Annals of Indian Academy of Neurology
ORIGINAL ARTICLE
Year
: 2012  |  Volume : 15  |  Issue : 4  |  Page : 267--272

Effects of augmented proprioceptive cues on the parameters of gait of individuals with Parkinson俟Q製 disease


Mohamed S El-Tamawy1, Moshera H Darwish2, Mohamed E Khallaf2 
1 Department of Neurology, College of Medicine, Cairo University, Egypt
2 Department of Physical Therapy for Neuromuscular Disturbances and its Surgery, College of Physical Therapy, Cairo University, Egypt

Correspondence Address:
Mohamed E Khallaf
Lecturer in the Department of Physical Therapy for Neuromuscular Disturbances and its Surgery, College of Physical Therapy, Cairo University, 7 Ahmed Elziat st, Doki, Giza
Egypt

Context : Impairment of initiating sequential movements and processing of proprioception contribute to characteristic Parkinson俟Q製 disease (PD) gait abnormalities. Many studies have used a single external cue or 2 different cues to correct PD gait. Aim: An aim of this study was to determine the influence of paired proprioceptive cues on gait parameters of individuals with PD. Setting and Design: Double-blind randomized controlled trial. Materials and Methods: Subjects were 30 PD patients who had mild to moderate impairment according to the United Parkinson俟Q製 Disease Rating Scale (UPDRS). They were randomly assigned to either a routine physiotherapy program or treadmill training with vibratory stimuli applied to the feet plantar surfaces and proprioceptive neuromuscular facilitation (PNF) as well as the same physiotherapy program. All Participants received a 45-minutes session of low intensity physiotherapy program, 3 times a week, for 8 weeks. The duration of treadmill training was 5 minutes at baseline and 25 minutes at the end of treatment. Walking speed and distance were recorded from the treadmill control panel for both groups before and immediately after the end of treatment. The Qualysis ProReflex motion analysis system was used to measure cadence, stride length, hip, knee, and ankle joints俟Q angular excursion. Results: The cadence, stride length, and lower limb joints俟Q angular excursion showed a significant improvement in both groups (P ≤ 0.05). These improvements in spatio-temporal parameters and angular excursion were higher in the study group than in the control group (P ≤ 0.05). Conclusion: Potentiated proprioceptive feedback improves parkinsonian gait kinematics, the hip, knee, and ankle joints俟Q angular excursion.


How to cite this article:
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;15:267-272


How to cite this URL:
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 [serial online] 2012 [cited 2020 Jul 8 ];15:267-272
Available from: http://www.annalsofian.org/article.asp?issn=0972-2327;year=2012;volume=15;issue=4;spage=267;epage=272;aulast=El-Tamawy;type=0