Skip to main content

Cues and Body-Weight-Supported (BWS) Gait Training in Parkinson’s Disease

  • Chapter
  • First Online:
Advanced Technologies for the Rehabilitation of Gait and Balance Disorders

Part of the book series: Biosystems & Biorobotics ((BIOSYSROB,volume 19))

Abstract

Gait is one of the motor tasks most affected in Parkinson’s disease (PD), due to a deficit of internal rhythmic signals that interferes with motor pathways (Currà et al. in JAMA 12:646–654, 2004 [1]).

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 149.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 199.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Currà A, Berardelli A, Agostino R, et al. Performance of sequential arm movements with and without advance knowledge of motor pathways in Parkinson’s disease. Mov Disord. 1997;12:646–54.

    Article  Google Scholar 

  2. Majsak MJ, Kaminski T, Gentile AM, Glanagan JR. The reaching movements of patients with Parkinson’s disease under self-determined maximal speed and visually cued conditions. Brain. 1998;121:755–66.

    Article  Google Scholar 

  3. McIntosh GC, Brown SH, Rice RR, et al. Rhythmic auditory-motor facilitation of gait patterns in patients with Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1997;62:22–6.

    Article  Google Scholar 

  4. Azulay JP, Mesure S, Amblard B, et al. Visual control of locomotion in Parkinson’s disease. Brain. 1999;122:111–20.

    Article  Google Scholar 

  5. Morris ME, Iansek R, Matyas TA, et al. Stride length regulation in Parkinson’s disease. Normalization strategies and underlying mechanisms. Brain. 1996;119:551–68.

    Article  Google Scholar 

  6. Thaut MH, McIntosh GC, Rice RR, Miller RA, Rathbun J, Brault JM. Rhythmic auditory stimulation in gait training for Parkinson’s disease patients. Mov Disord. 1996;11(2):193–200.

    Google Scholar 

  7. McIntosh GC, Brown SH, Rice RR, Thaut MH. Rhythmic auditory-motor facilitation of gait patterns in patients with Parkinson’s disease. J Neurol Neurosurg Psychiatry. 1997;62(1):22–6.

    Article  Google Scholar 

  8. Marchese R, Diverio M, Zucchi F, Lentino C, Abbruzzese G. The role of sensory cues in the rehabilitation of parkinsonian patients: a comparison of two physical therapy protocols. Mov Disord. 2000;15(5):879–83.

    Article  Google Scholar 

  9. Lehman DA, Toole T, Lofald D, Hirsch MA. Training with verbal instructional cues results in near-term improvement of gait in people with Parkinson disease. J Neurol Phys Ther. 2005;29(1):2–8.

    Article  Google Scholar 

  10. Lim I, van Wegen E, de Goede C, Deutekom M, Nieuwboer A, Willems A, Jones D, Rochester L, Kwakkel G. Effects of external rhythmical cueing on gait in patients with Parkinson’s disease: a systematic review. Clin Rehabil. 2005;19(7):695–713.

    Article  Google Scholar 

  11. Arias P, Cudeiro J. Effect of rhythmic auditory stimulation on gait in Parkinsonian patients with and without freezing of gait. PLoS ONE. 2010;5(3):e9675. https://doi.org/10.1371/journal.pone.0009675.

    Article  Google Scholar 

  12. Frazzitta G, Maestri R, Uccellini D, Bertotti G, Abelli P. Rehabilitation treatment of gait in patients with Parkinson’s disease with freezing: a comparison between two physical therapy protocols using visual and auditory cues with or without treadmill training. Mov Disord. 2009;24(8):1139–43.

    Article  Google Scholar 

  13. Rochester L, Baker K, Hetherington V, Jones D, Willems AM, Kwakkel G, Van Wegen E, Lim I, Nieuwboer A. Evidence for motor learning in Parkinson’s disease: acquisition, automaticity and retention of cued gait performance after training with external rhythmical cues. Brain Res. 2010;10(1319):103–11.

    Article  Google Scholar 

  14. Kadivar Z, Corcos DM, Foto J, et al. Effect of step training and rhythmic auditory stimulation on functional performance in Parkinson patients. Neurorehabilitation Neural Repair. 2011;25:626–35.

    Article  Google Scholar 

  15. Mirelman A, Herman T, Nicolai S, Zijlstra A, Zijlstra W, Becker C, Chiari L, Hausdorff JM. Audio-biofeedback training for posture and balance in patients with Parkinson’s disease. J Neuroeng Rehabil. 2011;8:35.

    Google Scholar 

  16. Almeida QJ, Bhatt H. A manipulation of visual feedback during gait training in Parkinson’s disease. Parkinsons Dis. 2012;2012:508720.

    Google Scholar 

  17. El-Tamawy MS, Darwish MH, Khallaf ME. Effects of augmented proprioceptive cues on the parameters of gait of individuals with Parkinson’s disease. Ann Indian Acad Neurol. 2012;15(4):267–72.

    Article  Google Scholar 

  18. Spaulding SJ, Barber B, Colby M, Cormack B, Mick T, Jenkins ME. Cueing and gait improvement among people with Parkinson’s disease: a meta-analysis. Arch Phys Med Rehabil. 2013;94(3):562–70.

    Article  Google Scholar 

  19. Lopez WO, Higuera CA, Fonoff ET, SouzaCde O, Albicker U, Martinez JA. Listenmee and Listenmee smartphone application: synchronizing walking to rhythmic auditory cues to improve gait in Parkinson’s disease. Hum Mov Sci. 2014;37:147–56.

