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Robotic gait training is not superior to conventional treadmill training in parkinson disease: a single-blind randomized controlled trial.
Neurorehabil Neural Repair. 2012 Nov-Dec; 26(9):1027-34.NN

Abstract

BACKGROUND

The use of robots for gait training in Parkinson disease (PD) is growing, but no evidence points to an advantage over the standard treadmill.

METHODS

In this randomized, single-blind controlled trial, participants aged <75 years with early-stage PD (Hoehn-Yahr <3) were randomly allocated to 2 groups: either 30 minutes of gait training on a treadmill or in the Lokomat for 3 d/wk for 4 weeks. Patients were evaluated by a physical therapist blinded to allocation before and at the end of treatment and then at the 3- and 6-month follow-up. The primary outcome measure was the 6-minute walk test.

RESULTS

Of 334 screened patients, the authors randomly allocated 30 to receive gait training with treadmill or the Lokomat. At baseline, the 2 groups did not differ. At the 6-month follow-up, both groups had improved significantly in the primary outcome measure (treadmill: mean = 490.95 m, 95% confidence interval [CI] = 448.56-533.34, P = .0006; Lokomat: 458.6 m, 95% CI = 417.23-499.96, P = .01), but no significant differences were found between the 2 groups (P = .53).

DISCUSSION

Robotic gait training with the Lokomat is not superior to treadmill training in improving gait performance in patients with PD. Both approaches are safe, with results maintained for up to 6 months.

Authors+Show Affiliations

Azienda Ospedaliero-Universitaria, Novara, Italy. stefano.carda@chuv.chNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

22623206

Citation

Carda, Stefano, et al. "Robotic Gait Training Is Not Superior to Conventional Treadmill Training in Parkinson Disease: a Single-blind Randomized Controlled Trial." Neurorehabilitation and Neural Repair, vol. 26, no. 9, 2012, pp. 1027-34.
Carda S, Invernizzi M, Baricich A, et al. Robotic gait training is not superior to conventional treadmill training in parkinson disease: a single-blind randomized controlled trial. Neurorehabil Neural Repair. 2012;26(9):1027-34.
Carda, S., Invernizzi, M., Baricich, A., Comi, C., Croquelois, A., & Cisari, C. (2012). Robotic gait training is not superior to conventional treadmill training in parkinson disease: a single-blind randomized controlled trial. Neurorehabilitation and Neural Repair, 26(9), 1027-34. https://doi.org/10.1177/1545968312446753
Carda S, et al. Robotic Gait Training Is Not Superior to Conventional Treadmill Training in Parkinson Disease: a Single-blind Randomized Controlled Trial. Neurorehabil Neural Repair. 2012 Nov-Dec;26(9):1027-34. PubMed PMID: 22623206.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robotic gait training is not superior to conventional treadmill training in parkinson disease: a single-blind randomized controlled trial. AU - Carda,Stefano, AU - Invernizzi,Marco, AU - Baricich,Alessio, AU - Comi,Cristoforo, AU - Croquelois,Alexandre, AU - Cisari,Carlo, Y1 - 2012/05/23/ PY - 2012/5/25/entrez PY - 2012/5/25/pubmed PY - 2013/3/13/medline SP - 1027 EP - 34 JF - Neurorehabilitation and neural repair JO - Neurorehabil Neural Repair VL - 26 IS - 9 N2 - BACKGROUND: The use of robots for gait training in Parkinson disease (PD) is growing, but no evidence points to an advantage over the standard treadmill. METHODS: In this randomized, single-blind controlled trial, participants aged <75 years with early-stage PD (Hoehn-Yahr <3) were randomly allocated to 2 groups: either 30 minutes of gait training on a treadmill or in the Lokomat for 3 d/wk for 4 weeks. Patients were evaluated by a physical therapist blinded to allocation before and at the end of treatment and then at the 3- and 6-month follow-up. The primary outcome measure was the 6-minute walk test. RESULTS: Of 334 screened patients, the authors randomly allocated 30 to receive gait training with treadmill or the Lokomat. At baseline, the 2 groups did not differ. At the 6-month follow-up, both groups had improved significantly in the primary outcome measure (treadmill: mean = 490.95 m, 95% confidence interval [CI] = 448.56-533.34, P = .0006; Lokomat: 458.6 m, 95% CI = 417.23-499.96, P = .01), but no significant differences were found between the 2 groups (P = .53). DISCUSSION: Robotic gait training with the Lokomat is not superior to treadmill training in improving gait performance in patients with PD. Both approaches are safe, with results maintained for up to 6 months. SN - 1552-6844 UR - https://www.unboundmedicine.com/medline/citation/22623206/Robotic_gait_training_is_not_superior_to_conventional_treadmill_training_in_parkinson_disease:_a_single_blind_randomized_controlled_trial_ L2 - https://journals.sagepub.com/doi/10.1177/1545968312446753?url_ver=Z39.88-2003&amp;rfr_id=ori:rid:crossref.org&amp;rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -