用于帕金森病视觉提示步态康复的可穿戴系统:随机非劣效性试验。

IF 3.3 3区 医学 Q1 REHABILITATION
Michelangelo Bartolo, Alberto Castelli, Marzia Calabrese, Giampiero Buttacchio, Chiara Zucchella, Stefano Tamburin, Andrea Fontana, Massimiliano Copetti, Alfonso Fasano, Domenico Intiso
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引用次数: 0

摘要

背景:步态障碍是帕金森病(PD)最严重的致残特征之一:目的:本研究旨在评估新型可穿戴视觉提示系统(Q-Walk)与传统视觉提示(地板上的条纹)相比,在帕金森病患者步态康复方面的非劣效性:设计:开放标签、单中心、随机对照非劣效性试验:人群:特发性帕金森病患者特发性帕金森病患者,无认知障碍,Hoehn 和 Yahr II-IV 期,统一帕金森病评定量表运动部分 III ≥2,至少 3 周以来用药稳定:所有受试者在入组(T0)时都接受了临床/功能评估以及步态和姿势分析,然后被随机分配到研究组(SG)或对照组(CG)。康复计划包括连续 10 次单独训练(每周 5 次,连续 2 周)。每个疗程包括 60 分钟的常规物理治疗和 30 分钟的 Q-Walk 步态训练(研究组)或传统视觉提示步态训练(对照组)。随访安排在治疗结束时(T1)和3个月后(T2):52名受试者参加了研究,每组26人。组内分析显示,与基线相比,两组患者在 T1 和 T2 期的临床量表和仪器数据均有显著改善。根据组间分析,Q-Walk 提示系统的步态康复效果并不优于传统的提示系统。满意度调查问卷显示,大多数受试者认为Q-Walk提示系统简单、具有激励性且易于使用,可能适合在家中使用:数据显示,通过新型可穿戴 Q-Walk 提示系统对帕金森病患者进行运动康复是可行的,在改善步态参数和平衡方面与传统提示系统一样有效:临床康复影响:可穿戴设备可作为长期和持续护理的额外康复策略,让患者在家庭环境中进行密集和广泛的训练,有利于量身定制的个性化方法和远程监控。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
A wearable system for visual cueing gait rehabilitation in Parkinson's disease: a randomized non-inferiority trial.

Background: Gait disturbances represent one of the most disabling features of Parkinson's disease (PD).

Aim: The aim of this study was to evaluate the non-inferiority of a new wearable visual cueing system (Q-Walk) for gait rehabilitation in PD subjects, compared to traditional visual cues (stripes on the floor).

Design: Open-label, monocentric, randomized controlled non-inferiority trial.

Setting: Outpatients.

Population: Patients affected by idiopathic PD without cognitive impairment, Hoehn and Yahr stage II-IV, Unified Parkinson's Disease Rating Scale motor section III ≥2, stable drug usage since at least 3 weeks.

Methods: At the enrollment (T0), all subjects underwent a clinical/functional evaluation and the instrumental gait and postural analysis; then they were randomly assigned to the Study Group (SG) or Control Group (CG). Rehabilitation program consisted in 10 consecutive individual sessions (5 sessions/week for 2 consecutive weeks). Each session included 60 minutes of conventional physiotherapy plus 30 minutes of gait training by Q-Walk (SG) or by traditional visual cues (CG). Follow-up visits were scheduled at the end of the treatment (T1) and after 3 months (T2).

Results: Fifty-two subjects were enrolled in the study, 26 in each group. The within-groups analysis showed a significant improvement in clinical scales and instrumental data at T1 and at T2, compared to baseline, in both groups. According to the between-group analysis, Q-Walk cueing system was not-inferior to the traditional cues for gait rehabilitation. The satisfaction questionnaire revealed that most subjects described the Q-Walk cueing system as simple, motivating and easily usable, possibly suitable for home use.

Conclusions: Data showed that motor rehabilitation of PD subjects performed by means of the new wearable Q-Walk cueing system was feasible and as effective as traditional cues in improving gait parameters and balance.

Clinical rehabilitation impact: Wearable devices can act as an additional rehabilitation strategy for long-term and continuous care, allowing patients to train intensively and extensively in household settings, favoring a tailor-made and personalized approach as well as remote monitoring.

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来源期刊
CiteScore
8.50
自引率
4.40%
发文量
162
审稿时长
6-12 weeks
期刊介绍: The European Journal of Physical and Rehabilitation Medicine publishes papers of clinical interest in physical and rehabilitation medicine.
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