کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
1913301 1535107 2015 4 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Overground robot assisted gait trainer for the treatment of drug-resistant freezing of gait in Parkinson disease
ترجمه فارسی عنوان
ربات بیش از حد زمینی برای فرار از انجماد مقاوم در برابر دارو در راه رفتن در بیماری پارکینسون کمک می کند
کلمات کلیدی
بیماری پارکینسون، راه رفتن، یخ زدن راه رفتن، تعادل، توانبخشی، ربات راهنمایی راه رفتن را کمک کرد
موضوعات مرتبط
علوم زیستی و بیوفناوری بیوشیمی، ژنتیک و زیست شناسی مولکولی سالمندی
چکیده انگلیسی


• This study assessed efficacy of robot-assisted gait training on freezing of gait.
• FOG severity improved after treatment.
• Time to perform objective gait-specific assessments was reduced.
• Balance, stability and quality of life improved.

Freezing of Gait (FOG) is a frequent and disabling feature of Parkinson disease (PD). Gait rehabilitation assisted by electromechanical devices, such as training on treadmill associated with sensory cues or assisted by gait orthosis have been shown to improve FOG. Overground robot assisted gait training (RGT) has been recently tested in patients with PD with improvement of several gait parameters. We here evaluated the effectiveness of RGT on FOG severity and gait abnormalities in PD patients. Eighteen patients with FOG resistant to dopaminergic medications were treated with 15 sessions of RGT and underwent an extensive clinical evaluation before and after treatment. The main outcome measures were FOG questionnaire (FOGQ) global score and specific tasks for gait assessment, namely 10 meter walking test (10 MWT), Timed Up and Go test (TUG) and 360° narrow turns (360 NT). Balance was also evaluated through Fear of Falling Efficacy Scale (FFES), assessing self perceived stability and Berg Balance Scale (BBS), for objective examination. After treatment, FOGQ score was significantly reduced (P = 0.023). We also found a significant reduction of time needed to complete TUG, 10 MWT, and 360 NT (P = 0.009, 0.004 and 0.04, respectively). By contrast the number of steps and the number of freezing episodes recorded at each gait task did not change. FFES and BBS scores also improved, with positive repercussions on performance on daily activity and quality of life. Our results indicate that RGT is a useful strategy for the treatment of drug refractory FOG.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Journal of the Neurological Sciences - Volume 355, Issues 1–2, 15 August 2015, Pages 75–78
نویسندگان
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