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BioMed Research International
Volume 2017, Article ID 3631624, 8 pages
Clinical Study

Can Rehabilitation Influence the Efficiency of Control Signals in Complex Motion Strategies?

1Department of Physiotherapy in Neurological and Musculoskeletal Disorders, J. Kukuczka Academy of Physical Education, Katowice, Poland
2Department of Tourism and Health-Related Physical Activity, J. Kukuczka Academy of Physical Education, Katowice, Poland
3Department of Neurology and Department of Neurorehabilitation, Medical University of Silesia, Katowice, Poland
4Department of Methodology, Statistics and Computer Science, J. Kukuczka Academy of Physical Education, Katowice, Poland

Correspondence should be addressed to Jaroslaw Cholewa; lp.eciwotak.fwa@awelohc.j

Received 18 November 2016; Revised 9 March 2017; Accepted 9 April 2017; Published 24 May 2017

Academic Editor: Pablo Mir

Copyright © 2017 Joanna Cholewa et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


The factor determining quality of life in Parkinson’s disease (PD) is the worsening of a patient’s walking ability. The use of external stimuli can improve gait when performing complex motor patterns. The aim of this study was to evaluate the effect of rehabilitation on the effectiveness of control signals in people with PD. The study was performed on 42 people with idiopathic PD in the third stage of disease. The control group consisted of 19 patients who did not participate in rehabilitation activities. The experimental group was systematically participating in rehabilitation activities twice a week (60 minutes) for 9 months. Gait speed, mean step length, and step frequency were calculated on the basis of the obtained results. These parameters were compared in both groups by single factor variance analyses. The best results were obtained using rhythmic external auditory signals. The group with patients actively participating in rehabilitation showed statistically significant improvement in gait speed (12.35%), mean step length (18.00%), and frequency step (2.40%) compared to the control group. The presented research showed the positive effect of rehabilitation and was based on the performance of complex motion patterns, using external control signals for their effectiveness in new motion tasks.