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Robot-assisted gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease: a single-blind randomized controlled trial.
Clin Rehabil. 2015 Apr; 29(4):339-47.CR

Abstract

OBJECTIVE

The main aim was to compare robotic gait training vs. balance training for reducing postural instability in patients with Parkinson's disease. The secondary aim was to compare their effects on the level of confidence during activities of daily living requiring balance, functional mobility and severity of disease.

DESIGN

Randomized controlled trial.

SETTING

University hospital.

SUBJECTS

A total of 66 patients with Parkinson's disease at Hoehn and Yahr Stage 3.

INTERVENTION

After balanced randomization, all patients received 12, 45-minute treatment sessions, three days a week, for four consecutive weeks. A group underwent robot-assisted gait training with progressive gait speed increasing and body-weight support decreasing. The other group underwent balance training aimed at improving postural reactions (self and externally induced destabilization, coordination, locomotor dexterity exercises).

MAIN MEASURES

Patients were evaluated before, after and one month posttreatment.

MAIN OUTCOME MEASURE

Berg Balance Scale.

SECONDARY OUTCOMES

Activities-Specific Balance Confidence Scale; Timed Up and Go Test; Unified Parkinson's Disease Rating Scale.

RESULTS

No significant differences were found between the groups for the Berg Balance Scale either immediately after intervention (mean score in the robotic training group 51.58 ±3.94; mean score in the balance training group 51.15 ±3.46), or one-month follow-up (mean score in the robotic training group 51.03 ±4.63; mean score in the balance training group 50.97 ±4.28). Similar results were found for all the secondary outcome measures.

CONCLUSIONS

Our findings indicate that robotic gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease.

Authors+Show Affiliations

Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy Neurological Rehabilitation Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy.Villa Melitta Rehabilitation Clinic, Bolzano, Italy.Neuromotor and Cognitive Rehabilitation Research Centre, University of Verona, Verona, Italy Neurological Rehabilitation Unit, Azienda Ospedaliera Universitaria Integrata, Verona, Italy nicola.smania@univr.it.

Pub Type(s)

Journal Article
Randomized Controlled Trial

Language

eng

PubMed ID

25082957

Citation

Picelli, Alessandro, et al. "Robot-assisted Gait Training Is Not Superior to Balance Training for Improving Postural Instability in Patients With Mild to Moderate Parkinson's Disease: a Single-blind Randomized Controlled Trial." Clinical Rehabilitation, vol. 29, no. 4, 2015, pp. 339-47.
Picelli A, Melotti C, Origano F, et al. Robot-assisted gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease: a single-blind randomized controlled trial. Clin Rehabil. 2015;29(4):339-47.
Picelli, A., Melotti, C., Origano, F., Neri, R., Verzè, E., Gandolfi, M., Waldner, A., & Smania, N. (2015). Robot-assisted gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease: a single-blind randomized controlled trial. Clinical Rehabilitation, 29(4), 339-47. https://doi.org/10.1177/0269215514544041
Picelli A, et al. Robot-assisted Gait Training Is Not Superior to Balance Training for Improving Postural Instability in Patients With Mild to Moderate Parkinson's Disease: a Single-blind Randomized Controlled Trial. Clin Rehabil. 2015;29(4):339-47. PubMed PMID: 25082957.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Robot-assisted gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease: a single-blind randomized controlled trial. AU - Picelli,Alessandro, AU - Melotti,Camilla, AU - Origano,Francesca, AU - Neri,Roberta, AU - Verzè,Elisa, AU - Gandolfi,Marialuisa, AU - Waldner,Andreas, AU - Smania,Nicola, Y1 - 2014/07/31/ PY - 2014/8/2/entrez PY - 2014/8/2/pubmed PY - 2015/12/29/medline KW - Parkinson’s disease KW - Robot-assisted gait training KW - physical therapy modalities KW - postural balance SP - 339 EP - 47 JF - Clinical rehabilitation JO - Clin Rehabil VL - 29 IS - 4 N2 - OBJECTIVE: The main aim was to compare robotic gait training vs. balance training for reducing postural instability in patients with Parkinson's disease. The secondary aim was to compare their effects on the level of confidence during activities of daily living requiring balance, functional mobility and severity of disease. DESIGN: Randomized controlled trial. SETTING: University hospital. SUBJECTS: A total of 66 patients with Parkinson's disease at Hoehn and Yahr Stage 3. INTERVENTION: After balanced randomization, all patients received 12, 45-minute treatment sessions, three days a week, for four consecutive weeks. A group underwent robot-assisted gait training with progressive gait speed increasing and body-weight support decreasing. The other group underwent balance training aimed at improving postural reactions (self and externally induced destabilization, coordination, locomotor dexterity exercises). MAIN MEASURES: Patients were evaluated before, after and one month posttreatment. MAIN OUTCOME MEASURE: Berg Balance Scale. SECONDARY OUTCOMES: Activities-Specific Balance Confidence Scale; Timed Up and Go Test; Unified Parkinson's Disease Rating Scale. RESULTS: No significant differences were found between the groups for the Berg Balance Scale either immediately after intervention (mean score in the robotic training group 51.58 ±3.94; mean score in the balance training group 51.15 ±3.46), or one-month follow-up (mean score in the robotic training group 51.03 ±4.63; mean score in the balance training group 50.97 ±4.28). Similar results were found for all the secondary outcome measures. CONCLUSIONS: Our findings indicate that robotic gait training is not superior to balance training for improving postural instability in patients with mild to moderate Parkinson's disease. SN - 1477-0873 UR - https://www.unboundmedicine.com/medline/citation/25082957/Robot_assisted_gait_training_is_not_superior_to_balance_training_for_improving_postural_instability_in_patients_with_mild_to_moderate_Parkinson's_disease:_a_single_blind_randomized_controlled_trial_ L2 - https://journals.sagepub.com/doi/10.1177/0269215514544041?url_ver=Z39.88-2003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub=pubmed DB - PRIME DP - Unbound Medicine ER -