Randomized Controlled Trial of a Home-Based Action Observation Intervention to Improve Walking in Parkinson Disease

Archives of Physical Medicine and Rehabilitation
Abhishek JaywantAlice Cronin-Golomb

Abstract

To examine the feasibility and efficacy of a home-based gait observation intervention for improving walking in Parkinson disease (PD). Participants were randomly assigned to an intervention or control condition. A baseline walking assessment, a training period at home, and a posttraining assessment were conducted. The laboratory and participants' home and community environments. Nondemented individuals with PD (N=23) experiencing walking difficulty. In the gait observation (intervention) condition, participants viewed videos of healthy and parkinsonian gait. In the landscape observation (control) condition, participants viewed videos of moving water. These tasks were completed daily for 8 days. Spatiotemporal walking variables were assessed using accelerometers in the laboratory (baseline and posttraining assessments) and continuously at home during the training period. Variables included daily activity, walking speed, stride length, stride frequency, leg swing time, and gait asymmetry. Questionnaires including the 39-item Parkinson Disease Questionnaire (PDQ-39) were administered to determine self-reported change in walking, as well as feasibility. At posttraining assessment, only the gait observation group reported significan...Continue Reading

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Citations

Aug 17, 2019·Expert Review of Neurotherapeutics·Martijn L T M MüllerNicolaas I Bohnen
Jan 25, 2020·Journal of Neuroscience Research·Elisabetta FarinaThierry Pozzo
Jan 9, 2019·Frontiers in Neurology·Jenna E ThorpKristen A Pickett
Oct 24, 2017·Frontiers in Neuroscience·Erika RoviniFilippo Cavallo
Mar 30, 2021·Archives of Rehabilitation Research and Clinical Translation·Deirdre RyanCliona O'Sullivan
Apr 29, 2021·Dementia & Neuropsychologia·Htet Htet HninRattapha Ariyaudomkit
Apr 29, 2021·Neuroscience and Biobehavioral Reviews·Giacomo RizzolattiPietro Avanzini
Oct 1, 2021·Neurorehabilitation and Neural Repair·Meg E MorrisVictor B McConvey

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