 2.Department of Physical Therapy, Sackler Faculty of MedicineTel-Aviv UniversityTel AvivIsrael
  3. 3.Division on AgingHarvard Medical SchoolBostonUSA
  4. 4.Department of Neurology, Sackler Faculty of MedicineTel-Aviv UniversityTel AvivIsrael