Treadmill Walking in Individuals With Dementia With Lewy Bodies and Huntington's Disease
Treadmill Walking in Individuals With Dementia With Lewy Bodies and Huntington's Disease
Individuals with Dementia with Lewy Bodies (DLB) and Huntington's disease (HD) experience
 balance and walking problems that lead to falls. Treadmill walking has demonstrated
 improvements in balance and walking and fall risk in individuals with Parkinson's disease
 (PD), suggesting that it may be beneficial for individuals with DLB and HD. In PD subjects,
 changes in gait parameters have been noted after only one treadmill training session. The
 investigators propose a pilot study to investigate the safety, feasibility, and utility to
 improve mobility and fall risk of a single session of treadmill walking in individuals with
 DLB and HD.
Several studies using HD animal models have shown that HD mice housed in enriched
 environments or in cages with running wheels that stimulated physical activity demonstrated a
 delayed onset and/or slowed decline in motor function compared to mice in non-enriched
 environments (van Dellen et al. 2000, 2008; Spires et al., 2004). Evidence suggests that
 aerobic exercise may have neuroprotective effects and helps the elderly and individuals with
 neurodegenerative diseases to maintain better cognitive and motor function than those who are
 inactive. More specifically, there is strong evidence from animal and human trials in
 neurological populations (i.e., Parkinson's Disease, spinal cord injury, and stroke) that
 treadmill training can improve walking and motor function. Immediate effects of a
 single-session of treadmill walking in the Parkinson's Disease population were improved
 over-ground gait measures (i.e., gait speed, stride length, double support percent, stride
 variability) and longer term treadmill training studies demonstrated additional improvements
 in Unified Parkinson Disease Rating Scale scores, fall risk, and health-related quality of
 life (Herman et al., 2008). This study builds upon foundational knowledge gained in animals
 and other neurologic populations to determine the feasibility, safety and possible immediate
 benefit of treadmill walking in individuals with HD.

 The primary purpose of this pilot study is to investigate the the safety, feasibility and
 utility of a single 20-minute session of treadmill walking to improve gait parameters in
 ambulatory individuals with DLB and HD. Secondarily we will explore the effects of treadmill
 walking on mobility, fall risk, and motor coordination. Based on previous studies utilizing a
 single-session of treadmill training in the PD population, we hypothesize that treadmill
 walking will improve overground spatiotemporal gait parameters (gait speed, stride length,
 double support percent, and stride-to-stride variations in gait) in individuals with DLB and
 HD (Pohl et al., 2003; Frenkel-Toledo et al., 2005; Bello et al., 2008).
Inclusion Criteria:

 -  diagnosis of Huntington's disease or Dementia with Lewy Bodies,

 -  the ability to ambulate 80 feet without assistance, and

 -  the ability to provide informed consent and understand directions.

 Exclusion Criteria:

 -  presence of any clinically significant musculoskeletal or neurological disease that
 would affect gait.