The aim of this randomized controlled pilot trial is to assess the impact of different gait rehabilitation programs on the level of physical activity and gait in daily life in patients with Parkinson's disease (PD). Two groups of 25 patients with PD will benefit from one of two gait training programs (treadmill vs. nordic walking), 3 times a week for 12 weeks. Activity level and number of steps will be remotely recorded over 7 days before, at the end, 3 and 6 months after the end of the program. Quality of life will be recorded at each time point. The impact of the gait programs on the patients' level of daily activity will be examined, comparing the changes brought about by the two programs, taking into account the modulating influence of age and cognitive function. Gait under conditions of daily life will be compared to gait parameters collected in the laboratory.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Purpose
SUPPORTIVE_CARE
Masking
DOUBLE
Supervised gait training program 3 times a week, 12 weeks
CHU Grenoble Alpes
Grenoble, France
Changes in daily energy expenditure
Evolution over time of the daily energy expenditure together with number of steps, as recorded using an actimeter worn at the belt.
Time frame: recording 7 days in a row, at 3 months, 6 months and 9 months.
Evolution of gait parameters
Evolution over time of spatio-temporal gait parameters recorded during a gait test in the laboratory.
Time frame: 3 months, 6 months and 9 months.
Evolution of exercise functional capacity
Evolution over time of the patients' performance at the 6 minutes walk test
Time frame: 3 months, 6 months and 9 months.
Evolution over time of the Parkinson's Disease Questionnaire-39 scale score.
Evolution of quality of life as measured using the PDQ.39 scale. Summed item scores expressed as percent. Min 0 Max 100.
Time frame: 3 months, 6 months and 9 months.
Evolution over time of the Parkinsons' Disease Fatigue Scale score.
Evolution of fatigue as measured using the PD Fatigue scale. Min 0. Max 80. Greater score means greater fatigue
Time frame: 3 months, 6 months and 9 months.
Adherence to the training program
number of training sessions attended
Time frame: 3 months
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