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Effects of robotic treadmill training on functional mobility, walking capacity, motor symptoms and quality of life in ambulatory patients with Parkinson's disease: a preliminary prospective longitudinal study.
NeuroRehabilitation. 2013; 33(2):323-8.N

Abstract

BACKGROUND

Decreased mobility and walking capacity occur frequently in Parkinson's disease (PD). Robotic treadmill training is a novel method to improve the walking capacity in rehabilitation.

OBJECTIVES

The primary aim of this study was to investigate the effects of robotic treadmill training on functional mobility and walking capacity in PD. Secondly, we aimed to assess the effects of the robotic treadmill training the motor symptoms and quality of life in patients with PD.

METHODS

Seventy patients with idiopathic Parkinson's disease who admitted to the outpatient clinic of the rehabilitation hospital were screened and 12 ambulatory volenteers who met the study criteria were included in this study. Patients were evaluated by Hoehn Yahr (HY) scale clinically. Two sessions robotic treadmill training per week during 5 weeks was planned for every patient. Patients were evaluated by the Timed Up and Go (TUG) test, 10 meter walking test (10 MWT), Unified Parkinson's Disease Rating Scale (UPDRS) motor section and Parkinson's Disease Questionnaire-39 (PDQ-39) at the baseline, at the 5 and 12 weeks. Cognitive and emotional states of the patients were assessed by Mini Mental State Examination (MMSE) test and Hospital Anxiety and Depression Scale (HADS) at the baseline. All patients were under medical treatment for the PD in this study and drug treatment was not changed during the study.

RESULTS

Ten patients completed the study. The mean age was 65.6 ± 6.6 years. Five patients (50%) were women. Disease severity was between the HY stage 1-3. Two patients did not continue the robotic treadmill training after 7 sessions. They also did not want to come for control visits. TUG test, 10 MWT and UPDRS motor subscale scores showed statistically significant improvement after robotic treadmill training (p = 0.02, p = 0.001, p = 0.016). PDQ-39 scores improved significantly after robotic treadmill training (p = 0.03), however, the scores turned back to the baseline level at the 12. week control.

CONCLUSION

As a result of this preliminary study, robotic treadmill training was useful to improve the functional mobility, walking capacity and motor symptoms in mild to moderate PD. Robotic treadmill training provided a transient improvement in the quality of life during the treatment.

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Authors+Show Affiliations

Paker N
Istanbul Physical Medicine and Rehabilitation Education and Research Hospital, Istanbul, Turkey.
Bugdayci D
No affiliation info available
Goksenoglu G
No affiliation info available
Sen A
No affiliation info available
Kesiktas N
No affiliation info available

MeSH

AgedAmbulatory CareExercise TestExercise TherapyFemaleHumansLongitudinal StudiesMaleMiddle AgedMobility LimitationParkinson DiseaseProspective StudiesQuality of LifeRoboticsTreatment OutcomeWalking

Pub Type(s)

Journal Article

Language

eng

PubMed ID

23949054

Citation

Paker, Nurdan, et al. "Effects of Robotic Treadmill Training On Functional Mobility, Walking Capacity, Motor Symptoms and Quality of Life in Ambulatory Patients With Parkinson's Disease: a Preliminary Prospective Longitudinal Study." NeuroRehabilitation, vol. 33, no. 2, 2013, pp. 323-8.
Paker N, Bugdayci D, Goksenoglu G, et al. Effects of robotic treadmill training on functional mobility, walking capacity, motor symptoms and quality of life in ambulatory patients with Parkinson's disease: a preliminary prospective longitudinal study. NeuroRehabilitation. 2013;33(2):323-8.
Paker, N., Bugdayci, D., Goksenoglu, G., Sen, A., & Kesiktas, N. (2013). Effects of robotic treadmill training on functional mobility, walking capacity, motor symptoms and quality of life in ambulatory patients with Parkinson's disease: a preliminary prospective longitudinal study. NeuroRehabilitation, 33(2), 323-8. https://doi.org/10.3233/NRE-130962
Paker N, et al. Effects of Robotic Treadmill Training On Functional Mobility, Walking Capacity, Motor Symptoms and Quality of Life in Ambulatory Patients With Parkinson's Disease: a Preliminary Prospective Longitudinal Study. NeuroRehabilitation. 2013;33(2):323-8. PubMed PMID: 23949054.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of robotic treadmill training on functional mobility, walking capacity, motor symptoms and quality of life in ambulatory patients with Parkinson's disease: a preliminary prospective longitudinal study. AU - Paker,Nurdan, AU - Bugdayci,Derya, AU - Goksenoglu,Goksen, AU - Sen,Aysu, AU - Kesiktas,Nur, PY - 2013/8/17/entrez PY - 2013/8/21/pubmed PY - 2014/5/3/medline KW - 10 meter walk test KW - Parkinson's disease KW - Timed Up and Go test KW - functional status KW - quality of life KW - robotic treadmill training SP - 323 EP - 8 JF - NeuroRehabilitation JO - NeuroRehabilitation VL - 33 IS - 2 N2 - BACKGROUND: Decreased mobility and walking capacity occur frequently in Parkinson's disease (PD). Robotic treadmill training is a novel method to improve the walking capacity in rehabilitation. OBJECTIVES: The primary aim of this study was to investigate the effects of robotic treadmill training on functional mobility and walking capacity in PD. Secondly, we aimed to assess the effects of the robotic treadmill training the motor symptoms and quality of life in patients with PD. METHODS: Seventy patients with idiopathic Parkinson's disease who admitted to the outpatient clinic of the rehabilitation hospital were screened and 12 ambulatory volenteers who met the study criteria were included in this study. Patients were evaluated by Hoehn Yahr (HY) scale clinically. Two sessions robotic treadmill training per week during 5 weeks was planned for every patient. Patients were evaluated by the Timed Up and Go (TUG) test, 10 meter walking test (10 MWT), Unified Parkinson's Disease Rating Scale (UPDRS) motor section and Parkinson's Disease Questionnaire-39 (PDQ-39) at the baseline, at the 5 and 12 weeks. Cognitive and emotional states of the patients were assessed by Mini Mental State Examination (MMSE) test and Hospital Anxiety and Depression Scale (HADS) at the baseline. All patients were under medical treatment for the PD in this study and drug treatment was not changed during the study. RESULTS: Ten patients completed the study. The mean age was 65.6 ± 6.6 years. Five patients (50%) were women. Disease severity was between the HY stage 1-3. Two patients did not continue the robotic treadmill training after 7 sessions. They also did not want to come for control visits. TUG test, 10 MWT and UPDRS motor subscale scores showed statistically significant improvement after robotic treadmill training (p = 0.02, p = 0.001, p = 0.016). PDQ-39 scores improved significantly after robotic treadmill training (p = 0.03), however, the scores turned back to the baseline level at the 12. week control. CONCLUSION: As a result of this preliminary study, robotic treadmill training was useful to improve the functional mobility, walking capacity and motor symptoms in mild to moderate PD. Robotic treadmill training provided a transient improvement in the quality of life during the treatment. SN - 1878-6448 UR - https://www.unboundmedicine.com/medline/citation/23949054/Effects_of_robotic_treadmill_training_on_functional_mobility_walking_capacity_motor_symptoms_and_quality_of_life_in_ambulatory_patients_with_Parkinson's_disease:_a_preliminary_prospective_longitudinal_study_ L2 - https://content.iospress.com/openurl?genre=article&id=doi:10.3233/NRE-130962 DB - PRIME DP - Unbound Medicine ER -