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Robot-assisted arm training in patients with Parkinson’s disease: a pilot study

BACKGROUND: Despite the growing diffusion of robotic devices in neurorehabilitation, no previous study investigated the effects of robotic training on arm impairment due to Parkinson’s disease. The aim of this pilot study was to evaluate whether robot-assisted arm training might improve upper limb f...

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Autores principales: Picelli, Alessandro, Tamburin, Stefano, Passuello, Michele, Waldner, Andreas, Smania, Nicola
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2014
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973978/
https://www.ncbi.nlm.nih.gov/pubmed/24597524
http://dx.doi.org/10.1186/1743-0003-11-28
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author Picelli, Alessandro
Tamburin, Stefano
Passuello, Michele
Waldner, Andreas
Smania, Nicola
author_facet Picelli, Alessandro
Tamburin, Stefano
Passuello, Michele
Waldner, Andreas
Smania, Nicola
author_sort Picelli, Alessandro
collection PubMed
description BACKGROUND: Despite the growing diffusion of robotic devices in neurorehabilitation, no previous study investigated the effects of robotic training on arm impairment due to Parkinson’s disease. The aim of this pilot study was to evaluate whether robot-assisted arm training might improve upper limb function in patients with Parkinson’s disease. FINDINGS: Ten patients with Parkinson’s disease (Hoehn and Yahr stage 2.5-3) received ten, 45-minute, treatment sessions, five days a week, for two consecutive weeks. Robot-assisted arm training was performed with the Bi-Manu-Track (Reha-Stim, Berlin, Germany) that provides a computer-controlled, repetitive, bilateral, mirror-like practice of forearm pronation/supination and wrist extension/flexion. Patients were trained according to the following modalities: passive-passive (both arms moved by the machine) and active-active (both arms actively moving against resistance). The dominant upper limb was evaluated before and immediately after treatment as well as at two weeks of follow-up. Outcomes were the nine-hole peg test, the Fugl-Meyer assessment (upper limb section) and the Unified Parkinson’s Disease Rating Scale. After treatment, a significant improvement was found in the nine-hole peg test (P = 0.007) as well as in the upper limb section of the Fugl-Meyer assessment (P = 0.012). Findings were confirmed at the 2-week follow-up evaluation only for the nine-hole peg test (P = 0.007). No significant improvement was found in the Unified Parkinson’s Disease Rating Scale at both post-treatment and follow-up evaluations. CONCLUSIONS: Our findings support the hypothesis that robot-assisted arm training might be a promising tool in order to improve upper limb function in patients with Parkinson’s disease.
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spelling pubmed-39739782014-04-04 Robot-assisted arm training in patients with Parkinson’s disease: a pilot study Picelli, Alessandro Tamburin, Stefano Passuello, Michele Waldner, Andreas Smania, Nicola J Neuroeng Rehabil Short Report BACKGROUND: Despite the growing diffusion of robotic devices in neurorehabilitation, no previous study investigated the effects of robotic training on arm impairment due to Parkinson’s disease. The aim of this pilot study was to evaluate whether robot-assisted arm training might improve upper limb function in patients with Parkinson’s disease. FINDINGS: Ten patients with Parkinson’s disease (Hoehn and Yahr stage 2.5-3) received ten, 45-minute, treatment sessions, five days a week, for two consecutive weeks. Robot-assisted arm training was performed with the Bi-Manu-Track (Reha-Stim, Berlin, Germany) that provides a computer-controlled, repetitive, bilateral, mirror-like practice of forearm pronation/supination and wrist extension/flexion. Patients were trained according to the following modalities: passive-passive (both arms moved by the machine) and active-active (both arms actively moving against resistance). The dominant upper limb was evaluated before and immediately after treatment as well as at two weeks of follow-up. Outcomes were the nine-hole peg test, the Fugl-Meyer assessment (upper limb section) and the Unified Parkinson’s Disease Rating Scale. After treatment, a significant improvement was found in the nine-hole peg test (P = 0.007) as well as in the upper limb section of the Fugl-Meyer assessment (P = 0.012). Findings were confirmed at the 2-week follow-up evaluation only for the nine-hole peg test (P = 0.007). No significant improvement was found in the Unified Parkinson’s Disease Rating Scale at both post-treatment and follow-up evaluations. CONCLUSIONS: Our findings support the hypothesis that robot-assisted arm training might be a promising tool in order to improve upper limb function in patients with Parkinson’s disease. BioMed Central 2014-03-05 /pmc/articles/PMC3973978/ /pubmed/24597524 http://dx.doi.org/10.1186/1743-0003-11-28 Text en Copyright © 2014 Picelli et al.; licensee BioMed Central Ltd. http://creativecommons.org/licenses/by/2.0 This is an Open Access article distributed under the terms of the Creative Commons Attribution License ( http://creativecommons.org/licenses/by/2.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly credited.
spellingShingle Short Report
Picelli, Alessandro
Tamburin, Stefano
Passuello, Michele
Waldner, Andreas
Smania, Nicola
Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title_full Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title_fullStr Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title_full_unstemmed Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title_short Robot-assisted arm training in patients with Parkinson’s disease: a pilot study
title_sort robot-assisted arm training in patients with parkinson’s disease: a pilot study
topic Short Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3973978/
https://www.ncbi.nlm.nih.gov/pubmed/24597524
http://dx.doi.org/10.1186/1743-0003-11-28
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