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Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial.
Parkinsonism Relat Disord. 2012 Sep; 18(8):990-3.PR

Abstract

BACKGROUND

Treadmill training (with or without robotic assistance) has been reported to improve balance skills in patients with Parkinson's disease (PD). However, its effectiveness on postural instability has been evaluated mainly in patients with mild to moderate PD (Hoehn & Yahr stage ≤3). Patients with more severe disease may benefit from robot-assisted gait training performed by the Gait-Trainer GT1, as a harness supports them with their feet placed on motor-driven footplates. The aim of this study was to determine whether robot-assisted gait training could have a positive influence on postural stability in patients with PD at Hoehn & Yahr stage 3-4.

METHODS

Thirty-four patients with PD at Hoehn & Yahr stage 3-4 were randomly assigned into two groups. All patients received twelve, 40-min treatment sessions, three days/week, for four consecutive weeks. The Robotic Training group (n = 17) underwent robot-assisted gait training, while the Physical Therapy group (n = 17) underwent a training program not specifically aimed at improving postural stability. Patients were evaluated before, immediately after and 1-month post-treatment. Primary outcomes were: Berg Balance scale; Nutt's rating.

RESULTS

A significant improvement was found after treatment on the Berg Balance Scale and the Nutt's rating in favor of the Robotic Training group (Berg: 43.44 ± 2.73; Nutt: 1.38 ± 0.50) compared to the Physical Therapy group (Berg: 37.27 ± 5.68; Nutt: 2.07 ± 0.59). All improvements were maintained at the 1-month follow-up evaluation.

CONCLUSIONS

Robot-assisted gait training may improve postural instability in patients with PD at Hoehn & Yahr stage 3-4.

Authors+Show Affiliations

Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Piazzale L.A. Scuro 10, Verona, Italy.No 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

22673035

Citation

Picelli, Alessandro, et al. "Does Robotic Gait Training Improve Balance in Parkinson's Disease? a Randomized Controlled Trial." Parkinsonism & Related Disorders, vol. 18, no. 8, 2012, pp. 990-3.
Picelli A, Melotti C, Origano F, et al. Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial. Parkinsonism Relat Disord. 2012;18(8):990-3.
Picelli, A., Melotti, C., Origano, F., Waldner, A., Gimigliano, R., & Smania, N. (2012). Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial. Parkinsonism & Related Disorders, 18(8), 990-3. https://doi.org/10.1016/j.parkreldis.2012.05.010
Picelli A, et al. Does Robotic Gait Training Improve Balance in Parkinson's Disease? a Randomized Controlled Trial. Parkinsonism Relat Disord. 2012;18(8):990-3. PubMed PMID: 22673035.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Does robotic gait training improve balance in Parkinson's disease? A randomized controlled trial. AU - Picelli,Alessandro, AU - Melotti,Camilla, AU - Origano,Francesca, AU - Waldner,Andreas, AU - Gimigliano,Raffaele, AU - Smania,Nicola, Y1 - 2012/06/04/ PY - 2011/12/29/received PY - 2012/05/09/revised PY - 2012/05/16/accepted PY - 2012/6/8/entrez PY - 2012/6/8/pubmed PY - 2013/6/19/medline SP - 990 EP - 3 JF - Parkinsonism & related disorders JO - Parkinsonism Relat Disord VL - 18 IS - 8 N2 - BACKGROUND: Treadmill training (with or without robotic assistance) has been reported to improve balance skills in patients with Parkinson's disease (PD). However, its effectiveness on postural instability has been evaluated mainly in patients with mild to moderate PD (Hoehn & Yahr stage ≤3). Patients with more severe disease may benefit from robot-assisted gait training performed by the Gait-Trainer GT1, as a harness supports them with their feet placed on motor-driven footplates. The aim of this study was to determine whether robot-assisted gait training could have a positive influence on postural stability in patients with PD at Hoehn & Yahr stage 3-4. METHODS: Thirty-four patients with PD at Hoehn & Yahr stage 3-4 were randomly assigned into two groups. All patients received twelve, 40-min treatment sessions, three days/week, for four consecutive weeks. The Robotic Training group (n = 17) underwent robot-assisted gait training, while the Physical Therapy group (n = 17) underwent a training program not specifically aimed at improving postural stability. Patients were evaluated before, immediately after and 1-month post-treatment. Primary outcomes were: Berg Balance scale; Nutt's rating. RESULTS: A significant improvement was found after treatment on the Berg Balance Scale and the Nutt's rating in favor of the Robotic Training group (Berg: 43.44 ± 2.73; Nutt: 1.38 ± 0.50) compared to the Physical Therapy group (Berg: 37.27 ± 5.68; Nutt: 2.07 ± 0.59). All improvements were maintained at the 1-month follow-up evaluation. CONCLUSIONS: Robot-assisted gait training may improve postural instability in patients with PD at Hoehn & Yahr stage 3-4. SN - 1873-5126 UR - https://www.unboundmedicine.com/medline/citation/22673035/Does_robotic_gait_training_improve_balance_in_Parkinson's_disease_A_randomized_controlled_trial_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S1353-8020(12)00190-3 DB - PRIME DP - Unbound Medicine ER -