Physical Medicine and Rehabilitation Section, Policlinico Riuniti, University of Foggia, Foggia, Italy.
J Rehabil Med. 2021 Feb 17;53(2):jrm00154. doi: 10.2340/16501977-2793.
To examine whether tailored robotic platform training could improve postural stability compared with conventional balance treatment in patients with mild Parkinson's disease. Design: Randomized single-blind pilot study.
Twenty-two patients with mild Parkinson's disease (Hoehn and Yahr scale; HandY 1-2).
Patients were randomly assigned to an experimental group for robotic balance training and to a control group for conventional balance training. Each patient received 20 treatments (45 min/session, 5 times/week). Blinded evaluations were conducted before and after the treatment and 1 month post-treatment. Primary outcome measures were Mini BESTest, and Berg Balance Scale; secondary outcome measures were 10-Meter Walk Test, Five Times Sit to Stand Test, and Parkinson's Disease Questionnaire 39.
Primary outcome measures in patients in both the experimental and control groups improved significantly after the balance treatment. Similar results were found for all the secondary outcome measures. The experimental group performed significantly better than the control group at both post-intervention and follow-up evaluation in the primary outcomes (p < 0.05). No significant differences be-tween groups were found in secondary outcomes.
Robot-assisted balance training may be a promising tool to improve postural stability in patients with mild Parkinson's disease.
研究与传统平衡治疗相比，个体化机器人平台训练是否能改善轻度帕金森病患者的姿势稳定性。
随机单盲试点研究。
22 例轻度帕金森病患者（Hoehn 和 Yahr 量表；HandY 1-2）。
患者随机分配到机器人平衡训练实验组和传统平衡训练对照组。每位患者接受 20 次治疗（45 分钟/次，每周 5 次）。在治疗前、治疗后和治疗后 1 个月进行盲法评估。主要结局指标为 Mini BESTest 和 Berg 平衡量表；次要结局指标为 10 米步行测试、五次坐站测试和帕金森病问卷 39。
实验组和对照组患者的主要结局指标在平衡治疗后均显著改善。所有次要结局指标也都得到了类似的结果。实验组在干预后和随访评估中的主要结局指标均显著优于对照组（p<0.05）。两组在次要结局指标上无显著差异。
机器人辅助平衡训练可能是改善轻度帕金森病患者姿势稳定性的一种有前途的工具。
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