Robot-Assisted Gait Training in Patients With Parkinson Disease
| Autor: | Valter Santilli, Alessandro Picelli, Francesca Origano, Camilla Melotti, Nicola Smania, Antonio Fiaschi, Andreas Waldner |
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| Rok vydání: | 2012 |
| Předmět: |
Adult
Male Orthotic Devices medicine.medical_specialty Joint mobilization medicine.medical_treatment robotic training Walking Severity of Illness Index rehabilitation law.invention Gait trainer parkinson physiotherapy walking Disability Evaluation Physical medicine and rehabilitation Gait (human) Gait training Randomized controlled trial law Outcome Assessment Health Care medicine Humans Single-Blind Method Gait Physical Therapy Modalities Aged Retrospective Studies Aged 80 and over Rehabilitation business.industry Parkinson Disease Robotics General Medicine Middle Aged Orthotic device Preferred walking speed Physical therapy Female business Parkinson human activities |
| Zdroj: | Neurorehabilitation and Neural Repair. 26:353-361 |
| ISSN: | 1552-6844 1545-9683 |
| DOI: | 10.1177/1545968311424417 |
| Popis: | Background. Gait impairment is a common cause of disability in Parkinson disease (PD). Electromechanical devices to assist stepping have been suggested as a potential intervention. Objective. To evaluate whether a rehabilitation program of robot-assisted gait training (RAGT) is more effective than conventional physiotherapy to improve walking. Methods. A total of 41 patients with PD were randomly assigned to 45-minute treatment sessions (12 in all), 3 days a week, for 4 consecutive weeks of either robotic stepper training (RST; n = 21) using the Gait Trainer or physiotherapy (PT; n = 20) with active joint mobilization and a modest amount of conventional gait training. Participants were evaluated before, immediately after, and 1 month after treatment. Primary outcomes were 10-m walking speed and distance walked in 6 minutes. Results. Baseline measures revealed no statistical differences between groups, but the PT group walked 0.12 m/s slower; 5 patients withdrew. A statistically significant improvement was found in favor of the RST group (walking speed 1.22 ± 0.19 m/s [ P = .035]; distance 366.06 ± 78.54 m [ P < .001]) compared with the PT group (0.98 ± 0.32 m/s; 280.11 ± 106.61 m). The RAGT mean speed increased by 0.13 m/s, which is probably not clinically important. Improvements were maintained 1 month later. Conclusions. RAGT may improve aspects of walking ability in patients with PD. Future trials should compare robotic assistive training with treadmill or equal amounts of overground walking practice. |
| Databáze: | OpenAIRE |
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