Effect of Group-Based Rehabilitation Combining Action Observation with Physiotherapy on Freezing of Gait in Parkinson’s Disease

Pelosin, Elisa; Barella, Roberta; Bet, C.; Magioncalda, Elisabetta; Putzolu, Martina; Biasio, Francesca Di; Cerulli, Cecilia; Casaleggio, Mauro; Abbruzzese, Giovanni; Avanzino, Laura

doi:10.1155/2018/4897276

Cited by 53 publications

(166 citation statements)

References 31 publications

Supporting

Mentioning

163

Contrasting

Unclassified

Order By: Relevance

“…The results favored the AOT plus sonification training, which improved FOG severity and duration, even at the 3‐month follow up. Pelosin and colleagues combined AOT with physiotherapy and observed an improvement in the new FOG Questionnaire (NFOGQ), TUG, and BBS, which was retained at 4 weeks. Nuic and colleagues used an intervention pilot study to evaluate the utility of a customized videogame training program (using the Kinect system) and showed reductions in the FOGQ and gait and balance scale, as well as an improvement in several gait initiation parameters.…”

Section: Resultsmentioning

confidence: 99%

See 1 more Smart Citation

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

Freezing of gait is a disabling phenomenon that appears in a substantial number of Parkinson's disease (PD) patients as the disease evolves. It is considered to be one of the most relevant contributing factors to worsening of quality of life. Current pharmacological or surgical treatment options have limited efficacy. Thus, alternative nonpharmacological/nonsurgical approaches have emerged in recent years in an attempt to improve quality of life in PD. This systematic review summarizes studies of such therapies over the past 5 years. Thirty‐five studies were evaluated by use of a qualitative evaluation, while the methodological quality was assessed using validated tools. According to our results, there appear to be two broad categories of nonpharmacological therapies: those that seek a long‐lasting benefit and those that aim to achieve a transient effect to overcome the freezing of gait episode. Among the former, it is possible to differentiate between “passive” therapies, which include transcranial magnetic stimulation or transcranial direct current stimulation, and “active” therapies, which are based on different cognitive or physical training programs. Finally, “transient effect” therapies use different types of cues, such as visual, auditory, or proprioceptive stimuli, to attempt to shift the patient's habitual motor control to a goal‐directed one. In conclusion, a broad spectrum of nonpharmacological/nonsurgical approaches for freezing of gait has emerged in recent years with promising results. © 2019 International Parkinson and Movement Disorder Society

show abstract

Section: Resultsmentioning

confidence: 99%

“…AOT was successfully adopted by three researchers . It consists of observation and imitation of specific motor actions.…”

Section: Discussionmentioning

confidence: 99%

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

et al. 2019

View full text Add to dashboard Cite

show abstract

“…These neurons also discharge during the internal rehearsal of motor actions (motor imagery) and are implicated in motor learning through the building of a motor memory (14,15). In particular, motor memory is a process that enables humans to plan, select, learn, and recall motor behaviors thanks to the interaction between pre-existing and new motor programs (16,17). Neurophysiological findings have described MNS as an operating cerebral network in PD patients, able to play a potential compensatory role on brain functional alterations responsible for motor deficits (12).…”

Section: Introductionmentioning

confidence: 99%

Efficacy and Characteristics of the Stimuli of Action Observation Therapy in Subjects With Parkinson's Disease: A Systematic Review

