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

Picelli, Alessandro; Melotti, Camilla; Origano, Francesca; Neri, Roberta; Verzè, Elisa; Gandolfi, Marialuisa; Waldner, Andreas; Smania, Nicola

doi:10.1177/0269215514544041

Cited by 41 publications

(58 citation statements)

References 31 publications

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“…As regards walking, gait in PD is characterized by reduced speed, a shortened stride length and a longer double support phase, leading to mobility problems, instability and falls, and thus a reduction in quality of life and mental well-being. Treadmill training without body-weight support has been shown to effectively improve walking ability in patients with PD (Mehrholz, 2010;Carda et al, 2012;Picelli et al, 2013Picelli et al, , 2015. Our results confirm previous findings about the usefulness of treadmill training for promoting mobility (in particular walking capacity and gait speed) in PD through restoration of stride length, gait rhythmicity and a more stable walking pattern.…”

Section: Discussionsupporting

confidence: 89%

“…The training program consisted of twelve 45-minute sessions (including rest periods): one session a day, three days a week (Monday, Wednesday, Friday), for four consecutive weeks (Picelli et al, , 2015. Each training session comprised three parts with a 5-minute rest after each.…”

Section: Treatment Proceduresmentioning

confidence: 99%

“…Each training session comprised three parts with a 5-minute rest after each. First, patients were trained at a speed of 1.0 km/h for 10 minutes; then, at 1.5 km/h for 10 minutes; finally, at 2.0 km/h for 10 minutes (Picelli et al, , 2015. Patients unable to maintain the established pace were excluded.…”

Section: Treatment Proceduresmentioning

confidence: 99%

“…As well as motor impairment, about 25% of newly diagnosed, non-demented people with PD show some cognitive deficits involving attention, memory and visuospatial and executive functions (Elgh et al, 2009;Mami konyan et al, 2009). To date, a wide range of physical therapy modalities has been proposed and employed to treat motor impairment in PD (Ceravolo et al, 2001;Picelli et al, 2012a,b;Carda et al, 2012;Picelli et al, 2013Picelli et al, , 2015Smania et al, 2013;Tomlinson et al, 2013). In particular, the implementation of physical activity programs for people with PD has resulted in improvements in daily activities, motor performance, ambulation and overall functional independence (Lau et al, 2011).…”

mentioning

confidence: 99%

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Melatonin 4 mg as prophylactic therapy for primary headaches: a pilot study

Bougea¹

2016

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Section: Discussionsupporting

confidence: 89%

Section: Treatment Proceduresmentioning

confidence: 99%

Section: Treatment Proceduresmentioning

confidence: 99%

mentioning

confidence: 99%

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Melatonin 4 mg as prophylactic therapy for primary headaches: a pilot study

Bougea¹

2016

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“…Robotic rehabilitation devices have been widely used in PD [15] and stroke [9, 10 and 14] to promote motor recovery. The value of this type of rehabilitation is the ability to deliver high-intensity therapy that assists movement and responds to patient performance.…”

Section: Introductionmentioning

confidence: 99%

Design and Development of a Smart Exercise Bike for Motor Rehabilitation in Individuals With Parkinson's Disease

Mohammadi-Abdar

Ridgel

Discenzo

et al. 2016

IEEE/ASME Trans. Mechatron.

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Recent studies in rehabilitation of Parkinson’s disease (PD) have shown that cycling on a tandem bike at a high pedaling rate can reduce the symptoms of the disease. In this research, a smart motorized bicycle has been designed and built for assisting Parkinson’s patients with exercise to improve motor function. The exercise bike can accurately control the rider’s experience at an accelerated pedaling rate while capturing real-time test data. Here, the design and development of the electronics and hardware as well as the software and control algorithms are presented. Two control algorithms have been developed for the bike; one that implements an inertia load (static mode) and one that implements a speed reference (dynamic mode). In static mode the bike operates as a regular exercise bike with programmable resistance (load) that captures and records the required signals such as heart rate, cadence and power. In dynamic mode the bike operates at a user-selected speed (cadence) with programmable variability in speed that has been shown to be essential to achieving the desired motor performance benefits for PD patients. In addition, the flexible and extensible design of the bike permits readily changing the control algorithm and incorporating additional I/O as needed to provide a wide range of riding experiences. Furthermore, the network-enabled controller provides remote access to bike data during a riding session.

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Chinese expert consensus on prevention and control interventions for older adults with physical functional impairment (2022)

Chen

Mao

et al. 2023

Aging Medicine

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Older adults are at high risk for functional impairment, which is closely related to sarcopenia, falls, and frailty. This seriously affects their quality of life and health, and places a heavy burden on society and families. Although domestic and foreign sports recommendations and prevention and control guidelines/expert consensus have been issued for healthy older adults and functional impairment-related diseases, there is no guidance on prevention and control interventions for older adults with physical functional impairment. In China, there is insufficient understanding of the importance of prevention and control interventions for functional impairment in older adults, and there are many drawbacks, such as unstandardized diagnosis and treatment, and relatively simple intervention methods. Therefore, the consensus expert group formulated a consensus based on domestic and foreign guidelines related to functional impairment in older adults to provide guidance for Chinese medical professionals working in the field of geriatrics.

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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

Abstract: 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.

Cited by 41 publications

References 31 publications

Melatonin 4 mg as prophylactic therapy for primary headaches: a pilot study

Melatonin 4 mg as prophylactic therapy for primary headaches: a pilot study

Design and Development of a Smart Exercise Bike for Motor Rehabilitation in Individuals With Parkinson's Disease

Chinese expert consensus on prevention and control interventions for older adults with physical functional impairment (2022)

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