Programmes de Marche Active et qualité de Vie Dans la Maladie de Parkinson

The aim of this randomized controlled pilot trial is to assess the impact of different gait rehabilitation programs on the level of physical activity and gait in daily life in patients with Parkinson's disease (PD).Two groups of 25 patients with PD will benefit from one of two gait training programs (treadmill vs. nordic walking), 3 times a week for 12 weeks. Activity level and number of steps will be remotely recorded over 7 days before, at the end, 3 and 6 months after the end of the program. Quality of life will be recorded at each time point.The impact of the gait programs on the patients' level of daily activity will be examined, comparing the changes brought about by the two programs, taking into account the modulating influence of age and cognitive function.Gait under conditions of daily life will be compared to gait parameters collected in the laboratory.

Inclusion Criteria:Parkinson's disease, diagnosed for at least 2 years,Medical treatment (if any) unchanged in the past 4 weeks at leastHoehn & Yahr score < 3Montreal cognitive assessment (MOCA) score between 20 and 30Able to understand the aim and methods of the study and provide signed informed consent-Exclusion Criteria:Atypical parkinsonian syndromeCardiovascular pathology preventing moderate physical exerciseOrthostatic hypotensionAny condition (other than PD) interfering with gaitpregnant or nursing