Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study
Introduction: Parkinson disease (PD) impairs sensory integration, contributes to motor dysfunction, loss of gait automaticity, and increased fall risk. Employing multimodal sensory feedback (MMSF) has the potential to improve proprioceptive integration and gait safety while reducing exercise burden...
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| Format: | Article |
| Language: | English |
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Elsevier
2022-01-01
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| Series: | Clinical Parkinsonism & Related Disorders |
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| Online Access: | http://www.sciencedirect.com/science/article/pii/S2590112522000032 |
| _version_ | 1811242713183420416 |
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| author | Patricia Winkler Erica DeMarch Heather Campbell Marcia Smith |
| author_facet | Patricia Winkler Erica DeMarch Heather Campbell Marcia Smith |
| author_sort | Patricia Winkler |
| collection | DOAJ |
| description | Introduction: Parkinson disease (PD) impairs sensory integration, contributes to motor dysfunction, loss of gait automaticity, and increased fall risk. Employing multimodal sensory feedback (MMSF) has the potential to improve proprioceptive integration and gait safety while reducing exercise burden especially for backward gait. Methods: This single-blinded, randomized controlled pilot study used a home program with or without real-time visual, proprioceptive, and auditory feedback with stepping exercises which progressed in speed and distance. Both groups completed a six-week intervention followed by 6 weeks without exercise to assess long-term retention. Six additional weeks of exercises were completed to assess recovery of potential losses after the washout session.Eleven people with PD exercised with real-time MMSF and 7 exercised without MMSF. Outcome measures included backward stride length, velocity, cadence, and double support time. The Dual Timed Up and Go measured automaticity. Self-perceived improvements in gait, activities of daily living, participation, and quality of life were registered by a questionnaire. Results: Analysis was by repeated measures ANOVA. Using MMSF significantly improved backward stride length at 12 and 18 weeks, p = .007, η2 = 0.239. Both groups improved in all outcome measures after the initial 6-week exercise program, supporting efficacy of stepping exercises. The MMSF + ex group's significant improvements after a 6-week washout supported automaticity development. Questionnaire items received higher agreement percentages from MMSF + ex participants. Conclusion: Using real-time MMSF in a home program for pwPD provided significant and lasting improvements in backward stride, and potentially decreased fall risk and exercise burden compared to the same program without MMSF. |
| first_indexed | 2024-04-12T13:54:57Z |
| format | Article |
| id | doaj.art-816f96b63bda4dd98d63316368e0c4d3 |
| institution | Directory Open Access Journal |
| issn | 2590-1125 |
| language | English |
| last_indexed | 2024-04-12T13:54:57Z |
| publishDate | 2022-01-01 |
| publisher | Elsevier |
| record_format | Article |
| series | Clinical Parkinsonism & Related Disorders |
| spelling | doaj.art-816f96b63bda4dd98d63316368e0c4d32022-12-22T03:30:24ZengElsevierClinical Parkinsonism & Related Disorders2590-11252022-01-016100132Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot studyPatricia Winkler0Erica DeMarch1Heather Campbell2Marcia Smith3School of Physical Therapy, Regis University, 3333 Regis Blvd, Denver, CO 80221, USA; Corresponding author.South Valley Physical Therapy, Denver, CO. 1750 N Humboldt St Ste 101, Denver, CO 80218, USASchool of Physical Therapy, Regis University, 3333 Regis Blvd, Denver, CO 80221, USASchool of Physical Therapy, Regis University, 3333 Regis Blvd, Denver, CO 80221, USAIntroduction: Parkinson disease (PD) impairs sensory integration, contributes to motor dysfunction, loss of gait automaticity, and increased fall risk. Employing multimodal sensory feedback (MMSF) has the potential to improve proprioceptive integration and gait safety while reducing exercise burden especially for backward gait. Methods: This single-blinded, randomized controlled pilot study used a home program with or without real-time visual, proprioceptive, and auditory feedback with stepping exercises which progressed in speed and distance. Both groups completed a six-week intervention followed by 6 weeks without exercise to assess long-term retention. Six additional weeks of exercises were completed to assess recovery of potential losses after the washout session.Eleven people with PD exercised with real-time MMSF and 7 exercised without MMSF. Outcome measures included backward stride length, velocity, cadence, and double support time. The Dual Timed Up and Go measured automaticity. Self-perceived improvements in gait, activities of daily living, participation, and quality of life were registered by a questionnaire. Results: Analysis was by repeated measures ANOVA. Using MMSF significantly improved backward stride length at 12 and 18 weeks, p = .007, η2 = 0.239. Both groups improved in all outcome measures after the initial 6-week exercise program, supporting efficacy of stepping exercises. The MMSF + ex group's significant improvements after a 6-week washout supported automaticity development. Questionnaire items received higher agreement percentages from MMSF + ex participants. Conclusion: Using real-time MMSF in a home program for pwPD provided significant and lasting improvements in backward stride, and potentially decreased fall risk and exercise burden compared to the same program without MMSF.http://www.sciencedirect.com/science/article/pii/S2590112522000032Parkinson DiseaseBackward gaitReal-time multimodal sensory feedbackAutomaticityHome program |
| spellingShingle | Patricia Winkler Erica DeMarch Heather Campbell Marcia Smith Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study Clinical Parkinsonism & Related Disorders Parkinson Disease Backward gait Real-time multimodal sensory feedback Automaticity Home program |
| title | Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study |
| title_full | Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study |
| title_fullStr | Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study |
| title_full_unstemmed | Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study |
| title_short | Use of real-time multimodal sensory feedback home program improved backward stride and retention for people with Parkinson Disease: A pilot study |
| title_sort | use of real time multimodal sensory feedback home program improved backward stride and retention for people with parkinson disease a pilot study |
| topic | Parkinson Disease Backward gait Real-time multimodal sensory feedback Automaticity Home program |
| url | http://www.sciencedirect.com/science/article/pii/S2590112522000032 |
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