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Gait rehabilitation with treadmill has been reported to be useful in patients with Parkinson's disease. In the last years, interest in robotic devices for gait training has grew up for patients with different neurological disorders, since they minimize demands on physical therapists and may provide a more reliable and constant treatment.
The aim of this study is to evaluate if robotic gait training with Lokomat® can improve walking more than conventional gait training with treadmill in patients affected by Parkinson's disease.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| Experimental Group | Experimental | Lokomat® |
|
| Control Group | Active Comparator | Treadmill training |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| Lokomat® | Device | Patients of the experimental group were trained at 50% of BWS for 15 minutes and 30% of BWS for 15 minutes on the Lokomat®. Treadmill speed was initiated at 1.5km/h and increased to 3.0km/h by increments of 0.5km/h as tolerated. A physical therapist supervised the treatment, adjusting treadmill speed and BWS. Treatment was performed for 3 days/week, for 4 weeks |
| Measure | Description | Time Frame |
|---|---|---|
| 6 minute walking test | The subject has to walk the longest distance possible within 6 minutes. | Enrollment, after training completion, 3 and 6 months after training completion |
| Measure | Description | Time Frame |
|---|---|---|
| 10 meter walking test | The subject has to walk for 16 meters; the maximal speed reached in the central 10 meter is recorded | Enrollment, after training completion, 3 and 6 months after training completion |
| Time Up and Go test |
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Inclusion Criteria:
Exclusion Criteria:
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| Name | Affiliation | Role |
|---|---|---|
| Carlo Cisari, MD | University of Eastern Piedmont "A. Avogadro" - Dep. Clinical & Experimental Medicine | Study Director |
| Stefano Carda, MD, PhD | Azienda Ospedaliera-Universitaria "Maggiore della Carità " - Novara | Principal Investigator |
| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Azienda Ospedaliero-Universitaria "Maggiore della Carità " | Novara | 28100 | Italy |
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| ID | Term |
|---|---|
| D010300 | Parkinson Disease |
| ID | Term |
|---|---|
| D020734 | Parkinsonian Disorders |
| D001480 | Basal Ganglia Diseases |
| D001927 | Brain Diseases |
| D002493 | Central Nervous System Diseases |
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| ID | Term |
|---|---|
| D005080 | Exercise Test |
| ID | Term |
|---|---|
| D006334 | Heart Function Tests |
| D003935 | Diagnostic Techniques, Cardiovascular |
| D019937 | Diagnostic Techniques and Procedures |
| D003933 | Diagnosis |
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|
| Treadmill | Device | Patients of the control group had 30 minutes of treadmill gait training. After having calculated the speed during 6MWT, the patient was trained on a treadmill (RHC770CE - RAM Medical srl). They were trained using 80% of the maximum speed that the patient reached during the test for the first week, 90% for the second week, 100% for the third and fourth week. A Physical Therapist provided auditory cueing and direct, continuous feed-back to the patient. Treatment was performed for 3 days/week, for 4 weeks. |
|
The subject has to lift from a chair, walk 3 meters, then turns back and sits on the chair. The time required is recorded
| Enrollment, after training completion, 3 and 6 months after training completion |
| D009422 | Nervous System Diseases |
| D009069 | Movement Disorders |
| D000080874 | Synucleinopathies |
| D019636 | Neurodegenerative Diseases |
| D012129 | Respiratory Function Tests |
| D003948 | Diagnostic Techniques, Respiratory System |
| D016552 | Ergometry |
| D008919 | Investigative Techniques |