Rehabilitation of older people with Parkinson's disease: an innovative protocol for RCT study to evaluate the potential of robotic-based technologies.

Journal: BMC neurology
PMID:

Abstract

BACKGROUND: Parkinson's disease is one of the most frequent causes of disability among the older adults. It is a chronic-progressive neuro-degenerative disease, characterized by several motor disorders. Balance disorders are a symptom that involves the body axis and do not respond to dopaminergic therapy used in Parkinson's disease. Therefore, physiotherapy becomes an important intervention for the management of motor disorders. Originally, these rehabilitative approaches were based on empirical experiences, but several scientific evidences suggests that neuronal plasticity is exercise-dependent. In this context, robotic rehabilitation plays an important role because it allows to perform task-oriented exercises and to increase the number of repetitions and their intensity. This protocol study aims to evaluate the effectiveness of robotic-based intervention of the older adults with Parkinson's disease, designed to improve the gait and to reduce the risk of falling.

Authors

  • Roberta Bevilacqua
    Laboratorio di Bioinformatica, Bioingegenria e Domotica, Istituto Nazionale di Riposo e Cura per Anziani, Ancona, Italy.
  • Elvira Maranesi
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Ancona, Italy.
  • Mirko Di Rosa
    Unit of Geriatric Pharmacoepidemiology, IRCCS INRCA, Ancona, Italy.
  • Riccardo Luzi
    Medical Direction, IRCCS INRCA, Ancona, Italy.
  • Elisa Casoni
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Ancona, Italy.
  • Nadia Rinaldi
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Fermo, Italy.
  • Renato Baldoni
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Ancona, Italy.
  • Fabrizia Lattanzio
    Laboratorio di Bioinformatica, Bioingegenria e Domotica, Istituto Nazionale di Riposo e Cura per Anziani, Ancona, Italy.
  • Valentina Di Donna
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Fermo, Italy.
  • Giuseppe Pelliccioni
    Neurology Unit, IRCCS INRCA, Ancona, Italy.
  • Giovanni Renato Riccardi
    Clinical Unit of Physical Rehabilitation, IRCCS INRCA, Ancona, Italy.