Article

This study aimed to assess spatiotemporal gait parameters and range of
motion of lower limbs in subjects with Parkinson disease (PD) and freezing of
gait, treated with automated mechanical peripheral stimulation (AMPS) or AMPS
SHAM (placebo). DESIGN:
This randomized clinical trial included 30 subjects
allocated into two groups: AMPS (15 subjects with PD) and AMPS SHAM (15 subjects
with PD). Fourteen age-matched healthy subjects were also included as a reference
group. Both PD groups received the treatment twice a week during 4 weeks.
Automated mechanical peripheral stimulation was applied using a commercial
medical device (Gondola) and consisted of mechanical pressure in four areas of
feet. For AMPS SHAM group, a subliminal stimulus was delivered. Gait analysis
were measured before, after the first, after the fourth, and after the eighth
sessions. RESULTS: We did not find significant differences between AMPS and AMPS
SHAM groups either for spatiotemporal gait parameters or for range of motion of
lower limbs. However, within-group analysis showed that AMPS group significantly
improved spatiotemporal gait parameters and hip rotation range of motion
throughout the treatment period. The AMPS SHAM group did not show any
improvement. CONCLUSIONS: Automated mechanical peripheral stimulation therapy
induces improvements in spatiotemporal parameters and hip rotation range of
motion of subjects with PD and freezing of gait. TO CLAIM CME CREDITS: Complete
the self-assessment activity and evaluation online at
http://www.physiatry.org/JournalCME CME OBJECTIVES: Upon completion of this
article, the reader should be able to: (1) Understand the impact of reduced
plantar sensitivity on gait in individuals with Parkinson disease; (2) Identify
the improvements on spatiotemporal gait parameters in subjects with Parkinson
disease and freezing of gait after automated mechanical peripheral stimulation
therapy; and (3) Recommend the use of new strategies of plantar stimulus for gait
disorders of subjects with Parkinson disease. LEVEL: Advanced ACCREDITATION: The
Association of Academic Physiatrists is accredited by the Accreditation Council
for Continuing Medical Education to provide continuing medical education for
physicians.The Association of Academic Physiatrists designates this Journal-based
CME activity for a maximum of 0.5 AMA PRA Category 1 Credit(s). Physicians should
only claim credit commensurate with the extent of their participation in the activity.

Langue : ANGLAIS