Long-term effect of robot-assisted treadmill walking reduces freezing of gait in Parkinson’s disease patients: a pilot study
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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 . 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 . 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...
KeywordsDeep Brain Stimulation Gait Analysis Gait Training Body Weight Support Step Length Variation
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.
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.