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Effects of robot-assisted gait training in patients with Parkinson's disease: study protocol for a randomized controlled trial.
Trials. 2019 Jan 07; 20(1):15.T

Abstract

BACKGROUND

Robot-assisted gait training (RAGT) was developed to restore gait function by promoting neuroplasticity through repetitive locomotor training and has been utilized in gait training. However, contradictory outcomes of RAGT have been reported for patients with Parkinson's disease (PD). In addition, the mechanism of the RAGT treatment effect is still unknown. This study aims to investigate the effects of RAGT on gait velocity in patients with PD and to unveil the mechanisms of these effects.

METHODS

This is a prospective, single-blind, single-center, randomized controlled trial. Eligible participants will be randomly allocated to: 1) a Walkbot-S™ RAGT group or 2) a treadmill training group. The participants will receive three 45-min sessions of each intervention per week for 4 weeks. Gait speed during RAGT will be targeted to the maximal speed depending on the participant's height; the same principle will be applied to the treadmill training group to match the training intensity. The primary outcome measure is gait speed measured by the 10-Meter Walk Test at a comfortable pace under single-task conditions. Secondary outcomes include dual-task interference, the Berg Balance Scale, Timed Up and Go test, the Korean version of the Falls Efficacy Scale-International, New Freezing of Gait Questionnaire, Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale, and functional connectivity measured by resting-state functional magnetic resonance imaging. Baseline assessments (T0) will be conducted to acquire clinical characteristics and outcome measure values before the intervention. Postintervention assessments (T1) will compare immediate efficacies within 3 days after the intervention. Follow-up assessments (T2) will be conducted 1 month after the intervention. Considering an alpha of 0.05 and a power of 80%, the total number of participants to be recruited is 44.

DISCUSSION

This study will reveal the effect of RAGT using an exoskeletal robot, not only on gait speed, but also on gait automaticity, balance function, fall risk, quality of life, and disease severity. In addition, the study will shed new light on the mechanism of the RAGT effect by evaluating changes in gait automaticity and brain functional networks.

TRIAL REGISTRATION

ClinicalTrials.gov, NCT03490578 . Registered on 21 March 2018.

Authors+Show Affiliations

Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Konkuk University Medical Center, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea.Department of Rehabilitation Medicine, Seoul National University Hospital, 101, Daehak-ro, Jongno-gu, Seoul, Republic of Korea. hgseo80@gmail.com.

Pub Type(s)

Clinical Trial Protocol
Journal Article

Language

eng

PubMed ID

30616685

Citation

Kang, Min-Gu, et al. "Effects of Robot-assisted Gait Training in Patients With Parkinson's Disease: Study Protocol for a Randomized Controlled Trial." Trials, vol. 20, no. 1, 2019, p. 15.
Kang MG, Yun SJ, Shin HI, et al. Effects of robot-assisted gait training in patients with Parkinson's disease: study protocol for a randomized controlled trial. Trials. 2019;20(1):15.
Kang, M. G., Yun, S. J., Shin, H. I., Kim, E., Lee, H. H., Oh, B. M., & Seo, H. G. (2019). Effects of robot-assisted gait training in patients with Parkinson's disease: study protocol for a randomized controlled trial. Trials, 20(1), 15. https://doi.org/10.1186/s13063-018-3123-4
Kang MG, et al. Effects of Robot-assisted Gait Training in Patients With Parkinson's Disease: Study Protocol for a Randomized Controlled Trial. Trials. 2019 Jan 7;20(1):15. PubMed PMID: 30616685.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Effects of robot-assisted gait training in patients with Parkinson's disease: study protocol for a randomized controlled trial. AU - Kang,Min-Gu, AU - Yun,Seo Jung, AU - Shin,Hyun Iee, AU - Kim,Eunkyung, AU - Lee,Hyun Haeng, AU - Oh,Byung-Mo, AU - Seo,Han Gil, Y1 - 2019/01/07/ PY - 2018/08/06/received PY - 2018/12/10/accepted PY - 2019/1/9/entrez PY - 2019/1/9/pubmed PY - 2019/5/29/medline KW - Exoskeleton device KW - Gait KW - Neuroimaging KW - Parkinson disease KW - Rehabilitation SP - 15 EP - 15 JF - Trials JO - Trials VL - 20 IS - 1 N2 - BACKGROUND: Robot-assisted gait training (RAGT) was developed to restore gait function by promoting neuroplasticity through repetitive locomotor training and has been utilized in gait training. However, contradictory outcomes of RAGT have been reported for patients with Parkinson's disease (PD). In addition, the mechanism of the RAGT treatment effect is still unknown. This study aims to investigate the effects of RAGT on gait velocity in patients with PD and to unveil the mechanisms of these effects. METHODS: This is a prospective, single-blind, single-center, randomized controlled trial. Eligible participants will be randomly allocated to: 1) a Walkbot-S™ RAGT group or 2) a treadmill training group. The participants will receive three 45-min sessions of each intervention per week for 4 weeks. Gait speed during RAGT will be targeted to the maximal speed depending on the participant's height; the same principle will be applied to the treadmill training group to match the training intensity. The primary outcome measure is gait speed measured by the 10-Meter Walk Test at a comfortable pace under single-task conditions. Secondary outcomes include dual-task interference, the Berg Balance Scale, Timed Up and Go test, the Korean version of the Falls Efficacy Scale-International, New Freezing of Gait Questionnaire, Movement Disorder Society-sponsored revision of the Unified Parkinson's Disease Rating Scale, and functional connectivity measured by resting-state functional magnetic resonance imaging. Baseline assessments (T0) will be conducted to acquire clinical characteristics and outcome measure values before the intervention. Postintervention assessments (T1) will compare immediate efficacies within 3 days after the intervention. Follow-up assessments (T2) will be conducted 1 month after the intervention. Considering an alpha of 0.05 and a power of 80%, the total number of participants to be recruited is 44. DISCUSSION: This study will reveal the effect of RAGT using an exoskeletal robot, not only on gait speed, but also on gait automaticity, balance function, fall risk, quality of life, and disease severity. In addition, the study will shed new light on the mechanism of the RAGT effect by evaluating changes in gait automaticity and brain functional networks. TRIAL REGISTRATION: ClinicalTrials.gov, NCT03490578 . Registered on 21 March 2018. SN - 1745-6215 UR - https://www.unboundmedicine.com/medline/citation/30616685/Effects_of_robot_assisted_gait_training_in_patients_with_Parkinson's_disease:_study_protocol_for_a_randomized_controlled_trial_ L2 - https://trialsjournal.biomedcentral.com/articles/10.1186/s13063-018-3123-4 DB - PRIME DP - Unbound Medicine ER -