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Supported Treadmill Training for Gait and Balance in a Patient With Progressive Supranuclear Palsy

M Suteerawattananon, PT, MSc, is a doctoral student in the School of Physical Therapy, Texas Woman's University–Houston
B MacNeill, PT, MEd, is Associate Professor, School of Physical Therapy, Texas Woman's University–Houston
EJ Protas, PT, PhD, is Professor and Associate Dean, School of Physical Therapy, Texas Woman's University–Houston, 1130 MD Anderson Blvd, Houston, TX 77030 (USA) (Eprotas{at}twu.edu). Address all correspondence to Dr Protas

Background and Purpose. Impaired balance, gait disturbances, and frequent falls are common problems in people with progressive supranuclear palsy (PSP). This case report describes the use of a modified body weight support treadmill training program to reduce falls and improve the balance and gait of a patient with PSP. Case Description. The patient was a 62-year-old man diagnosed with PSP. His major problems were impaired balance and frequent, abrupt falls. Methods. Physical therapy included walk training, balance perturbation, and step training using body weight support with a treadmill. Training sessions lasted 11/2 hours and occurred 3 days a week for 8 weeks. Fall incidence, balance, and gait were assessed before, during, and after the program. Outcomes. The patient reported fewer falls during and after training. Balance and gait improved after training. Discussion. This case report is the first to report fall reduction, improved gait, and improved balance following physical therapy for a person with PSP.

Key Words: Balance • Falls • Gait • Mobility • Progressive supranuclear palsy • Treadmill training

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