Abstract：
UNASSIGNED: Parkinson\'s disease creates an inability to perform previous learned autonomic tasks, such as walking, which worsens with disease progression. Recommendations to incorporate exercise at moderate to high intensities for this population has been established but there is limited knowledge about its impact on clinical based outcomes. The purpose of this research is to investigate the effectiveness of a 6-week intensity-driven walking program on clinical-based outcomes in individuals with PD.
UNASSIGNED: Five individuals with PD were recruited for this single-subject withdrawal design (A-B-A-B) study. 6-minute walk performance and other core neurological measures of gait were collected. Intervention phases incorporated a 30-minute individualized intensity-driven treadmill walking program practiced at 65% or more of ones maximum heart rate. Increased treadmill speed, incline, and resistance were manipulated to reach the target heart rate zone.
UNASSIGNED: 6-minute walk test within condition visual analysis demonstrated a therapeutic change during intervention phases and a countertherapeutic change during withdraw periods for all 5 individuals. An abrupt therapeutic effect was demonstrated for all individuals between conditions with the percent of nonoverlapping data ranging from 70-90%. Band method analysis revealed a range of 9-19 sessions two standard deviations above baseline mean performances for all individuals.
UNASSIGNED: To achieve sufficient walking performance, gait practiced at higher intensity levels may provide the optimal solution as an adjunct to standard care for individuals with PD who want to improve their walking.
Parkinson’s disease creates an inability to perform previous learned autonomic tasks, such as walking, which worsens with disease progression.Exercise practiced at higher levels of intensity has been recommended to improve clinical based outcomes for the neurological population.Walking practice at higher intensity levels can provide a solution to improve gait endurance for individuals with Parkinson’s disease.
UNASSIGNED: Five individuals with PD were recruited for this single-subject withdrawal design (A-B-A-B) study. 6-minute walk performance and other core neurological measures of gait were collected. Intervention phases incorporated a 30-minute individualized intensity-driven treadmill walking program practiced at 65% or more of ones maximum heart rate. Increased treadmill speed, incline, and resistance were manipulated to reach the target heart rate zone.
UNASSIGNED: 6-minute walk test within condition visual analysis demonstrated a therapeutic change during intervention phases and a countertherapeutic change during withdraw periods for all 5 individuals. An abrupt therapeutic effect was demonstrated for all individuals between conditions with the percent of nonoverlapping data ranging from 70-90%. Band method analysis revealed a range of 9-19 sessions two standard deviations above baseline mean performances for all individuals.
UNASSIGNED: To achieve sufficient walking performance, gait practiced at higher intensity levels may provide the optimal solution as an adjunct to standard care for individuals with PD who want to improve their walking.
Parkinson’s disease creates an inability to perform previous learned autonomic tasks, such as walking, which worsens with disease progression.Exercise practiced at higher levels of intensity has been recommended to improve clinical based outcomes for the neurological population.Walking practice at higher intensity levels can provide a solution to improve gait endurance for individuals with Parkinson’s disease.
摘要：
■帕金森氏症导致无法执行先前学习的自主神经任务，比如走路，随着疾病进展而恶化。已经建立了对该人群进行中等强度到高强度运动的建议，但是关于其对临床结果的影响的知识有限。这项研究的目的是调查为期6周的强度驱动步行计划对PD患者临床结局的有效性。
■招募5名患有PD的个体进行这项单受试者戒断设计(A-B-A-B)研究。收集6分钟步行表现和步态的其他核心神经测量。干预阶段包括30分钟的个性化强度驱动的跑步机步行程序，该程序以最大心率的65％或更多进行。增加跑步机速度，倾斜,并操纵阻力以达到目标心率区。
■条件视觉分析中的6分钟步行测试表明，所有5名个体在干预阶段出现治疗变化，在退出阶段出现反治疗变化。在非重叠数据的百分比范围为70-90％的情况下，对所有个体都证明了突然的治疗效果。带法分析显示，所有个体的9-19个疗程比基线平均表现高出两个标准偏差。
■要获得足够的步行性能，在较高强度水平下进行的步态可以提供最佳解决方案，作为想要改善行走的PD患者的标准护理的辅助手段。
帕金森病导致无法执行以前学习的自主神经任务，比如走路，随着疾病进展而恶化。建议在较高强度下进行运动以改善神经学人群的基于临床的结果。更高强度水平的步行练习可以提供改善帕金森病患者步态耐力的解决方案。
■招募5名患有PD的个体进行这项单受试者戒断设计(A-B-A-B)研究。收集6分钟步行表现和步态的其他核心神经测量。干预阶段包括30分钟的个性化强度驱动的跑步机步行程序，该程序以最大心率的65％或更多进行。增加跑步机速度，倾斜,并操纵阻力以达到目标心率区。
■条件视觉分析中的6分钟步行测试表明，所有5名个体在干预阶段出现治疗变化，在退出阶段出现反治疗变化。在非重叠数据的百分比范围为70-90％的情况下，对所有个体都证明了突然的治疗效果。带法分析显示，所有个体的9-19个疗程比基线平均表现高出两个标准偏差。
■要获得足够的步行性能，在较高强度水平下进行的步态可以提供最佳解决方案，作为想要改善行走的PD患者的标准护理的辅助手段。
帕金森病导致无法执行以前学习的自主神经任务，比如走路，随着疾病进展而恶化。建议在较高强度下进行运动以改善神经学人群的基于临床的结果。更高强度水平的步行练习可以提供改善帕金森病患者步态耐力的解决方案。
