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

Picelli, Alessandro; Capecci, Marianna; Filippetti, Mirko; Varalta, Valentina; Fonte, Cristina; Censo, Rita Di; Zadra, Alessandro; Chignola, Irene; Scarpa, Stefano; Amico, A.; Antenucci, Roberto; Baricich, Alessio; Benanti, Paolo; Bissolotti, Luciano; Boldrini, Paolo; Bonaiuti, Donatella; Castelli, Enrico; Cavalli, Loredana; Stefano, Giuseppina Di; Draicchio, Francesco; Falabella, Vincenzo; Galeri, Silvia; Gimigliano, Francesca; Grigioni, Mauro; Jonsdodttir, Johanna; Lentino, Carmelo; Massai, Perla; Mazzoleni, Stefano; Mazzon, Stefano; Molteni, Franco; Morelli, Sandra; Morone, Giovanni; Panzeri, Daniele; Petrarca, Maurizio; Posteraro, Federico; Senatore, Michele; Taglione, Elisa; Turchetti, Giuseppe; Bowman, Thomas G.; Nardone, Antonio

doi:10.23736/s1973-9087.21.06939-2

Cited by 21 publications

(11 citation statements)

References 40 publications

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“…[31][32][33] Given the heterogeneity of rehabilitation protocols, it is not easy to compare telerehabilitation with other technologically assisted interventions, such as robotic rehabilitation. 17,34 Even if not perfectly comparable, we found that after telerehabilitation programs the BBS achieved similar improvements after robot-assisted gait training and after equal-intensity telerehabilitation protocols dedicated to improving postural stability in PD patients. 25,35 These findings let us argue that a cheaper and home-based approach is feasible in improving postural stability in the same type of population compared with much more expensive robot-assisted gait training.…”

Section: Discussionmentioning

confidence: 77%

“…However, the rehabilitation has many advantages: it can be delivered with low-cost tools25; patients living far away from the rehabilitation center can be reached by a clinician, those without the access to transportation may use it; rehabilitation sessions can be delivered also during the pandemic lockdown and it avoids the interruption of rehabilitation for long-term disabilities, such in the case of PD 31–33. Given the heterogeneity of rehabilitation protocols, it is not easy to compare telerehabilitation with other technologically assisted interventions, such as robotic rehabilitation 17,34. Even if not perfectly comparable, we found that after telerehabilitation programs the BBS achieved similar improvements after robot-assisted gait training and after equal-intensity telerehabilitation protocols dedicated to improving postural stability in PD patients 25,35.…”

Section: Discussionmentioning

confidence: 99%

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Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

De Vitis,

Battaglino,

Sinatti

et al. 2023

Topics in Geriatric Rehabilitation

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Background: The purpose of this study is to examine the evidence of the effectiveness of telemedicine in postural stability treatment in independent patients affected by Parkinson's disease (PD). Methods: This is a literature review of studies investigating the effect of telemedicine in postural stability treatment in independent patients affected by PD. PRISMA guidelines were followed during the design, search, and reporting stages of this review. The search was carried out in the MEDLINE databases. Results: A total of 1854 studies were detected and analyzed by performing the proposed searches in the detailed databases. After removing duplicates and analyzing the titles and abstracts of the remaining articles, 6 studies were ultimately selected for this review. At least 50% of the studies included in this review showed positive results in improving postural stability in patients with PD after a home-based intervention. Conclusions: The home-based intervention based upon technologically assisted telerehabilitation may support the aspects of an effective and efficient physical therapy allowing the physiotherapists to deliver functional rehabilitation in the home setting outside the hospital and supervise more than one patient simultaneously during rehabilitation sessions.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 99%

Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

De Vitis,

Battaglino,

Sinatti

et al. 2023

Topics in Geriatric Rehabilitation

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“…Results from the Consensus has promoted a large exchange of views, fostering all the people involved to share different perspectives and needs. To date, the CICERONE Consensus promoted important evidence on the impact of robotics in stroke (Calabrò, Sorrentino, et al, 2021;Morone, Palomba, et al, 2021), multiple sclerosis (Bowman et al, 2021;, Parkinson's disease (Carmignano et al, 2022;Picelli et al, 2021) and spinal cord injury (Morone, de Sire, et al, 2021). The dissemination of the CICERONE Consensus results is a contribute to national and international perspectives on how to improve functional outcomes of patients living with neurological conditions.…”

Section: Indications From the Cicerone Consensus Conferencementioning

confidence: 99%

Reference theories and future perspectives on robot-assisted rehabilitation in people with neurological conditions: A scoping review and recommendations from the Italian Consensus Conference on Robotics in Neurorehabilitation (CICERONE)

