Dissertation/Thesis Abstract

Impact of Brisk Walking on Gait and Falls in Individuals with Idiopathic Parkinson's Disease
by Punsalan, Lorelei, D.N.P., Brandman University, 2017, 40; 10639331
Abstract (Summary)

Objective: This clinical scholarly project (CSP) aims to determine the impact of brisk walking in improving gait and reducing falls among individuals with mild to moderate Parkinson’s disease (PD).

Design: A quasi non-experimental, pretest-posttest design involving a 12-week home based brisk walking exercise.

Methods: Fifteen clinic patients with mild to moderate PD engaged in brisk walking exercises for a total of 150 minutes per week, for a period of 12 weeks.

Outcome measures: Unified Parkinson’s Disease Rating Scale for gait evaluation, 6-minute walk test for walking speed, self-reporting of falls and PDQ-39 for quality of life were used to measure the effectiveness of the intervention.

Results: The participants demonstrated overall improvements in the primary outcomes of walking speed, fall, and gait. Six-Minute Walk Test increased by 101.45 meters (SD = 91.6, p =.001, 95% CI -152.20 to -50.71) in walking distance after the completion of the 12-week brisk walking exercise. Fall rate declined by an average of 40% (M = .40, SD = .63, p=028, 95% CI .50 to .750) at the end of the 12-week exercise period. UPDRS motor score of the participants decreased by an average of 6.47 points ( SD =3.96, p<.001, 95% CI 4.27 to 8.66) after the intervention. PDQ-39 showed an average decrease of 7.67 (SD = 7.75, p=.002, 95% CI 3.37 to 11.96) after the intervention.

Conclusion: This pretest-posttest intervention demonstrates the potential of brisk walking exercise to improve gait and reduce falls among patients with mild to moderate idiopathic PD.

Indexing (document details)
Advisor: Beissel, Donald
Commitee: Hanisch, Tyke, Webb, Bryan
School: Brandman University
Department: Marybelle and S. Paul Musco School of Nursing and Health Professions
School Location: United States -- California
Source: DAI-B 79/03(E), Dissertation Abstracts International
Subjects: Physical therapy, Medicine
Keywords: Brisk walking, Fall, Gait, Parkinson's Disease, Quality of life
Publication Number: 10639331
ISBN: 978-0-355-43183-4
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