Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design

Various factors, such as fear of falling, postural instability, and altered executive function, contribute to the high risk of falling in Parkinson's disease (PD). Dual-task training is an established method to reduce this risk. Motor-perceptual task combinations typically require a patient to...

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Main Authors: Veit Mylius, Laura Maes, Katrin Negele, Christine Schmid, Ramona Sylvester, Caroline Sharon Brook, Florian Brugger, Santiago Perez-Lloret, Jens Bansi, Kamiar Aminian, Anisoara Paraschiv-Ionescu, Roman Gonzenbach, Peter Brugger
Format: Article
Language:English
Published: Frontiers Media S.A. 2022-03-01
Series:Frontiers in Rehabilitation Sciences
Subjects:
Online Access:https://www.frontiersin.org/articles/10.3389/fresc.2021.774658/full
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author Veit Mylius
Veit Mylius
Veit Mylius
Laura Maes
Katrin Negele
Christine Schmid
Ramona Sylvester
Caroline Sharon Brook
Florian Brugger
Santiago Perez-Lloret
Santiago Perez-Lloret
Santiago Perez-Lloret
Jens Bansi
Jens Bansi
Kamiar Aminian
Anisoara Paraschiv-Ionescu
Roman Gonzenbach
Peter Brugger
Peter Brugger
author_facet Veit Mylius
Veit Mylius
Veit Mylius
Laura Maes
Katrin Negele
Christine Schmid
Ramona Sylvester
Caroline Sharon Brook
Florian Brugger
Santiago Perez-Lloret
Santiago Perez-Lloret
Santiago Perez-Lloret
Jens Bansi
Jens Bansi
Kamiar Aminian
Anisoara Paraschiv-Ionescu
Roman Gonzenbach
Peter Brugger
Peter Brugger
author_sort Veit Mylius
collection DOAJ
description Various factors, such as fear of falling, postural instability, and altered executive function, contribute to the high risk of falling in Parkinson's disease (PD). Dual-task training is an established method to reduce this risk. Motor-perceptual task combinations typically require a patient to walk while simultaneously engaging in a perceptual task. Motor-executive dual-tasking (DT) combines locomotion with executive function tasks. One augmented reality treadmill training (AR-TT) study revealed promising results of a perceptual dual-task training with a markedly reduced frequency of falls especially in patients with PD. We here propose to compare the effects of two types of concurrent tasks, perceptual and executive, on high-intensity TT). Patients will be trained with TT alone, in combination with an augmented reality perceptual DT (AR-TT) or with an executive DT (Random Number Generation; RNG-TT). The results are expected to inform research on therapeutic strategies for the training of balance in PD.
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spelling doaj.art-4574e23ab19b4f9f838058a0fcdc19ec2023-01-02T20:42:57ZengFrontiers Media S.A.Frontiers in Rehabilitation Sciences2673-68612022-03-01210.3389/fresc.2021.774658774658Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study DesignVeit Mylius0Veit Mylius1Veit Mylius2Laura Maes3Katrin Negele4Christine Schmid5Ramona Sylvester6Caroline Sharon Brook7Florian Brugger8Santiago Perez-Lloret9Santiago Perez-Lloret10Santiago Perez-Lloret11Jens Bansi12Jens Bansi13Kamiar Aminian14Anisoara Paraschiv-Ionescu15Roman Gonzenbach16Peter Brugger17Peter Brugger18Department of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Philipps University, Marburg, GermanyDepartment of Neurology, Kantonsspital St. Gallen, St. Gallen, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Kantonsspital St. Gallen, St. Gallen, SwitzerlandBiomedical Research Center (CAECIHS-UAI), National Research Council (CONICET), Buenos Aires, ArgentinaFacultad de Medicina, Pontificia Universidad Católica Argentina, Buenos Aires, ArgentinaDepartamento de Fisiología, Facultad de Medicina, Universidad de Buenos Aires, Buenos Aires, ArgentinaDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Health, Physiotherapy, OST–Eastern Swiss University of Applied Sciences, St. Gallen, SwitzerlandLaboratory of Movement Analysis and Measurement, EPFL, Lausanne, SwitzerlandLaboratory of Movement Analysis and Measurement, EPFL, Lausanne, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Neurology, Center for Neurorehabilitation, Valens, SwitzerlandDepartment of Psychiatry, University of Zurich, Zurich, SwitzerlandVarious factors, such as fear of falling, postural instability, and altered executive function, contribute to the high risk of falling in Parkinson's disease (PD). Dual-task training is an established method to reduce this risk. Motor-perceptual task combinations typically require a patient to walk while simultaneously engaging in a perceptual task. Motor-executive dual-tasking (DT) combines locomotion with executive function tasks. One augmented reality treadmill training (AR-TT) study revealed promising results of a perceptual dual-task training with a markedly reduced frequency of falls especially in patients with PD. We here propose to compare the effects of two types of concurrent tasks, perceptual and executive, on high-intensity TT). Patients will be trained with TT alone, in combination with an augmented reality perceptual DT (AR-TT) or with an executive DT (Random Number Generation; RNG-TT). The results are expected to inform research on therapeutic strategies for the training of balance in PD.https://www.frontiersin.org/articles/10.3389/fresc.2021.774658/fulldual taskingaugmented realitytreadmillParkinson's diseaserandom number generationexecutive function
spellingShingle Veit Mylius
Veit Mylius
Veit Mylius
Laura Maes
Katrin Negele
Christine Schmid
Ramona Sylvester
Caroline Sharon Brook
Florian Brugger
Santiago Perez-Lloret
Santiago Perez-Lloret
Santiago Perez-Lloret
Jens Bansi
Jens Bansi
Kamiar Aminian
Anisoara Paraschiv-Ionescu
Roman Gonzenbach
Peter Brugger
Peter Brugger
Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
Frontiers in Rehabilitation Sciences
dual tasking
augmented reality
treadmill
Parkinson's disease
random number generation
executive function
title Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
title_full Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
title_fullStr Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
title_full_unstemmed Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
title_short Dual-Task Treadmill Training for the Prevention of Falls in Parkinson's Disease: Rationale and Study Design
title_sort dual task treadmill training for the prevention of falls in parkinson s disease rationale and study design
topic dual tasking
augmented reality
treadmill
Parkinson's disease
random number generation
executive function
url https://www.frontiersin.org/articles/10.3389/fresc.2021.774658/full
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