TY  - JOUR
PY  - 2021//
TI  - Effects of robot-assisted gait training on postural instability in Parkinson's disease: a systematic review
JO  - European journal of physical and rehabilitation medicine
A1  - Picelli, Alessandro
A1  - Capecci, Marianna
A1  - Filippetti, Mirko
A1  - Varalta, Valentina
A1  - Fonte, Cristina
A1  - DI Censo, Rita
A1  - Zadra, Alessandro
A1  - Chignola, Irene
A1  - Scarpa, Stefano
A1  - Amico, Angelo P.
A1  - Antenucci, Roberto
A1  - Baricich, Alessio
A1  - Benanti, Paolo
A1  - Bissolotti, Luciano
A1  - Boldrini, Paolo
A1  - Bonaiuti, Donatella
A1  - Castelli, Enrico
A1  - Cavalli, Loredana
A1  - DI Stefano, Giuseppina
A1  - Draicchio, Francesco
A1  - Falabella, Vincenzo
A1  - Galeri, Silvia
A1  - Gimigliano, Francesca
A1  - Grigioni, Mauro
A1  - Jonsdodttir, Johanna
A1  - Lentino, Carmelo
A1  - Massai, Perla
A1  - Mazzoleni, Stefano
A1  - Mazzon, Stefano
A1  - Molteni, Franco
A1  - Morelli, Sandra
A1  - Morone, Giovanni
A1  - Panzeri, Daniele
A1  - Petrarca, Maurizio
A1  - Posteraro, Federico
A1  - Senatore, Michele
A1  - Taglione, Elisa
A1  - Turchetti, Giuseppe
A1  - Bowman, Thomas
A1  - Nardone, Antonio
SP  - ePub
EP  - ePub
VL  - ePub
IS  - ePub
N2  - 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. EVIDENCE ACQUISITION: A systematic search using the following MeSH terms (Parkinson disease; postural balance; robotics; rehabilitation) and string {("robotics [mh]" OR "robot-assisted" OR "electromechanical") and ("rehabilitation [mh]" OR "training") and ("postural balance [mh]")} was conducted on PubMed, Cochrane Library and PEDro electronic databases. Full text articles in English published up to December 2020 were included. Data about patient characteristics, robotic devices, treatment procedures and outcome measures were considered. Every included article got checked for quality. Level of evidence was defined for all studies. EVIDENCE SYNTHESIS: Three authors independently extracted and verified data. In total, 18 articles (2 systematic reviews, 9 randomized controlled trials, 4 uncontrolled studies and 3 case series/case reports) were included. Both end-effector and exoskeleton devices were investigated as to robot-assisted gait training modalities. No clear relationship between treatment parameters and clinical conditions was observed. We found a high level of evidence about the effects of robot-assisted gait training on balance and freezing of gait in patients with Parkinson's disease. <br><br>CONCLUSIONS: This systematic review provides to the reader a complete overview of current literature and levels of evidence about the effects of robot-assisted gait training on postural instability issues (static and dynamic balance, freezing of gait, falls, confidence in activities of daily living and gait parameters related to balance skills) in patients with Parkinson's disease.<p />  <p>Language: en</p>
LA  - en
SN  - 1973-9087
UR  - http://dx.doi.org/10.23736/S1973-9087.21.06939-2
ID  - ref1
ER  -