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dc.contributor.authorJaywant, Abhisheken_US
dc.contributor.authorEllis, Terry D.en_US
dc.contributor.authorRoy, Sergeen_US
dc.contributor.authorLin, Cheng-Chiehen_US
dc.contributor.authorNeargarder, Sandyen_US
dc.contributor.authorCronin-Golomb, Aliceen_US
dc.date.accessioned2018-08-22T15:38:47Z
dc.date.available2018-08-22T15:38:47Z
dc.date.issued2016
dc.identifier.citationA Jaywant, TD Ellis, S Roy, C Lin, S Neargarder, A Cronin-Golomb. 2016. "Randomized controlled trial of a home-based action observation intervention to improve walking in Parkinson disease." Archives of physical medicine and rehabilitation, Volume 97, Issue 5, pp. 665 - 673. https://doi.org/10.1016/j.apmr.2015.12.029
dc.identifier.issn0003-9993
dc.identifier.urihttps://hdl.handle.net/2144/30891
dc.descriptionPublished in final edited form as: Arch Phys Med Rehabil. 2016 May ; 97(5): 665–673. doi:10.1016/j.apmr.2015.12.029.en_US
dc.description.abstractOBJECTIVE: To examine the feasibility and efficacy of a home-based gait observation intervention for improving walking in Parkinson disease (PD). DESIGN: Participants were randomly assigned to an intervention or control condition. A baseline walking assessment, a training period at home, and a posttraining assessment were conducted. SETTING: The laboratory and participants' home and community environments. PARTICIPANTS: Nondemented individuals with PD (N=23) experiencing walking difficulty. INTERVENTION: In the gait observation (intervention) condition, participants viewed videos of healthy and parkinsonian gait. In the landscape observation (control) condition, participants viewed videos of moving water. These tasks were completed daily for 8 days. MAIN OUTCOME MEASURES: Spatiotemporal walking variables were assessed using accelerometers in the laboratory (baseline and posttraining assessments) and continuously at home during the training period. Variables included daily activity, walking speed, stride length, stride frequency, leg swing time, and gait asymmetry. Questionnaires including the 39-item Parkinson Disease Questionnaire (PDQ-39) were administered to determine self-reported change in walking, as well as feasibility. RESULTS: At posttraining assessment, only the gait observation group reported significantly improved mobility (PDQ-39). No improvements were seen in accelerometer-derived walking data. Participants found the at-home training tasks and accelerometer feasible to use. CONCLUSIONS: Participants found procedures feasible and reported improved mobility, suggesting that observational training holds promise in the rehabilitation of walking in PD. Observational training alone, however, may not be sufficient to enhance walking in PD. A more challenging and adaptive task, and the use of explicit perceptual learning and practice of actions, may be required to effect change.en_US
dc.format.extent665 - 673en_US
dc.publisherElsevieren_US
dc.relation.ispartofArchives of physical medicine and rehabilitation
dc.relation.isversionofhttps://doi.org/10.1016/j.apmr.2015.12.029
dc.subjectScience & technologyen_US
dc.subjectLife sciences & biomedicineen_US
dc.subjectRehabilitationen_US
dc.subjectSport sciencesen_US
dc.subjectActivities of daily livingen_US
dc.subjectLocomotionen_US
dc.subjectMovement disordersen_US
dc.subjectNeurodegenerative diseasesen_US
dc.subjectVisual perceptionen_US
dc.subjectGaiten_US
dc.subjectFMRIen_US
dc.subjectAgeden_US
dc.subjectAged, 80 and overen_US
dc.subjectExercise therapyen_US
dc.subjectFeasibility studiesen_US
dc.subjectFemaleen_US
dc.subjectHome care servicesen_US
dc.subjectHumansen_US
dc.subjectMaleen_US
dc.subjectMiddle ageden_US
dc.subjectMobility limitationen_US
dc.subjectParkinson diseaseen_US
dc.subjectTreatment outcomeen_US
dc.subjectWalkingen_US
dc.subjectClinical sciencesen_US
dc.subjectHuman movement and sports scienceen_US
dc.subjectPublic health and health servicesen_US
dc.subjectRehabilitationen_US
dc.titleRandomized controlled trial of a home-based action observation intervention to improve walking in Parkinson diseaseen_US
dc.typeArticleen_US
pubs.elements-sourcemanual-entryen_US
pubs.notesEmbargo: Not knownen_US
pubs.organisational-groupBoston Universityen_US
pubs.organisational-groupBoston University, College of Arts & Sciencesen_US
pubs.organisational-groupBoston University, College of Arts & Sciences, Department of Psychological & Brain Sciencesen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent Collegeen_US
pubs.organisational-groupBoston University, College of Health & Rehabilitation Sciences: Sargent College, Physical Therapy and Athletic Trainingen_US
dc.identifier.orcid0000-0001-5699-6204 (Cronin-Golomb, A)


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