Robotic-assisted gait training in Parkinson's disease: a three-month follow-up randomized clinical trial

2017 ◽  
Vol 127 (11) ◽  
pp. 996-1004 ◽  
Author(s):  
Anna Furnari ◽  
Rocco Salvatore Calabrò ◽  
Maria Cristina De Cola ◽  
Michelangelo Bartolo ◽  
Alberto Castelli ◽  
...  
2008 ◽  
Vol 23 (1) ◽  
pp. 5-13 ◽  
Author(s):  
Joseph Hidler ◽  
Diane Nichols ◽  
Marlena Pelliccio ◽  
Kathy Brady ◽  
Donielle D. Campbell ◽  
...  

Objective. To compare the efficacy of robotic-assisted gait training with the Lokomat to conventional gait training in individuals with subacute stroke. Methods. A total of 63 participants <6 months poststroke with an initial walking speed between 0.1 to 0.6 m/s completed the multicenter, randomized clinical trial. All participants received twenty-four 1-hour sessions of either Lokomat or conventional gait training. Outcome measures were evaluated prior to training, after 12 and 24 sessions, and at a 3-month follow-up exam. Self-selected overground walking speed and distance walked in 6 minutes were the primary outcome measures, whereas secondary outcome measures included balance, mobility and function, cadence and symmetry, level of disability, and quality of life measures. Results. Participants who received conventional gait training experienced significantly greater gains in walking speed ( P = .002) and distance ( P = .03) than those trained on the Lokomat. These differences were maintained at the 3-month follow-up evaluation. Secondary measures were not different between the 2 groups, although a 2-fold greater improvement in cadence was observed in the conventional versus Lokomat group. Conclusions. For subacute stroke participants with moderate to severe gait impairments, the diversity of conventional gait training interventions appears to be more effective than robotic-assisted gait training for facilitating returns in walking ability.


2017 ◽  
Vol 21 (1) ◽  
pp. 93-100 ◽  
Author(s):  
Larissa Coutinho de Lucena Trigueiro ◽  
Gabriela Lopes Gama ◽  
Tatiana Souza Ribeiro ◽  
Louise Gabriella Lopes de Macedo Ferreira ◽  
Élida Rayanne Viana Pinheiro Galvão ◽  
...  

Author(s):  
Jéssica A. Moratelli ◽  
Kettlyn H. Alexandre ◽  
Leonessa Boing ◽  
Alessandra Swarowsky ◽  
Clynton L. Corrêa ◽  
...  

Background: Evidence-based practices involving dance modalities found in binary (two-beat rhythm) or quaternary (four-beat rhythm) show that dance positively influences the motor aspects of disease.Aim: This randomized clinical trial aimed to analyze the effect of two dance rhythm (binary and quaternary) on the balance, gait, and mobility in individuals with Parkinson’s disease (PD). Methods: Thirty-one individuals with PD were randomized into the binary group (n = 18) and the quaternary group (n = 13). Both groups participated in different dance rhythms lasting 12 weeks, twice a week, for 45 minutes. Results: The binary group showed a significant difference in balance (p = 0.003), freezing of gait (p = 0.007), as well as in the motor aspects of MDS-Unified Parkinson’s Disease Rating Scale (MDS-UPDRS), with emphasis on the total values with a score change of 3.23. In the quaternary group, significant differences were found in balance (p = 0.021) with a score change of -2.54 and in the motor aspects of the MDS-UPDRS Part III where the total values stood out with a change of 3.54. Discussion: When comparing the possible effects of binary and quaternary rhythms on the motor symptoms of individuals with PD, it was demonstrated that binary rhythm improved balance, freezing gait, and UPDRSIII. As for the quaternary rhythm, the benefits were in balance and the UPDRSIII. Conclusion: The binary and the quaternary rhythm dance protocols positively influenced the motor symptoms of individuals with PD after 12 weeks of intervention.


2015 ◽  
Vol 5 (1) ◽  
pp. 151-163 ◽  
Author(s):  
Michael G. Tramontana ◽  
Anna L. Molinari ◽  
Peter E. Konrad ◽  
Thomas L. Davis ◽  
Scott A. Wylie ◽  
...  

Author(s):  
Tatiane G. Araujo ◽  
Adriana P. Schmidt ◽  
Paulo R. S. Sanches ◽  
Danton P. Silva Junior ◽  
Carlos R. M. Rieder ◽  
...  

2017 ◽  
Vol 32 (4) ◽  
pp. 625-626 ◽  
Author(s):  
Bo Mohr Morberg ◽  
Anne Sofie Malling ◽  
Bente Rona Jensen ◽  
Ole Gredal ◽  
Per Bech ◽  
...  

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