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Treadmill training in Parkinson’s patients after deep Brain stimulation: Effects on Gait kinematic
International Conference on Parkinson’s, Huntington’s & Movement Disorders
April 17-18, 2019 | Frankfurt, Germany
Luna NMS
University Anhembi Morumbi, Brazil
Keynote : J Brain Neurol
Abstract:
Objective: To evaluate gait kinematic parameters in
patients with PD with bilateral subthalamic nucleus
DBS before and after of 2 gait training protocols.
Design: 12 patients completed the protocols (age:
60.9 ± 10.6 years; disease duration: 20 ±7 years; and
time since DBS surgery: 20 ± 4 months). The same
set of patients underwent 2 trainings protocols and
4 gait analysis (before and after each training). They
received 8 weeks of treadmill training without body
weight support (16 sessions) in conjunction with
physiotherapy program followed by 6 weeks of wash
out period, followed by 8 weeks of body-weightsupported
treadmill training in conjunction with a
same physiotherapy program. The Gait Kinematic
Analysis involved 8 infrared cameras that detected 19
reflective spherical markers attached in limb lower of
patients. Statistical analysis used the Wilcoxon test (p
≤ 0.05).
Results: Both the training no showed significant
differences in linear variables. As the angular variables,
only training with support showed significant increase
of ranges of motion: pelvis tilt, obliquity and rotation
amplitude; hip adduction-abduction and rotation
amplitude; percentage of peak flexion in swing phase;
foot progression amplitude.
Conclusion: The body weight supported treadmill
training may promote increase of mobility of
lower limbs during gait and it could be a targeted
intervention for PD patients treated with DBS.
Biography:
Luna NMS has completed her PhD and Master degree in biomechanics at University of São Paulo, Postdoctoral in aging and Parkinson´s Disease at University São Judas Tadeu. Physical therapist, with specialization in Sport Traumato-Orthopedics at Federal University of São Paulo. Professor at University Anhembi Morumbi and pos grad teacher in University Estácio de Sá. She also works as a researcher in the following fields: Gait training; Cognition and Parkinson´s Disease.
E-mail: nmsluna@gmail.com
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