%0 Journal Article
%T Community Walking in People with Parkinson's Disease
%A Robyn M. Lamont
%A Meg E. Morris
%A Marjorie H. Woollacott
%A Sandra G. Brauer
%J Parkinson's Disease
%D 2012
%I Hindawi Publishing Corporation
%R 10.1155/2012/856237
%X People with Parkinson's disease often have walking difficulty, and this is likely to be exacerbated while walking in places in the community, where people are likely to face greater and more varied challenges. This study aims to understand the facilitators and the barriers to walking in the community perceived by people with Parkinson's disease. This qualitative study involved 5 focus groups ( ) of people with Parkinson's disease and their partners residing in metropolitan and rural regions in Queensland, Australia. Results found that people with PD reported to use internal personal strategies as facilitators to community walking, but identified primarily external factors, particularly the environmental factors as barriers. The adoption of strategies or the use of facilitators allows people with Parkinson's disease to cope so that participants often did not report disability. 1. Introduction Community ambulation is compromised in many people living with ParkinsonĄ¯s disease (PD), which is thought to affect around 2 percent of the population over the age of 65 [1]. Gait changes are a hallmark of PD, and people with PD frequently walk with reduced speed and step length [2, 3], reduced cadence [2¨C5], and increased gait variability [6]. People with PD may also experience freezing when walking. Walking difficulties are exacerbated when attention is drawn away from walking by performing additional tasks [5¨C9]. Challenging environments that demand attention may also compromise the ability to walk in people with this debilitating condition. Community walking is an important enabler to participation in community activities and a range of societal, work, and leisure roles. It has been defined as locomotion in environments outside the home or the residence [10]. This includes the ability to negotiate public and private venues both indoors and outdoors that incorporate a variety of environmental demands [10, 11], which could prove challenging for people with PD. The physical, social, and attitudinal environments are generally more varied and less predictable in the community than for the home or the laboratory settings. Walking in the community is generally assumed to be a more complex and high-level skill than walking around the home or in the laboratory. Research in older adults suggests that loss of walking function is a gradual process which results in a restriction of the variety of places they go to and the distance they will venture from home [12]. Impairments can accelerate this, and disabled older adults report fewer encounters with and greater avoidance of
%U http://www.hindawi.com/journals/pd/2012/856237/