Robotic gait training is not superior to conventional treadmill training in Parkinson's Disease: A single-blind randomized controlled trial

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

“…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.…”

“…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).…”

Bridging the gap between robotic technology and health care

“…A recent review [27,35] has concluded that despite mounting evidence suggesting robotic therapies are not more likely to improve patients' activities of the daily living than any other therapy, it has shown great capacity to improve patients' motor function and core strength [27,[35][36][37]. The consensus exists that equal importance should be placed by clinicians and researchers working in the field in establishing guidelines on the study design and assessment and on pushing for more efficient, safer and inexpensive technologies.…”

Efeito do treino de marcha em esteira com e sem suporte de peso em pacientes com doença de Parkinson em uso de estimulação cerebral profunda

“…Também são citados a neurogenese no gânglio basal e excitabilidade cortical (Fisher et al, 2008) Miyai et al (2000) O suporte do peso corporal pode estar acoplado a dispositivos robóticos de treino de marcha (Colombo et al, 2000;Rose et al, 2013). Estudos em pacientes com a doença de Parkinson já foram realizados no "Lokomat" (Carda et al, 2012) e "Gait Trainer" (Picelli et al, 2013). O "Gait Trainer" simula o movimento de marcha pelo movimento contínuo dos membros inferiores sobre trilhos e com suporte parcial do peso corporal (Pohl et al, 2007).…”

“…Na comparação entre o treino de marcha com o "Lokomat" e treino de esteira sem suporte de peso corporal não houve diferenças em variáveis temporo-espaciais dos testes de 6 e 10 minutos e no TUGT e UPRDRS (Carda et al, 2012). Em outra comparação, porém com o "Gait Trainer" e esteira sem suporte de peso corporal…”