Robot-assisted vs. sensory integration training in treating gait and balance dysfunctions in patients with multiple sclerosis: a randomized controlled trial
Identifieur interne : 000E88 ( Main/Merge ); précédent : 000E87; suivant : 000E89Robot-assisted vs. sensory integration training in treating gait and balance dysfunctions in patients with multiple sclerosis: a randomized controlled trial
Auteurs : Marialuisa Gandolfi [Italie] ; Christian Geroin [Italie] ; Alessandro Picelli [Italie] ; Daniele Munari [Italie] ; Andreas Waldner [Italie] ; Stefano Tamburin [Italie] ; Fabio Marchioretto [Italie] ; Nicola Smania [Italie]Source :
- Frontiers in Human Neuroscience [ 1662-5161 ] ; 2014.
Abstract
Url:
DOI: 10.3389/fnhum.2014.00318
PubMed: 24904361
PubMed Central: 4033226
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<sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Robot-assisted vs. sensory integration training in treating gait and balance dysfunctions in patients with multiple sclerosis: a randomized controlled trial</title>
<author><name sortKey="Gandolfi, Marialuisa" sort="Gandolfi, Marialuisa" uniqKey="Gandolfi M" first="Marialuisa" last="Gandolfi">Marialuisa Gandolfi</name>
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<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<author><name sortKey="Geroin, Christian" sort="Geroin, Christian" uniqKey="Geroin C" first="Christian" last="Geroin">Christian Geroin</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurological and Movement Sciences, Neuromotor and Cognitive Rehabilitation Research Center, University of Verona</institution>
<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<author><name sortKey="Picelli, Alessandro" sort="Picelli, Alessandro" uniqKey="Picelli A" first="Alessandro" last="Picelli">Alessandro Picelli</name>
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<country>Verona, Italy</country>
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<country xml:lang="fr">Italie</country>
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<author><name sortKey="Munari, Daniele" sort="Munari, Daniele" uniqKey="Munari D" first="Daniele" last="Munari">Daniele Munari</name>
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<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<country>Bolzano, Italy</country>
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<country xml:lang="fr">Italie</country>
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<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<author><name sortKey="Tamburin, Stefano" sort="Tamburin, Stefano" uniqKey="Tamburin S" first="Stefano" last="Tamburin">Stefano Tamburin</name>
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<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
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<author><name sortKey="Marchioretto, Fabio" sort="Marchioretto, Fabio" uniqKey="Marchioretto F" first="Fabio" last="Marchioretto">Fabio Marchioretto</name>
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<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
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<author><name sortKey="Smania, Nicola" sort="Smania, Nicola" uniqKey="Smania N" first="Nicola" last="Smania">Nicola Smania</name>
<affiliation wicri:level="1"><nlm:aff id="aff1"><institution>Department of Neurological and Movement Sciences, Neuromotor and Cognitive Rehabilitation Research Center, University of Verona</institution>
<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
</affiliation>
<affiliation wicri:level="1"><nlm:aff id="aff5"><institution>Neurological Rehabilitation Unit, Azienda Ospedaliera Universitaria Integrata</institution>
<country>Verona, Italy</country>
</nlm:aff>
<country xml:lang="fr">Italie</country>
<wicri:regionArea></wicri:regionArea>
<wicri:regionArea># see nlm:aff region in country</wicri:regionArea>
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<series><title level="j">Frontiers in Human Neuroscience</title>
<idno type="eISSN">1662-5161</idno>
<imprint><date when="2014">2014</date>
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<front><div type="abstract" xml:lang="en"><p><bold>Background:</bold>
Extensive research on both healthy subjects and patients with central nervous damage has elucidated a crucial role of postural adjustment reactions and central sensory integration processes in generating and “shaping” locomotor function, respectively. Whether robotic-assisted gait devices might improve these functions in Multiple sclerosis (MS) patients is not fully investigated in literature.</p>
<p><bold>Purpose:</bold>
The aim of this study was to compare the effectiveness of end-effector robot-assisted gait training (RAGT) and sensory integration balance training (SIBT) in improving walking and balance performance in patients with MS.</p>
<p><bold>Methods:</bold>
Twenty-two patients with MS (EDSS: 1.5–6.5) were randomly assigned to two groups. The RAGT group (<italic>n</italic>
= 12) underwent end-effector system training. The SIBT group (<italic>n</italic>
= 10) underwent specific balance exercises. Each patient received twelve 50-min treatment sessions (2 days/week). A blinded rater evaluated patients before and after treatment as well as 1 month post treatment. Primary outcomes were walking speed and Berg Balance Scale. Secondary outcomes were the Activities-specific Balance Confidence Scale, Sensory Organization Balance Test, Stabilometric Assessment, Fatigue Severity Scale, cadence, step length, single and double support time, Multiple Sclerosis Quality of Life-54.</p>
<p><bold>Results:</bold>
Between groups comparisons showed no significant differences on primary and secondary outcome measures over time. Within group comparisons showed significant improvements in both groups on the Berg Balance Scale (<italic>P</italic>
= 0.001). Changes approaching significance were found on gait speed (<italic>P</italic>
= 0.07) only in the RAGT group. Significant changes in balance task-related domains during standing and walking conditions were found in the SIBT group.</p>
<p><bold>Conclusion:</bold>
Balance disorders in patients with MS may be ameliorated by RAGT and by SIBT.</p>
</div>
</front>
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