Korean Journal of Applied Biomechanics (한국운동역학회지)

Korean Society of Applied Biomechanics (한국운동역학회)
권호 표지
DOI QR코드

DOI QR Code

Evaluation of Gait Assistive Devices in Patients with Parkinson's Disease

  • Kim, Mi-Young (Department of Exercise Rehabilitation Welfare, College of Human Ecology, Sungshin Women's University) ;
  • Lim, Bee-Oh (Department of Physical Education, College of Education, Chungang University)
  • Received : 2016.09.21
  • Accepted : 2016.09.22
  • Published : 2016.09.30
Download PDF
⟨ Previous Next ⟩

Abstract

Objective: There are no guidelines for choosing appropriate gait assistive devices. The aim of this study was to evaluate gait assistive devices in patients with Parkinson's disease. Method: We evaluated 15 individuals with Parkinson's disease who did or did not use one of two different devices including canes and two-wheeled walkers. Data were collected using the GAITRite system. Results: Participants in the group using canes and two-wheeled walkers had significantly increased double support time and decreased gait velocity, normalized gait velocity, and stride length compared with those who did not. Participants who used a two-wheeled walker had significantly decreased gait velocity, normalized gait velocity, and stride length compared with those who used a cane. Furthermore, participants who used a two-wheeled walker had significantly decreased coefficients of variation for step time, stride length, and swing time compared with those who used a cane. Conclusion: Our results indicated that the two-wheeled walker offered the most consistent advantages for decreasing the risk of falling.

Keywords

References

  1. Bishop, M., Brunt, D., Pathare, N. & Marjama-Lyons, J. (2005). Changes in distal muscle timing may contribute to slowness during sit-to-stand in parkinsons disease. Clinical Biomechanics, 20, 112-117. https://doi.org/10.1016/j.clinbiomech.2004.08.002
  2. Bloem, B. R., Beckley, D. J., Remler, M. P., Roos, R. A. & Van Dijk, J. G. (1995). Postural reflexes in Parkinson's disease during 'resist' and 'yield' tasks. Journal of Neurological Sciences, 129(2), 109-119. https://doi.org/10.1016/0022-510X(94)00253-K
  3. Bloem, B. R., Hausdorff, J. M., Visser, J. E. & Giladi, N. (2004). Falls and freezing of gait in Parkinson's disease: a review of two interconnected, episodic phenomena. Mov Disord, 19(8), 871-884. https://doi.org/10.1002/mds.20115
  4. Brod, M., Mendelsohn, G. A. & Roberts, B. (1998). Patients' experiences of Parkinson's disease. Journal of Gerontology. Series B, Psychological Sciences and Social Sciences, 53(4), 213-222.
  5. Bryant, M. S., Pourmoghaddam, A. & Thrasher, A. (2011). Gait changes with walking devices in persons with Parkinson's disease. Disability and Rehabilitation Assistive Technology, 7, 149-152.
  6. Canning, C. G., Sherrington, C., Lord, S. R., Fung, V. S., Close, J. C., Latt, M. D., Howard, K., Allen, N. E., O'Rourke, S. D. & Murray, S. M. (2009). Exercise therapy for prevention of falls in people with Parkinson's disease: A protocol for a randomised controlled trial and economic evaluation. BMC NEUROLOGY, 9(4).
  7. Chamberlin, M. E., Fulwider, B. D., Sanders, S. L. & Medeiros, J. M. (2005). Does fear of falling influence spatial and temporal gait parameters in elderly persons beyond changes associated with normal aging? Journals of Gerontology Series A Biological Sciences and Medical Sciences, 60, 1163-1167. https://doi.org/10.1093/gerona/60.9.1163
  8. Cubo, E., Moore, C. G., Leurgans, S. & Goetz CG. (2003). Wheeled and standard walkers in Parkinson's disease patients with gait freezing. Parkinsonism and Related Disorders, 10, 9-14. https://doi.org/10.1016/S1353-8020(03)00060-9
  9. Kegelmeyer, D. A., Parthasarathy, S., Kostyk, S. K., White, S. E. & Kloos, A. D. (2013). Assistive devices alter gait patterns in Parkinson disease: Advantages of the four-wheeled walker. Gait & Posture, 38(1), 20-24. https://doi.org/10.1016/j.gaitpost.2012.10.027
  10. Kim, C. H., Kim, M. Y. & Lim, B. O. (2015). A literature review of Parkinson's disease rating, balance, fall and gait scales. Korean Journal of Sport Biomechanics, 25(4), 441-451. https://doi.org/10.5103/KJSB.2015.25.4.441
  11. Kim, C. H., Kim, M. Y., Moon, J. H. & Lim, B. O. (2014). Effects of Hoehn-Yahr scale on the activation of lower-extremity muscles during walking with Parkinson's patients. Korean Journal of Sport Biomechanics, 24(3), 287-293. https://doi.org/10.5103/KJSB.2014.24.3.287
  12. Kim, M. Y., Choi, B. K. & Lim, B. O. (2011). Analysis of obstacle gait using spatio-temporal and foot pressure variables in children with autism. Korean Journal of Sport Biomechanics, 21(4), 459-466. https://doi.org/10.5103/KJSB.2011.21.4.459
  13. Kim, M. Y., Kim, C. W. & Lim, B. O. (2013). Effects of Hoehn Yahr scale on the gait with Parkinson's patients. The Korean Journal of Physical Education, 52(4), 545-552.
  14. Mahoney, J., Euhardy, R. & Carnes, M. (1992). A comparison of a twowheeled walker and a three-wheeled walker in a geriatric population. Journal of the American Geriatrics Society, 40, 208-212. https://doi.org/10.1111/j.1532-5415.1992.tb02069.x
  15. McDonough, A. L., Batavia, M., Chen, F. C., Kwon, S. & Ziai J. (2001). The validity and reliability of the GAITRite system's measurements: A preliminary evaluation. Arch Phys Med Rehabil, 82(3), 419-425. https://doi.org/10.1053/apmr.2001.19778
  16. Latt, M. D. (2006). Why do people with Parkinson's disease fall? Unpublished doctoral's dissertation, The University of Sydney.
  17. Tinetti, M. E., Baker, D. I. & Horwitz, R. I. (1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New Engl J Med, 331(13), 821-826. https://doi.org/10.1056/NEJM199409293311301
  18. Titianova, E. B., Mateev, P. S. & Tarkka, I. M. (2004). Footprint analysis of gait using a pressure sensor system. Journal of Electromyography and Kinesiology, 14, 275-281. https://doi.org/10.1016/S1050-6411(03)00077-4
  19. Verghese, J., Holtzer, R., Lipton, R. B. & Wang, C. (2009). Quantitative gait markers and incident fall risk in older adults. Journals of Gerontology Series A Biological Sciences and Medical Sciences, 64, 896-901.