Galli M, Cimolin V, De Pandis M F, Le Pera D, Sova I, Albertini G, Stocchi F, Franceschini M
Funct Neurol. 2016 Jul-Sep;31(3):163-70. doi: 10.11138/fneur/2016.31.3.163.
The purpose of this study was to quantitatively compare the effects, on walking performance, of end-effector robotic rehabilitation locomotor training versus intensive training with a treadmill in Parkinson's disease (PD). Fifty patients with PD were randomly divided into two groups: 25 were assigned to the robot-assisted therapy group (RG) and 25 to the intensive treadmill therapy group (IG). They were evaluated with clinical examination and 3D quantitative gait analysis [gait profile score (GPS) and its constituent gait variable scores (GVSs) were calculated from gait analysis data] at the beginning (T0) and at the end (T1) of the treatment. In the RG no differences were found in the GPS, but there were significant improvements in some GVSs (Pelvic Obl and Hip Ab-Add). The IG showed no statistically significant changes in either GPS or GVSs. The end-effector robotic rehabilitation locomotor training improved gait kinematics and seems to be effective for rehabilitation in patients with mild PD.
本研究的目的是定量比较末端执行器机器人康复运动训练与帕金森病（PD）患者在跑步机上进行强化训练对步行能力的影响。50例PD患者被随机分为两组：25例被分配到机器人辅助治疗组（RG），25例被分配到强化跑步机治疗组（IG）。在治疗开始时（T0）和结束时（T1），通过临床检查和三维定量步态分析[根据步态分析数据计算步态轮廓评分（GPS）及其组成步态变量评分（GVSs）]对他们进行评估。在RG组中，GPS没有差异，但一些GVSs（骨盆倾斜度和髋关节外展-内收）有显著改善。IG组在GPS或GVSs方面均未显示出统计学上的显著变化。末端执行器机器人康复运动训练改善了步态运动学，似乎对轻度PD患者的康复有效。
