机构:[1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China神经科系统神经内科首都医科大学宣武医院[2]Department of Neurobiology, Xuanwu Hospital of Capital MedicalUniversity, Beijing, China首都医科大学宣武医院[3]National Clinical Research Center for Geriatric Disorders, Beijing, China[4]Department of Neurosurgery, Xuanwu Hospital of CapitalMedical University, Beijing, China神经科系统神经外科首都医科大学宣武医院[5]Key Laboratory for Neurodegenerative Diseases of the Ministry of Education, Beijing Key Laboratory on Parkinson’s Disease,Parkinson’s Disease Center for Beijing Institute on Brain Disorders, Clinical and Research Center for Parkinson’s Disease of Capital Medical University, Beijing, China
Background: Vibrotactile stimulation has been studied in its efficacy of reducing freezing of gait (FOG) in patients with Parkinson's disease (PD). However, the results are still controversial. We evaluated the efficacy of a newly developed vibrotactile foot device on freezing severity and gait measures in PD patients with FOG. Objective: To evaluate the efficacy of vibrotactile foot device on PD patients with FOG. Methods: Thirty-three PD patients with FOG were examined during their "off" medication state. The efficacy of the vibrotactile foot device was evaluated using a gait protocol comprising walking trials with vibrotactile stimulation "off" and "on." Walking trials were videotaped for the offline rating by two movement disorder specialists. The Opal inertial sensor unit (128 Hz; Mobility Lab; APDM Inc., Portland, OR, USA) was used for quantitative gait analysis. Results: The results demonstrated 33.1% reduction in number of FOG episodes (P < 0.001) and 32.6% reduction of freezing episodes (P < 0.001). Quantitative gait analysis showed a significant increase in step length (P = 0.033). A moderate negative correlation was observed between the change of percent time frozen and age (r = -0.415, P = 0.016). 73% of participants reported minimal to substantial improvement in walking with this vibrating stimulation delivered by the vibrotactile foot device. Conclusions: The vibrotactile foot device is an efficient device that could significantly reduce freezing severity and provide gait regulation to patients with PD experiencing frequent freezing. It could potentially be used in the home environment for improving the quality of life.
基金:
This
work was supported by the National Key R&D Program of China
[No. 2021YFC2501200], Talent Program by Xuanwu Hospital
Capital Medical University [No. YC20220119], National Natural
Science Foundation of China [No. 82301423].
第一作者机构:[1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China[2]Department of Neurobiology, Xuanwu Hospital of Capital MedicalUniversity, Beijing, China
通讯作者:
通讯机构:[1]Department of Neurology, Xuanwu Hospital of Capital Medical University, Beijing, China[2]Department of Neurobiology, Xuanwu Hospital of Capital MedicalUniversity, Beijing, China[3]National Clinical Research Center for Geriatric Disorders, Beijing, China[4]Department of Neurosurgery, Xuanwu Hospital of CapitalMedical University, Beijing, China[5]Key Laboratory for Neurodegenerative Diseases of the Ministry of Education, Beijing Key Laboratory on Parkinson’s Disease,Parkinson’s Disease Center for Beijing Institute on Brain Disorders, Clinical and Research Center for Parkinson’s Disease of Capital Medical University, Beijing, China[*1]Department of Neurosurgery, Xuanwu Hospital of Capital Medical University, #45 Changchun Street,100053 Beijing, China[*2]Department of Neurology and Neurobiology, Xuanwu Hospital of Capital Medical University, #45 Changchun Street, 100053 Beijing, China
推荐引用方式(GB/T 7714):
Cen Shanshan,Ma Jinghong,Sun Hong,et al.Vibrotactile Foot Device for Freezing of Gait in Parkinson's Disease: A Pilot Study[J].MOVEMENT DISORDERS CLINICAL PRACTICE.2024,11(10):1241-1248.doi:10.1002/mdc3.14177.
APA:
Cen, Shanshan,Ma, Jinghong,Sun, Hong,Zhang, Hui,Li, Yuan...&Chan, Piu.(2024).Vibrotactile Foot Device for Freezing of Gait in Parkinson's Disease: A Pilot Study.MOVEMENT DISORDERS CLINICAL PRACTICE,11,(10)
MLA:
Cen, Shanshan,et al."Vibrotactile Foot Device for Freezing of Gait in Parkinson's Disease: A Pilot Study".MOVEMENT DISORDERS CLINICAL PRACTICE 11..10(2024):1241-1248