{"id":5460,"date":"2022-01-05T15:25:20","date_gmt":"2022-01-05T15:25:20","guid":{"rendered":"https:\/\/www.gaitbetter.com\/?p=5460"},"modified":"2025-07-30T08:25:59","modified_gmt":"2025-07-30T08:25:59","slug":"motor-cognitive-treadmill-training-with-virtual-reality-in-pd","status":"publish","type":"post","link":"https:\/\/www.gaitbetter.com\/de\/motor-cognitive-treadmill-training-with-virtual-reality-in-pd\/","title":{"rendered":"Motor\u2013Cognitive Treadmill Training With Virtual Reality in Parkinson\u2019s Disease: The Effect of Training Duration"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"5460\" class=\"elementor elementor-5460\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-3af2f3ad elementor-section-boxed elementor-section-height-default elementor-section-height-default text-reveal-no\" data-id=\"3af2f3ad\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-3584fa14\" data-id=\"3584fa14\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-81f3a0e elementor-widget elementor-widget-heading\" data-id=\"81f3a0e\" data-element_type=\"widget\" data-widget_type=\"heading.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t<h6 class=\"elementor-heading-title elementor-size-default\"><a href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2021.753381\/full\" target=\"_blank\" rel=\"noopener\"><p><span style=\"color:#8dc63f\">\n Front Aging Neurosci\n. 2022 Jan 5; 13:753381. doi: 10.3389\/fnagi.2021.753381<\/span><span style=\"color: var( --e-global-color-primary );font-family: var( --e-global-typography-primary-font-family ), Sans-serif;font-weight: var( --e-global-typography-primary-font-weight )\"><\/span><\/p><\/a><\/h6>\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-335acf0 elementor-widget elementor-widget-text-editor\" data-id=\"335acf0\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><i>Elisa Pelosin, Chiara Ponte, Martina Putzolu, Giovanna Lagravinese, Jeffrey M Hausdorff, Alice Nieuwboer, Pieter Ginis, Lynn Rochester, Lisa Alcock, Bastiaan R Bloem, Freek Nieuwhof, Andrea Cereatti, Ugo Della Croce, Anat Mirelman, Laura Avanzino<\/i><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-2e67f2da elementor-widget elementor-widget-text-editor\" data-id=\"2e67f2da\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<h4><span style=\"font-weight: bold; font-size: 16px;\">Background:<\/span><\/h4>\n<p>The use of virtual reality in treadmill training (VR-TT) has demonstrated positive effects on enhancing gait performance and decreasing the risk of falls in individuals with Parkinson&#8217;s disease (PD). Nonetheless, there is currently no agreement regarding the most effective duration for this training.<\/p>\n<p><b>Objective:<\/b><\/p>\n<p>This research is a subset of the V-TIME randomized clinical trial (NCT01732653). This motor-cognitive treadmill training study examines how the duration of training, specifically focusing on the interaction between motor and cognitive abilities, affects the motor and cognitive performance, as well as the risk of falls, in individuals with PD.&nbsp;<\/p>\n<p><span style=\"font-weight: bold;\">Subjects:<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">The study included patients in Hoehn and Yahr stages II-III, aged between 40 and 70 years.&nbsp;<\/span><\/p>\n<p><span style=\"font-weight: bold; color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-size: 1rem;\">Method:<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">A total of 96 PD patients were divided into two groups: one receiving treadmill training with virtual reality (TT + VR) for 6 weeks and the other for 12 weeks. Of these patients, 77 successfully completed the entire treatment plan as outlined.&nbsp;<\/span><\/p>\n<p><span style=\"color: var( --e-global-color-text ); font-family: var( --e-global-typography-text-font-family ), Sans-serif; font-weight: var( --e-global-typography-text-font-weight ); font-size: 1rem;\">Evaluations of gait and cognitive performance were conducted at the beginning, immediately after training, and at 1- and 6-month follow-up intervals. The occurrence of falls during the 6 months prior to the intervention was compared to the rate of falls during the 6 months following the intervention.<\/span><\/p>\n<p><b>Results:&nbsp;<\/b><\/p>\n<p>Following motor-cognitive treadmill training, both groups demonstrated similar improvements in dual-task gait performance, including gait speed, gait speed variability, stride length during cognitive dual tasks, obstacle negotiation, and leading foot clearance in obstacle negotiation. These gains were maintained at the 6-month follow-up assessment.&nbsp;<\/p>\n<p>Participants undergoing the 12-week motor-cognitive treadmill training intervention experienced a greater reduction in the rate of falls and fear of falling compared to those in the 6-week intervention. However, improvements in cognitive functions, such as executive functions, visuospatial ability, and attention, were only observed in participants who completed the 12-week motor-cognitive treadmill training, up to the 1-month follow-up, but these improvements diminished by the 6-month evaluation.<\/p>\n<p><b>Conclusions:&nbsp;<\/b><\/p>\n<p>The study findings indicate that a more extended duration of treadmill training with virtual reality (TT + VR) results in greater improvements in cognitive functions, particularly those that are specifically targeted and engaged within the virtual environment.<\/p><p><br><\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-11bcd15 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"11bcd15\" data-element_type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-sm\" href=\"https:\/\/www.frontiersin.org\/articles\/10.3389\/fnagi.2021.753381\/full\" target=\"_blank\" rel=\"noopener\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">READ THE PAPER<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-86b5ad4 elementor-section-boxed elementor-section-height-default elementor-section-height-default text-reveal-no\" data-id=\"86b5ad4\" data-element_type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-9add186\" data-id=\"9add186\" data-element_type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-85151cd elementor-widget elementor-widget-text-editor\" data-id=\"85151cd\" data-element_type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><a href=\"https:\/\/www.gaitbetter.com\/de\/\" target=\"_blank\" rel=\"noopener\">GaitBetter<\/a> is the commercial implementation of the V-TIME academic research project that yield many of these papers.<\/p>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>FRONTIERS IN AGING NEUROSCIENCE <\/p>","protected":false},"author":7,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[32],"tags":[],"class_list":["post-5460","post","type-post","status-publish","format-standard","hentry","category-publications"],"_links":{"self":[{"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/posts\/5460","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/comments?post=5460"}],"version-history":[{"count":5,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/posts\/5460\/revisions"}],"predecessor-version":[{"id":69161,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/posts\/5460\/revisions\/69161"}],"wp:attachment":[{"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/media?parent=5460"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/categories?post=5460"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.gaitbetter.com\/de\/wp-json\/wp\/v2\/tags?post=5460"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}