Effects of robot-assisted gait training on postural instability in Parkinson's disease: a systematic review.

Journal: European journal of physical and rehabilitation medicine
Published Date: Apr 7, 2021

Abstract

INTRODUCTION: Postural instability is a cardinal feature of Parkinson's disease, together with rest tremor, rigidity and bradykinesia. It is a highly disabling symptom that becomes increasingly common with disease progression and represents a major source of reduced quality of life in patients with Parkinson's disease. Rehabilitation aims to enable patients with Parkinson's disease to maintain their maximum level of mobility, activity and independence. To date, a wide range of rehabilitation approaches has been employed to treat postural instability in Parkinson's disease, including robotic training. Our main aim was to conduct a systematic review of current literature about the effects of robot-assisted gait training on postural instability in patients with Parkinson's disease.

Authors

  • Alessandro Picelli
    Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurological and Movement Sciences, University of Verona, Verona, Italy.
  • Marianna Capecci
    Department of Experimental and Clinical Medicine, Neurorehabilitation Clinic, University Hospital of Ancona, "Politecnica delle Marche" University, Ancona, Italy. Electronic address: m.capecci@univpm.it.
  • Mirko Filippetti
    Neuromotor and Cognitive Rehabilitation Research Center, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Valentina Varalta
    Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Cristina Fonte
    Neuromotor and Cognitive Rehabilitation Research Center, Section of Physical and Rehabilitation Medicine, Department of Neurosciences, Biomedicine and Movement Sciences, University of Verona, Verona, Italy.
  • Rita DI Censo
    Unit of Neurorehabilitation, Department of Neuroscience, Biomedicine, and Movement Sciences, University Hospital of Verona, University of Verona, Verona, Italy.
  • Alessandro Zadra
    Unit of Neurorehabilitation, Department of Neuroscience, Biomedicine, and Movement Sciences, University Hospital of Verona, University of Verona, Verona, Italy.
  • Irene Chignola
    Unit of Neurorehabilitation, Department of Neuroscience, Biomedicine, and Movement Sciences, University Hospital of Verona, University of Verona, Verona, Italy.
  • Stefano Scarpa
    Unit of Neurorehabilitation, Department of Neuroscience, Biomedicine, and Movement Sciences, University Hospital of Verona, University of Verona, Verona, Italy.
  • Angelo P Amico
    Spinal Unit, Policlinico di Bari University Hospital, Bari, Italy.
  • Roberto Antenucci
    Unit of Rehabilitation Medicine, Hospital of Castelsangiovanni, AUSL, Piacenza, Italy.
  • Alessio Baricich
    Health Sciences Department, Università del Piemonte Orientale, Novara, Italy.
  • Paolo Benanti
    Pontifical Gregorian University, Rome, Italy.
  • Luciano Bissolotti
    Functional Rehabilitation Service, Teresa Camplani Foundation, Brescia, Italy.
  • Paolo Boldrini
    Società Italiana di Medicina Fisica e Riabilitativa (SIMFER), Rome, Italy.
  • Donatella Bonaiuti
    Department of Physical Medicine and Rehabilitation, S. Gerardo Hospital, Monza, Italy.
  • Enrico Castelli
  • Loredana Cavalli
    Centro Giusti, Florence, Italy.
  • Giuseppina DI Stefano
    Italian Society of Physical and Rehabilitative Medicine, Rome, Italy.
  • Francesco Draicchio
    INAIL, Department of Occupational & Environmental Medicine, Monte Porzio Catone, Rome, Italy.
  • Vincenzo Falabella
    Italian Federation of Persons with Spinal Cord Injuries (Faip Onlus), Rome, Italy.
  • Silvia Galeri
    1 IRCCS Don Gnocchi Foundation, Milan, Italy.
  • Francesca Gimigliano
    Department of Mental and Physical Health and Preventive Medicine, Luigi Vanvitelli University of Campania, Naples, Italy.
  • Mauro Grigioni
    Department of Technology and Health, Istituto Superiore di Sanità, Rome, Italy.
  • Johanna Jonsdottir
  • Carmelo Lentino
  • Perla Massai
    Tuscany Rehabilitation Clinic, Montevarchi, Arezzo, Italy.
  • Stefano Mazzoleni
    The BioRobotics Institute, Scuola Superiore Sant'Anna, Pisa, Italy.
  • Stefano Mazzon
    AULSS6 Euganea Padova - Distretto 4, Padua, Italy.
  • Franco Molteni
    Villa Beretta Rehabilitation Center, Via Nazario Sauro 17, 23845 Costa Masnaga, Italy.
  • Sandra Morelli
    Italian National Institute of Health, Rome, Italy.
  • Giovanni Morone
    Clinical Laboratory of Experimental Neurorehabilitation, I.R.C.C.S, Fondazione Santa Lucia, Rome, Italy. g.morone@hsantalucia.it.
  • Daniele Panzeri
    Scientific Institute, IRCCS Eugenio Medea, Bosisio Parini, Italy.
  • Maurizio Petrarca
    Movement Analysis and Robotics Laboratory (MARLab), Neurorehabilitation Units, IRCCS Bambino Gesù Children's Hospital, Via Torre di Palidoro, 00050, Passoscuro (Fiumicino), Rome, Italy. maurizio.petrarca@opbg.net.
  • Federico Posteraro
  • Michele Senatore
    AITO (Associazione Italiana Terapisti Occupazionali), Rome, Italy.
  • Elisa Taglione
  • Giuseppe Turchetti
    Institute of ManagementScuola Superiore Sant'Anna, Pisa, Italy.
  • Thomas Bowman
    IRCCS Fondazione Don Carlo Gnocchi ONLUS, Milan, Italy - tbowman@dongnocchi.it.
  • Antonio Nardone
    University of Pavia, Pavia, Italy.

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