Turolla

Kiper

Mazzarotto

et al. 2022

NRE

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BACKGROUND: Robot-based treatments are developing in neurorehabilitation settings. Recently, the Italian National Health Systems recognized robot-based rehabilitation as a refundable service. Thus, the Italian neurorehabilitation community promoted a national consensus on this topic. OBJECTIVE: To conceptualize undisclosed perspectives for research and applications of robotics for neurorehabilitation, based on a qualitative synthesis of reference theoretical models METHODS: A scoping review was carried out based on a specific question from the consensus Panel. A foreground search strategy was developed on theoretical models (context) of robot-based rehabilitation (exposure), in neurological patients (population). PubMed and EMBASE ® databases were searched and studies on theoretical models of motor control, neurobiology of recovery, human-robot interaction and economic sustainability were included, while experimental studies not aimed to investigate theoretical frameworks, or considering prosthetics, were excluded. RESULTS: Overall, 3699 records were screened and finally 9 papers included according to inclusion and exclusion criteria. According to the population investigated, structured information on theoretical models and indications for future research was summarized in a synoptic table CONCLUSION: The main indication from the Italian consensus on robotics in neurorehabilitation is the priority to design research studies aimed to investigate the role of robotic and electromechanical devices in promoting neuroplasticity.

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“…For the lower limbs, the robot-assisted gait training (RAGT) has been widely implemented to target the regaining and the improvement of patient's mobility, walking ability, and balance. For this purpose, different types of robotic devices (i.e., exoskeletons, end-effectors, soft-robots) have so far been implemented to target diverse chronic and complex diseases (of a traumatic, vascular or neurodegenerative nature) like stroke [5,6], traumatic brain injury (TBI) and spinal cord injury (SCI) [7,8], multiple sclerosis (MS) [9,10], and Parkinson's disease (PD) [11,12], reporting evidence in favor of their feasibility and an improvement in patient autonomy in the activities of daily living (ADLs) and health-related quality of life (HRQoL). Moreover, prior research has also observed, beyond motor improvement, the psychological impact of implementing this technology, reporting for example significant post-intervention changes in patients' depression and anxiety symptoms along with increased well-being [13,14].…”

Section: Introductionmentioning

confidence: 99%

Biopsychosocial effects and experience of use of robotic and virtual reality devices in neuromotor rehabilitation: A study protocol

Zanatta

Steca²,

Fundarò³

et al. 2023

PLoS ONE

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Background Robot-assisted therapy (RAT) and virtual reality (VR)-based neuromotor rehabilitation have shown promising evidence in terms of patient’s neuromotor recovery, so far. However, still little is known on the perceived experience of use of robotic and VR devices and the related psychosocial impact. The present study outlines a study protocol aiming to investigate the biopsychosocial effects and the experience of use of robotic and non-immersive VR devices in patients undergoing neuromotor rehabilitation. Methods Adopting a prospective, two-arm, non-randomized study design, patients with different neuromotor diseases (i.e., acquired brain injury, Parkinson’s Disease, and total knee/hip arthroplasty) undergoing rehabilitation will be included. In a real-world clinical setting, short- (4 weeks) and long-term (6 months) changes in multiple patient’s health domains will be investigated, including the functional status (i.e., motor functioning, ADLs, risk of falls), cognitive functioning (i.e., attention and executive functions), physical and mental health-related quality of life (HRQoL), and the psychological status (i.e., anxiety and depression, quality of life satisfaction). At post-intervention, the overall rehabilitation experience, the psychosocial impact of the robotic and VR devices will be assessed, and technology perceived usability and experience of use will be evaluated through a mixed-methods approach, including both patients’ and physiotherapists’ perspectives. Repeated measures within-between interaction effects will be estimated, and association analyses will be performed to explore the inter-relationships among the variables investigated. Data collection is currently ongoing. Implications The biopsychosocial framework adopted will contribute to expanding the perspective on patient’s recovery within the technology-based rehabilitation field beyond motor improvement. Moreover, the investigation of devices experience of use and usability will provide further insight into technology deployment in neuromotor rehabilitation programs, thereby maximising therapy engagement and effectiveness. Trial registration ClinicalTrials.gov ID: NCT05399043.

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

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Cited by 21 publications

References 40 publications

Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

Reference theories and future perspectives on robot-assisted rehabilitation in people with neurological conditions: A scoping review and recommendations from the Italian Consensus Conference on Robotics in Neurorehabilitation (CICERONE)

Biopsychosocial effects and experience of use of robotic and virtual reality devices in neuromotor rehabilitation: A study protocol

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