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Neurorehabilitation
Article . 2022 . Peer-reviewed
Data sources: Crossref
Neurorehabilitation
Article . 2022
Data sources: mEDRA
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Robot-assisted gait training in patients with Parkinson’s disease: Implications for clinical practice. A systematic review

Authors: Carmignano, Simona Maria; Fundarò, Cira; Bonaiuti, Donatella; Calabrò, Rocco Salvatore; Cassio, Anna; Mazzoli, Davide; Bizzarini, Emiliana; +29 Authors

Robot-assisted gait training in patients with Parkinson’s disease: Implications for clinical practice. A systematic review

Abstract

BACKGROUND: Gait impairments are common disabling symptoms of Parkinson’s disease (PD). Among the approaches for gait rehabilitation, interest in robotic devices has grown in recent years. However, the effectiveness compared to other interventions, the optimum amount of training, the type of device, and which patients might benefit most remains unclear. OBJECTIVE: To conduct a systematic review about the effects on gait of robot-assisted gait training (RAGT) in PD patients and to provide advice for clinical practice. METHODS: A search was performed on PubMed, Scopus, PEDro, Cochrane library, Web of science, and guideline databases, following PRISMA guidelines. We included English articles if they used a robotic system with details about the intervention, the parameters, and the outcome measures. We evaluated the level and quality of evidence. RESULTS: We included twenty papers out of 230 results: two systematic reviews, 9 randomized controlled trials, 4 uncontrolled studies, and 5 descriptive reports. Nine studies used an exoskeleton device and the remainders end-effector robots, with large variability in terms of subjects’ disease-related disability. CONCLUSIONS: RAGT showed benefits on gait and no adverse events were recorded. However, it does not seem superior to other interventions, except in patients with more severe symptoms and advanced disease.

Keywords

gait; medical device; Parkinson’s disease; rehabilitation, Parkinson disease, rehabilitation, gait, medical device, Parkinson Disease, Robotics, Exercise Therapy, gait; medical device; Parkinson's disease; rehabilitation, Outcome Assessment, Health Care, Humans, gait; medical device; Parkinson's disease; rehabilitation;, Gait, Parkinson’s disease; gait; medical device; rehabilitation

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    influence
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selected citations
These citations are derived from selected sources.
This is an alternative to the "Influence" indicator, which also reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Citations provided by BIP!
popularity
This indicator reflects the "current" impact/attention (the "hype") of an article in the research community at large, based on the underlying citation network.
BIP!Popularity provided by BIP!
influence
This indicator reflects the overall/total impact of an article in the research community at large, based on the underlying citation network (diachronically).
BIP!Influence provided by BIP!
impulse
This indicator reflects the initial momentum of an article directly after its publication, based on the underlying citation network.
BIP!Impulse provided by BIP!
14
Top 10%
Average
Top 10%
Green