Department of Neurosciences, Ophthalmology and Gentics, University of Genoa, Via de Toni 5, 16132 Genoa, Italy.
Neurol Sci. 2009 Dec;30(6):499-504. doi: 10.1007/s10072-009-0141-8. Epub 2009 Sep 19.
Gait disturbances are frequent in Parkinson's disease (PD) and are associated with increased energy expenditure during walking. This study evaluated whether the effects of treadmill training are associated with an improvement of walking economy. Ten patients with idiopathic PD underwent treadmill training (30 min, three times a week for 4 weeks). Walking performance (Tauimed Up and Go, 6-min and 10-m walking tests) and metabolic function (oxygen uptake, heart and respiratory rate) were evaluated before training, at the end of treatment and after 30 days with two different graded exercises (treadmill and cycloergometer). Training significantly improved walking performance. Oxygen uptake, and heart and respiratory rates were significantly decreased only during graded exercise on the treadmill, but not on the cycloergometer. Treadmill training reduces energy expenditure during walking in PD, but the improvements of metabolic walking economy are associated with the specifically trained motor activity.
步态障碍在帕金森病（PD）中很常见，并且与行走时能量消耗的增加有关。本研究评估了跑步机训练的效果是否与行走经济性的改善有关。10 名特发性 PD 患者接受了跑步机训练（30 分钟，每周 3 次，共 4 周）。在训练前、治疗结束时以及 30 天后，进行了步行表现（计时起立行走测试、6 分钟和 10 米步行测试）和代谢功能（摄氧量、心率和呼吸率）评估，进行了两种不同的分级运动（跑步机和踏车测力计）。训练显著改善了步行表现。仅在跑步机上进行分级运动时，摄氧量、心率和呼吸率显著降低，但在踏车测力计上则没有。跑步机训练可降低 PD 患者行走时的能量消耗，但代谢行走经济性的改善与特定训练的运动活动有关。
