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Le mécanisme du freezing dans la maladie de Parkinson / Iris Marolleau in Kinésithérapie scientifique, 655 (juillet 2023)
[article]
Titre : Le mécanisme du freezing dans la maladie de Parkinson : vers des outils pratiques et validés Type de document : texte imprimé Auteurs : Iris Marolleau ; Chloé Commeau ; Jérémy Dubois Année de publication : 2023 Article en page(s) : p. 33-36 Langues : Français (fre) Mots-clés : Freezing Blocage de la marche Résumé : Le blocage de la marche ou Freezing Of Gait (FOG) est un phénomène complexe présentant un handicap certain pour les patients souffrant de la maladie de Parkinson idiopathique. Les mécanismes physiopathologiques sont multiples avec l'implication des systèmes cognitifs, posturaux et moteurs.
Une évaluation adaptée est nécessaire afin de bien appréhender ce trouble dans la rééducation. L'apparition parfois épisodique et les différentes manifestations du FOG rendent son évaluation difficile.
L'objectif de cet article est de mettre en évidence les outils d'évaluation disponibles fiables et pratiques afin de fournir des recommandations pour les cliniciens.Permalink : ./index.php?lvl=notice_display&id=111931
in Kinésithérapie scientifique > 655 (juillet 2023) . - p. 33-36[article] Le mécanisme du freezing dans la maladie de Parkinson : vers des outils pratiques et validés [texte imprimé] / Iris Marolleau ; Chloé Commeau ; Jérémy Dubois . - 2023 . - p. 33-36.
Langues : Français (fre)
in Kinésithérapie scientifique > 655 (juillet 2023) . - p. 33-36
Mots-clés : Freezing Blocage de la marche Résumé : Le blocage de la marche ou Freezing Of Gait (FOG) est un phénomène complexe présentant un handicap certain pour les patients souffrant de la maladie de Parkinson idiopathique. Les mécanismes physiopathologiques sont multiples avec l'implication des systèmes cognitifs, posturaux et moteurs.
Une évaluation adaptée est nécessaire afin de bien appréhender ce trouble dans la rééducation. L'apparition parfois épisodique et les différentes manifestations du FOG rendent son évaluation difficile.
L'objectif de cet article est de mettre en évidence les outils d'évaluation disponibles fiables et pratiques afin de fournir des recommandations pour les cliniciens.Permalink : ./index.php?lvl=notice_display&id=111931 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêtClinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial / Marianna Capecci in Annals of physical and rehabilitation medicine, Vol. 62, n°5 (Septembre 2019)
[article]
Titre : Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial Type de document : texte imprimé Auteurs : Marianna Capecci ; Sanaz Pournajaf ; Daniele Galafate ; Patrizio Sale ; Domenica Le Pera ; Michela Goffredo ; Maria Francesca De Pandis ; Marco Franceschini Année de publication : 2019 Article en page(s) : p. 303-312 Note générale : doi.org/10.1016/j.rehab.2019.06.016 Langues : Anglais (eng) Mots-clés : Gait Robotics Parkinson disease Rehabilitation Freezing Résumé : Background
Although gait disorders strongly contribute to perceived disability in people with Parkinson's disease, clinical trials have failed to identify which task-oriented gait training method can provide the best benefit. Freezing of gait remains one of the least investigated and most troublesome symptoms.
Objective
We aimed to compare the effects of robot-assisted gait training and treadmill training on endurance and gait capacity in people with Parkinson disease; the secondary aim was to compare the effect of the treatments in people with freezing and/or severe gait disability and assess changes in overall disease-related disability and quality of life.
Methods
Outpatients with Parkinson disease (Hoehn and Yahr stage ≥ 2) were randomly assigned to receive 20 sessions of 45-min gait training assisted by an end-effector robotic device (G-EO System) or treadmill training. Outcome assessments were the 6-min walk test, Timed Up and Go test, Freezing of Gait Questionnaire, Unified Parkinson's Disease Rating Scales and Parkinson's Disease Quality of Life Questionnaire-39 administered before (T0) and after treatment (T1).
