{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,22]],"date-time":"2026-07-22T23:15:54Z","timestamp":1784762154359,"version":"3.55.0"},"reference-count":36,"publisher":"Wiley","issue":"11","license":[{"start":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T00:00:00Z","timestamp":1754265600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"funder":[{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["476290"],"award-info":[{"award-number":["476290"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100000024","name":"Canadian Institutes of Health Research","doi-asserted-by":"publisher","award":["PJT\u2010 173540"],"award-info":[{"award-number":["PJT\u2010 173540"]}],"id":[{"id":"10.13039\/501100000024","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["movementdisorders.onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Movement Disord Clin Pract"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Individuals with Parkinson's disease (PD) can adapt to new gait patterns on a split\u2010belt treadmill (SBTM), a tool previously used to rehabilitate gait asymmetry because of stroke.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Objectives<\/jats:title>\n                    <jats:p>The goal was to determine whether SBTM rehabilitation is superior to conventional \u201ctied\u201d treadmill (TM) in reducing falls, freezing of gait (FOG), and improving gait asymmetry.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>Twenty\u2010eight participants with idiopathic PD and treatment\u2010resistant FOG underwent 18 sessions of SBTM and TM training. Primary outcome was the incidence of falls 3\u2009months after training, and secondary measures included spatiotemporal gait variables (treadmill and over\u2010ground), motor scores, and performance on FOG and balance questionnaires.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Treadmill training improved falls regardless of intervention (SBTM:\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.05; TM:\n                      <jats:italic>P<\/jats:italic>\n                      \u2009&lt;\u20090.01), although benefits were not sustained at 3\u2009months. SBTM did not meet the a priori 20% superiority threshold for falls prevention. Asymmetry index, temporal asymmetry, and stance time (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.01 in both groups) reduced after training. Swing time increased after training with both interventions (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.01). FOG and ABC scores also improved (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.01 in both groups), however, these improvements were not sustained at 3\u2009months. Cadence and over\u2010ground asymmetry index improved with both interventions (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009\u2264\u20090.01), although only reduced cadence was sustained at 3\u2009months (\n                      <jats:italic>P<\/jats:italic>\n                      \u2009=\u20090.05). Other over\u2010ground parameters including gait velocity, stride length, double\u2010support time improved with TM training only.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>SBTM was not superior to TM training in improving incidence of falls. Both interventions improved FOG and spatiotemporal gait parameters, although TM training translated better to over\u2010ground walking.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/mdc3.70265","type":"journal-article","created":{"date-parts":[[2025,8,4]],"date-time":"2025-08-04T08:04:43Z","timestamp":1754294683000},"page":"1891-1899","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Split\u2010Belt Treadmill for Falls, Gait Asymmetry, and Freezing in Parkinson's Disease"],"prefix":"10.1002","volume":"12","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1538-1817","authenticated-orcid":false,"given":"Sanskriti","family":"Sasikumar","sequence":"first","affiliation":[{"name":"Division of Neurology University of Toronto  Toronto Ontario Canada"},{"name":"Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre Toronto Western Hospital, UHN  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gianluca","family":"Sorrento","sequence":"additional","affiliation":[{"name":"Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre Toronto Western Hospital, UHN  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anthony E.","family":"Lang","sequence":"additional","affiliation":[{"name":"Division of Neurology University of Toronto  Toronto Ontario Canada"},{"name":"Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre Toronto Western Hospital, UHN  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonio P.","family":"Strafella","sequence":"additional","affiliation":[{"name":"Division of Neurology University of Toronto  Toronto Ontario Canada"},{"name":"Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre Toronto Western Hospital, UHN  Toronto Ontario Canada"},{"name":"Division of Brain, Imaging and Behaviour \u2013 Systems Neuroscience Krembil Brain Institute, UHN, University of Toronto  Toronto Ontario Canada"},{"name":"Brain Health Imaging Centre, Campbell Family Mental Health Research Institute CAMH, University of Toronto  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5346-0180","authenticated-orcid":false,"given":"Alfonso","family":"Fasano","sequence":"additional","affiliation":[{"name":"Division of Neurology University of Toronto  Toronto Ontario Canada"},{"name":"Edmond J. Safra Program in Parkinson's Disease and Morton and Gloria Shulman Movement Disorders Centre Toronto Western Hospital, UHN  Toronto Ontario Canada"},{"name":"Krembil Brain Institute  Toronto Ontario Canada"},{"name":"CenteR for Advancing Neurotechnological Innovation to Application (CRANIA)  Toronto Ontario Canada"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,8,4]]},"reference":[{"key":"e_1_2_10_2_1","doi-asserted-by":"publisher","DOI":"10.3233\/BEN-2011-0330"},{"key":"e_1_2_10_3_1","doi-asserted-by":"publisher","DOI":"10.1093\/brain\/awp053"},{"key":"e_1_2_10_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.23327"},{"key":"e_1_2_10_5_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.parkreldis.2017.10.013"},{"key":"e_1_2_10_6_1","doi-asserted-by":"publisher","DOI":"10.1002\/mds.20347"},{"key":"e_1_2_10_7_1","doi-asserted-by":"publisher","DOI":"10.3233\/JPD-130251"},{"issue":"5","key":"e_1_2_10_8_1","first-page":"704","article-title":"Treadmill training for patients with Parkinson's disease. 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