Cueing training in the home improves gait-related mobility in Parkinson’s disease: the RESCUE trial

Walking and mobility issues are tough to manage in people with Parkinson's disease. The RESCUE trial studied how a home physiotherapy program using rhythmical cues affects walking and mobility. The trial involved 153 Parkinson's patients aged 41-80. Participants were split into two groups. One group received a 3-week home training with a cueing device first, then had 3 weeks without training. The other group did the opposite. Posture and gait was assessed at 3, 6, and 12 weeks. Gait, freezing, balance, daily activities, quality of life, and caregiver strain were also assessed. The study found significant improvements in posture and gait scores. Freezing severity decreased in those who experienced it. Gait speed, step length, and balance tests improved. Confidence in performing daily activities also improved, but no lasting effects were seen in other areas. Home cueing training specifically improves gait, freezing, and balance in Parkinson’s patients. This training can be a helpful addition to managing walking problems in Parkinson’s disease.