Results
We included 96 individuals with Parkinson disease: 48 with robot-assisted gait training and 48 treadmill training. Both groups showed significant improvement in all outcomes. As compared with baseline, with robot-assisted gait training and treadmill training, endurance and gait capacity were enhanced by 18% and 12%, respectively, and motor symptoms and quality of life were improved by 17% and 15%. The maximum advantage was observed with the Freezing of Gait Questionnaire score, which decreased by 20% after either treatment. On post-hoc analysis, dependent walkers benefited more than independent walkers from any gait training, whereas freezers gained more from robot-assisted than treadmill training in terms of freezing reduction.
Conclusions
Repetitive intensive gait training is an effective treatment for people with Parkinson disease and can increase endurance and gait velocity, especially for those with severe walking disability. Advantages are greater with robot-assisted gait training than treadmill training for individuals with freezing of gait – related disability.Permalink : ./index.php?lvl=notice_display&id=84139
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 303-312[article] Clinical effects of robot-assisted gait training and treadmill training for Parkinson's disease. A randomized controlled trial [texte imprimé] / Marianna Capecci ; Sanaz Pournajaf ; Daniele Galafate ; Patrizio Sale ; Domenica Le Pera ; Michela Goffredo ; Maria Francesca De Pandis ; Marco Franceschini . - 2019 . - p. 303-312.
doi.org/10.1016/j.rehab.2019.06.016
Langues : Anglais (eng)
in Annals of physical and rehabilitation medicine > Vol. 62, n°5 (Septembre 2019) . - p. 303-312
Mots-clés : Gait Robotics Parkinson disease Rehabilitation Freezing Résumé : Background
Although gait disorders strongly contribute to perceived disability in people with Parkinson's disease, clinical trials have failed to identify which task-oriented gait training method can provide the best benefit. Freezing of gait remains one of the least investigated and most troublesome symptoms.
Objective
We aimed to compare the effects of robot-assisted gait training and treadmill training on endurance and gait capacity in people with Parkinson disease; the secondary aim was to compare the effect of the treatments in people with freezing and/or severe gait disability and assess changes in overall disease-related disability and quality of life.
Methods
Outpatients with Parkinson disease (Hoehn and Yahr stage ≥ 2) were randomly assigned to receive 20 sessions of 45-min gait training assisted by an end-effector robotic device (G-EO System) or treadmill training. Outcome assessments were the 6-min walk test, Timed Up and Go test, Freezing of Gait Questionnaire, Unified Parkinson's Disease Rating Scales and Parkinson's Disease Quality of Life Questionnaire-39 administered before (T0) and after treatment (T1).
Results
We included 96 individuals with Parkinson disease: 48 with robot-assisted gait training and 48 treadmill training. Both groups showed significant improvement in all outcomes. As compared with baseline, with robot-assisted gait training and treadmill training, endurance and gait capacity were enhanced by 18% and 12%, respectively, and motor symptoms and quality of life were improved by 17% and 15%. The maximum advantage was observed with the Freezing of Gait Questionnaire score, which decreased by 20% after either treatment. On post-hoc analysis, dependent walkers benefited more than independent walkers from any gait training, whereas freezers gained more from robot-assisted than treadmill training in terms of freezing reduction.
Conclusions
Repetitive intensive gait training is an effective treatment for people with Parkinson disease and can increase endurance and gait velocity, especially for those with severe walking disability. Advantages are greater with robot-assisted gait training than treadmill training for individuals with freezing of gait – related disability.Permalink : ./index.php?lvl=notice_display&id=84139 Exemplaires (1)
Cote Support Localisation Section Disponibilité Revue Revue Centre de Documentation HELHa Campus Montignies Armoires à volets Document exclu du prêt - à consulter sur place
Exclu du prêt