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In a recent paper from Restorative Neurology and Neuroscience, Arcolin and colleagues (2016) report the effects of treadmill and cycle ergometer training in Parkinson’s disease (PD-T and PD-C, respectively). After 3 weeks of training, both PD-T and PD-C groups improved walking parameters and reduced the clinical signs of PD. The authors suggest that the cycle ergometer is a valid alternative to treadmill in patients with PD, particularly when performing home exercises. Although, this is an interesting study from a rehabilitation point of view, the author’s interpretation of the results is questionable. First, the authors point out that their findings, showing gait improvements as a result of cycle ergometer training, contrast with a previous study (Lauhoff et al., 2013) that did not find an improvement in walking after a cycle training program. Arcolin and colleagues argued that the higher

restorative neurology and neuroscience

Treadmill vs Cycling in Parkinson’s disease rehabilitation: Commentary on “Intensive cycle ergometer training improves gait speed and endurance in patients with Parkinson’s disease: A comparison with treadmill training” by Arcolin et al., 2016