Journal of Brain and Neurology

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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


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.


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.


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