55 Results: gait-adaptability training in people with HSP Figure 1. Flowchart of Move-HSP Results Patient enrollment, adherence and adverse events Participants were recruited between November 2019 and June 2021. Out of the 82 eligible people with pure HSP, 36 participants were enrolled and randomized (Figure 1). Eighteen participants were allocated to the gait-adaptability training group and 18 to the waiting-list control group. The overall adherence to the gaitadaptability training was 99.7% (359 out of 360 training sessions completed). There were no drop-outs during the study period. The disease severity of two participants in the gait-adaptability training group prevented them from performing the WALT. As a result, the WALT scores of 34 participants were included in the analysis. The completion rate of fall diaries was 97,2% (70 out of 72 fall diaries were returned). The fall diaries of 2 participants were excluded from the analysis, as one participant did not complete the follow-up fall diary due to lack of motivation, and one participant experienced technical difficulties. As a result, the fall diaries of 34 participants were analyzed. During the study period, one serious adverse events occurred. One participant touched electric wires when replacing a lamp during work. On advice of his general practitioner, this participant was admitted to hospital for 24 hours observation, after which he was discharged without residual symptoms. During the gait-adaptability training period, a total of 13 falls (range 1-2 per participant) were reported by 11 of 4
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