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Critical Reviews™ in Physical and Rehabilitation Medicine
SJR: 0.121 SNIP: 0.228 CiteScore™: 0.17

ISSN Imprimer: 0896-2960
ISSN En ligne: 2162-6553

Critical Reviews™ in Physical and Rehabilitation Medicine

DOI: 10.1615/CritRevPhysRehabilMed.2018026838
pages 207-218

Evaluation of Daily Walking Activity in Patients with Parkinson Disease

Akanksha Pisal
MGM School of Physiotherapy, Mahatma Gandhi Mission Institute of Health Sciences, Navi Mumbai
Bela Agarwal
Department of Physiotherapy, Mahatma Gandhi Mission School of Physiotherapy, MGM Institute of Health Sciences, Sector No.1, Plot No. 1 & 2, Kamothe, Navi Mumbai–410209, India
Rajani Mullerpatan
Department of Physiotherapy, Mahatma Gandhi Mission School of Physiotherapy, MGM Institute of Health Sciences, Navi Mumbai, Maharashtra, India

RÉSUMÉ

Parkinson disease limits walking, and little is known about the performance of walking and factors that influence the quantum of walking in active, city-dwelling patients with mild to moderate Parkinson disease in an environment characterized by extended family support but limited access to public spaces. An exploratory study was performed to evaluate daily walking performance and the influence of an intrinsic factor—namely, balance during standing—and the extrinsic factors habitual physical activity and health-related quality of life in people with Parkinson disease. Daily walking activity was recorded with a step activity monitor for 8 consecutive days in 15 patients with Parkinson disease (Hoehn and Yahr scale score, 1–3). All patients were actively engaged in physiotherapy. We also recorded data from 15 age-, sex- and height-matched healthy individuals. Mean number of daily steps, duration of ambulatory activity, and gait speed were recorded. The Unified Parkinson's Disease Rating Scale, the International Physical Activity Questionnaire, and the World Health Organization Quality of Life BREF instrument were administered. Mean number of daily steps did not vary significantly between patients with Parkinson disease who exercise regularly (7018.80 ± 4068.58 steps per day) and healthy individuals (7409.33 ± 3094.15 steps per day; no significant difference; P = 0.40). However, patients with Parkinson disease demonstrated 17% lower engagement in long-duration activity and a 47% lower score on the physical activity domain of the World Health Organization Quality of Life BREF instrument. A moderate positive correlation was observed between balance during tandem stance and mean number of daily steps.