et al. 2020

View full text Add to dashboard Cite

Background: The discovery of the Mirror Neuron System has promoted the development of Action Observation Therapy (AOT) to improve motor and functional abilities in patients with Parkinson's disease (PD). This innovative approach involves observing video-clips showing motor contents, which may vary across the studies influencing AOT efficacy. To date, no studies have systematically summarized the effects of AOT in patients with PD on motor and functional outcomes, underlining the characteristics of visual stimuli in relation to their efficacy. Objectives: To describe the potential benefits of AOT in patients with PD and discuss the characteristics of visual stimuli used in clinical studies in relation to their efficacy. Methods: A systematic literature search was carried out using MEDLINE via PubMed, EMBASE, Scopus, and PEDro, from inception until March 2020. Randomized controlled trials that investigated the effects of AOT on motor and functional recovery in patients with PD were included. Two independent reviewers appraised the records for inclusion, assessed the methodological quality, and extracted the following data: number and characteristics of participants, features and posology of the treatments, outcome measures at each follow-up, and main results. Findings were aggregated into a quantitative synthesis (mean difference and 95% confidence interval) for each time point. Results: Overall, 7 studies (189 participants) with a mean PEDro score of 6.1 (range: 4-8) points were selected. Included studies revealed AOT as effective in improving walking ability and typical motor signs (i.e., freezing of gait and bradykinesia) in patients with PD. Moreover, when this approach incorporated ecological auditory stimuli, changes to functional abilities and quality of life were also induced, which persisted up to 3 months after treatment. However, included studies adopted AOT stimuli with heterogeneous posology (from a single session to 8 weeks) and characteristics of motor contents might be responsible for different motor and functional recovery (person-related and viewing perspectives, transitive or intransitive actions, healthy subjects or patients, and association or not with imitation). Temporiti et al. Action Observation in Parkinson's Disease Conclusions: AOT leads to improvements in motor and functional abilities in patients with PD and the characteristics of visual stimuli may play a role in determining AOT effects, deserving further investigations.

show abstract

“…The excitability of the primary motor cortex is increased during action observation training (Iacoboni, 2005), and the combination of action observation and physical training strongly promotes the development of motor memory (Gangitano et al, 2001). Action observation has been shown to have a positive effect on recovery from motor damage in patients with stroke and Parkinson (Buccino et al, 2006;Pelosin et al, 2018). When action observation training, including standing, sitting, and walking training, was performed on the old people, its benefits on walking speed, increasing the number of strides, and shortening of sitting time in the standing position were confirmed (Tia et al, 2010).…”

Section: Introductionmentioning

confidence: 99%

Effects of Otago exercise combined with action observation training on balance and gait in the old people

Leem¹,

Kim²,

Lee

2019

J Exerc Rehabil

View full text Add to dashboard Cite

This study aimed to investigate the effects of Otago exercise combined with action observation (AO) training on the balance, and gait in the old people to prevent falls in the community. A total of 30 old women participated and randomly assigned into three groups: AO plus Otago (n= 10), Otago (n= 10), or control (n= 10). The AO plus Otago and Otago groups performed 50 min of strength training and balance exercises from the Otago Exercise Program 3 times a week for 12 weeks. The AO plus Otago group received an additional 20 min of training 3 times a week. We used the electronic muscle dynamometer to changes in strength, Timed Up and Go (TUG) test to evaluate dynamic balance, and the short version of the Falls Efficacy Scale-International was used to evaluate the fear of falls, and GAITRite was used to evaluate changes in the spatiotemporal parameters of walking. The muscle strength significantly increased in the AO plus Otago and Otago groups compared to the strength before training. The TUG test showed a significant improvement in the dynamic balance in both intervention groups. A significant increase was observed in the walking speed, cadence, step length, and stride length in both intervention groups. We also noted a significant change in the efficacy measures for falls. It is expected that Otago exercise combined with AO training will be used as an intervention method in hospital treatment programs and the old people facilities for preventing falls in the old people.

show abstract

Effect of Group-Based Rehabilitation Combining Action Observation with Physiotherapy on Freezing of Gait in Parkinson’s Disease

Cited by 53 publications

References 31 publications

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

Efficacy and Characteristics of the Stimuli of Action Observation Therapy in Subjects With Parkinson's Disease: A Systematic Review

Effects of Otago exercise combined with action observation training on balance and gait in the old people

Contact Info

Product

Resources

About