Objective:  To assist patients with PD to overcome the fear of stair ascent and descent with help of 3D effect staircase 

Background: Since walking on stairs is one of the most dangerous daily activities in terms of fall risk, this study, ameliorated the underlying mechanisms of unsteadiness in patients with PD during stair climbing up and down. 3D effect stair  gives the patient a sense of reality by means of illusion on the floor, where they had to climb up and down by their own or with the help of walker devices. This sort of movement strategy can assist patients with PD to move, walk, and balance more easily. Strategies include exploration of the patient’s beliefs about practice and barriers to regular using 3D staircase and discussing the possibility of looking at things differently to change beliefs and overcome barriers.

Methods: Fourty  participants were assigned  with idiopathic PD (Hoehn and Yahr stage I–III; age: 65.0±7.7 years). Participants were divided into a 3D image used group (n=24) and control group (n=16). Rehabilitation session lasts 15-20 minutes. Each patient in the first stage takes 8-10 sessions, focusing on improving balance and reducing fear of falling by using or not a walker diveses. Outcome measures include Functional Gait Analysis (FGA), Activity-specific Balance confidence (ABC) scale and Intrinsic Motivation Inventory (IMI).

Results: FGA improved by 9% and 18% in the control group and 3d image used group, respectively (p<0.01). 3D staircase practised group showed improvements in ABC (p=0.051), stride velocity (p=0.0006) over study period; Post-test revealed that 3D image used group had more motivation (p=002).

Conclusions: Overall, the implementation of novel technologies, such as 3D staircase illusion enable the person with PD to get over with constraints and making everyday task much more simple

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MDS Abstracts - https://www.mdsabstracts.org/abstract/3d-image-as-a-complimentary-assist-in-patients-with-parkinsons-disease/