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Journal of Neurology

, Volume 260, Issue 1, pp 296–298 | Cite as

Long-term effect of robot-assisted treadmill walking reduces freezing of gait in Parkinson’s disease patients: a pilot study

  • Michael T. BarbeEmail author
  • Franka Cepuran
  • Martin Amarell
  • Eckhard Schoenau
  • Lars Timmermann
Letter to the Editors

Dear Sirs,

Freezing of gait (FOG) is a common and disabling symptom in patients with advanced Parkinson’s disease (PD). Treatment options are often limited, since dopaminergic medication can either alleviate or aggravate FOG, and deep brain stimulation does not seem to suppress FOG as well as other PD symptoms [5]. In the last decade, physiotherapeutic studies moved into the focus of research. Two case studies found that repetitive robot-assisted treadmill training reduces FOG [4, 10], and in a randomized controlled trial robot-assisted gait training was superior to conventional physiotherapy on general walking performance in PD patients [6]. However, long-term effects of this potentially new training method are unknown so far. Based on previous studies, we hypothesised that robot-assisted treadmill training specifically reduces FOG by either increasing step length and/or decreasing step length variation, and that, similar to other physiotherapeutic training methods, this therapeutic...

Keywords

Deep Brain Stimulation Gait Analysis Gait Training Body Weight Support Step Length Variation 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.

Notes

Acknowledgments

We thank the patients for study participation. Lars Timmermann is supported by the Deutsche Forschungsgemeinschaft (KFO 219; TI 319/2-1) and the German Ministry of Research and Education (BMBF).

Conflicts of interest

The authors report no conflict of interest. All authors have no affiliation and have received no financial or in kind support from the manufacturers of the equipment used in this study.

Ethical standard

All human studies must state that they have been approved by the appropriate ethics committee and have therefore been performed in accordance with the ethical standards laid down in the 1964 Declaration of Helsinki.

Supplementary material

415_2012_6703_MOESM1_ESM.xls (30 kb)
Supplementary material 1 (XLS 30 kb)

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Copyright information

© Springer-Verlag Berlin Heidelberg 2012

Authors and Affiliations

  • Michael T. Barbe
    • 1
    • 2
    Email author
  • Franka Cepuran
    • 1
    • 3
  • Martin Amarell
    • 1
  • Eckhard Schoenau
    • 3
    • 4
  • Lars Timmermann
    • 1
  1. 1.Department of NeurologyUniversity Hospital CologneCologneGermany
  2. 2.Institute for Neuroscience and Medicine, INM-3, Forschungszentrum JülichJülichGermany
  3. 3.UniReha GmbH, Center of Prevention and RehabiliationUniversity Hospital CologneCologneGermany
  4. 4.Department of PediatricsUniversity Hospital CologneCologneGermany

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