Balance and gait problems in subjects with neurological disease lead to reduced mobility, loss of independence and frequent falls. Treadmill training is a widely used form of treatment and it has been used in subjects with neurological disease to ameliorate walking and balance deficits. The Virtual Reality Treadmill as a therapeutic tool has been recently introduced to practice gait adaptability elicited by aligning foot placement relative to the projected visual context.
Forty-eight subjects with neurological disease will receive treadmill training treatment randomly divided in Traditional Treadmill training and Virtual Reality Treadmill training.
The aim of this randomized controlled study is to assess whether Treadmill training with Virtual Reality is better than Traditional Treadmill training in improving dynamic balance and cognitive aspects in subjects with neurological diseases.
- Treadmill Training Device
Intervention Desc: Subjects in the active comparator group will receive 40 minutes walking training aimed to improve velocity and endurance. ARM 1: Kind: Experimental Label: Treadmill Training Description: 40' treadmill training walking holding the handrail
- Virtual Reality Treadmill Training Device
Other Names: C-mill treadmill Intervention Desc: Subjects in the experimental group will receive 40 minutes comprising exercises focused on improving dynamic balance following auditory and visual cues. ARM 1: Kind: Experimental Label: Virtual Reality Treadmill Training Description: 40' treadmill training walking with virtual visual and auditory cues
|Type||Measure||Time Frame||Safety Issue|
|Primary||Change in the Modified Dynamic Gait Index||Change from Baseline Modified Dynamic Gait Index scores at 3-5 weeks|
|Primary||Change in the 6 minutes walking test||Change from Baseline 6 minutes walking test scores at 3-5 weeks|
|Secondary||Change in Activity Balance Confidence||Change from Baseline Activity Balance Confidence scores at 3-5 weeks|
|Secondary||Change in 10-meter walking test||Change from Baseline10-meter walking test scores at 3-5 weeks|
|Secondary||Change in Trial Making test||Change from Baseline Trial Making test scores at 3-5 weeks|
|Secondary||Change in Raven's Matrices||Change from Baseline Raven's Matrices scores at 3-5 weeks|