Article

Parkinson's disease (PD) commonly impairs posture, gait, and
cognition. Exercise in the form of aerobic activity as well as exergaming may
improve motor ability and cognition in persons with PD. Exergaming and treadmill
training can be a practical form of exercise within the home; however, there is
minimal research on this combined multimodal intervention for persons with PD.
OBJECTIVE: We investigated the effects of this combined intervention on
cognition, balance, and gait in a person with PD through supervised lab sessions
augmented by home-based sessions. METHODS: This case study utilized an ABA single
subject experimental design with 4 weeks of pre-intervention, followed by 8 weeks
of intervention, and 4 weeks of post-intervention. The intervention consisted of
treadmill walking and Xbox Kinect exergaming, 30 minutes each, performed
unsupervised at home and at supervised lab sessions. The two standard deviation
band method was used to determine significance. RESULTS: MiniBEST test, 2-minute
walk distance, sway area, endurance test, and a few parameters of gait initiation
and gait improved significantly throughout the intervention period. Only a few
measures sustained the improvement 4 weeks after completion of intervention.
CONCLUSION: Eight weeks of treadmill and exergaming intervention with a person
with PD improved static and dynamic postural control measures, but not gait,
cognition, endurance, and clinical measures of balance. Longer and more intense
multimodal intervention may be warranted.

Langue : ANGLAIS