    Article  Google Scholar 

  20. Rocha PA, Porfírio GM, Ferraz HB, Trevisani VF. Effects of external cues on gait parameters of Parkinson’s disease patients: a systematic review. Clin Neurol Neurosurg. 2014;124:127–34.

    Article  Google Scholar 

  21. Vitório R, Lirani-Silva E, Pieruccini-Faria F, Moraes R, Gobbi LT, Almeida QJ. Visual cues and gait improvement in Parkinson’s disease: which piece of information is really important? Neuroscience. 2014;26(277):273–80.

    Article  Google Scholar 

  22. De Icco R, Tassorelli C, Berra E, Bolla M, Pacchetti C, Sandrini G. Acute and chronic effect of acoustic and visual cues on gait training in Parkinson’s disease: a randomized, controlled study. Parkinsons Dis. 2015;2015:978590.

    Google Scholar 

  23. Mehrholz J, Pohl M, Elsner B. Treadmill training and body weight support for walking after stroke. Cochrane Database Syst Rev. 2014;1.

    Google Scholar 

  24. Miyai I, Fujimoto Y, Ueda Y, Yamamoto H, Nozaki S, Saito T, Kang J. Treadmill training with body weight support: its effect on Parkinson’s disease. Arch Phys Med Rehabil. 2000;81:849–52.

    Article  Google Scholar 

  25. Morawietz C, Moffat F. Effects of locomotor training after incomplete spinal cord injury: a systematic review. Arch Phys Med Rehabil. 2013;94(11):2297–308.

    Article  Google Scholar 

  26. Miyai I, Fujimoto Y, Yamamoto H, et al. Long-term effect of body weight-supported treadmill training in Parkinson’s disease: a randomized controlled trial. Arch Phys Med Rehabil. 2002;83:1370–3.

    Article  Google Scholar 

  27. Fisher BE, Wu AD, Salem GJ, et al. The effect of exercise training in improving motor performance and corticomotor excitability in persons with early Parkinson’s disease. Arch Phys Med Rehabil. 2010; November: 22.

    Google Scholar 

  28. Rose MH, Løkkegaard A, Sonne-Holm S, et al. Improved clinical status, quality of life, and walking capacity in Parkinson’s disease after body weight-supported high-intensity locomotor training. Arch Phys Med Rehabil. 2013;94:687–92.

    Article  Google Scholar 

  29. Fernando CK, Basmajian JV. Biofeedback in physical medicine and rehabilitation. Biofeedback Self Regul. 1978;3:435–55.

    Article  Google Scholar 

  30. Visintin M, Barbeau H. The effects of body weight support on the locomotor pattern of spastic paretic patients. Can J Neurol Sci. 1989;16:315–25.

    Article  Google Scholar 

  31. Rubinstein TC, Giladi N, Hausdorff JM. The power of cueing to circumvent dopamine deficits: a review of physical therapy treatment of gait disturbances in Parkinson’s disease. Mov Disord. 2002;17(6):1148–60.

    Article  Google Scholar 

  32. Platz T, Brown RG, Marsden CD. Training improves the speed of aimed movements in Parkinson’s disease. Brain. 1998;121:505–14.

    Article  Google Scholar 

  33. Fisher BE, Petzinger GM, Nixon K, et al. Exercise-induced behavioral recovery and neuroplasticity in the 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine-lesioned mouse basal ganglia. J Neurosci Res. 2004;77:378–90.

    Article  Google Scholar 

  34. Fox CM, Ramig LO, Ciucci MR, Sapir S, McFarland DH, Farley BG. The science and practice of LSVT/LOUD: neural plasticity-principled approach to treating individuals with Parkinson disease and otherneurological disorders. Semin Speech Lang. 2006;27:283–99.

    Article  Google Scholar 

  35. Fisher B, Wu A, Salem G, et al. The effect of exercise training in improving motor performance and corticomotor excitability in people with early Parkinson’s disease. Arch Phys Med Rehabil. 2008;89:1221–9.

    Article  Google Scholar 

  36. Ganesan M, Sathyaprabha TN, Gupta A, Pal PK. Effect of partial weight-supported treadmill gait training on balance in patients with Parkinson disease. PM R. 2014;6(1):22–33.

    Article  Google Scholar 

  37. Ganesan M, Pal PK, Gupta A, Sathyaprabha TN. Treadmill gait training improves baroreflex sensitivity in Parkinson’s disease. Clin Auton Res. 2014; 24:111–118.

    Google Scholar 

  38. Mehrholz J, Kugler J, Storch A, Pohl M, Hirsch K, Elsner B. Treadmill training for patients with Parkinson’s disease. Cochrane Database Syst Rev. 2015;9:CD007830.

    Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Eliana Berra .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Sandrini, G., Tassorelli, C., Berra, E., De Icco, R. (2018). Cues and Body-Weight-Supported (BWS) Gait Training in Parkinson’s Disease. In: Sandrini, G., Homberg, V., Saltuari, L., Smania, N., Pedrocchi, A. (eds) Advanced Technologies for the Rehabilitation of Gait and Balance Disorders. Biosystems & Biorobotics, vol 19. Springer, Cham. https://doi.org/10.1007/978-3-319-72736-3_25

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-72736-3_25

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-72735-6

  • Online ISBN: 978-3-319-72736-3

  • eBook Packages: EngineeringEngineering (R0)

Publish with us

Policies and ethics