Parkinson Disease
Conditions
Brief summary
It has been shown that robot-assisted therapy may be considered an effective and reliable method for the delivery of highly repetitive training useful to boost neuroplasticity. Thus, an early, intensive, repetitive and task oriented training could be an ideal strategy to facilitate relearning of motor function and to improve motor function. The ARMEO-S® is a specific upper limb electromedical device mainly used to reduce spasticity and improve muscle force. To date robotic upper limb training has been applied only in patiebts with brain injury and spinal cord lesions. Aim of the study is to evaluate the efficacy of ARMEO-S in improving upper limb agility in a sample of PD patients, as compared to traditional physiotherapy.
Interventions
DEVICERobotic Rehabilitation
Fifteen patients with Parkinson's Disease will perform ten 45-minute training sessions of the upper limb bilaterally with the Armeo®Spring, an electromedicad device aimed at improving force and coordination in neurologically affected patients. The device was built to sustain the forearm during the upperlimb training and is equipped with a VR screen with which the patient may interact during the playful and motivating rehab.
Sponsors
IRCCS Centro Neurolesi Bonino Pulejo
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
DOUBLE (Investigator, Outcomes Assessor)
Eligibility
Sex/Gender
ALL
Healthy volunteers
No
Inclusion criteria
* Idiopathic PD diagnosed according to the UK BRAIN BANK criteria * Hoehn-Yahr stage 2- 3 * MMSE score ≥ 23
Exclusion criteria
* Severe Dyskinesia * On-Off Motor fluctuations * History of stereotaxic brain surgery for PD; * Changes in dopamine therapy dose in any time within 3 months prior to baseline; * Any other medical that may compromise the patient's participation in this study such as history of ostheoarthritis or neuropathies.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| UPDRS rating scale- Section III | 2 months | To assess whether PD patients may got better results in the motor part of the UPDRS after the UL training |
| Nine hole peg test | 2 months | To evaluate if the patients will get better dexterity after the robotic training |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Upper Limb Fugl-Mayer | 2 months | to verify whether PD patients may present with an increase in muscle strenght after the treatment. |
Countries
Italy
Outcome results
None listed