Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease
Introduction: Elderly people often exhibit “frailty,” and motor dysfunction occurs. Several studies have reported about the relationship between motor dysfunction and frailty in Parkinson's disease (PD). This study aimed to test whether the core exercise using the hybrid assistive limb lumbar t...
Main Authors: | , , , , , , , |
---|---|
Format: | Article |
Language: | English |
Published: |
Frontiers Media S.A.
2020-04-01
|
Series: | Frontiers in Neurology |
Subjects: | |
Online Access: | https://www.frontiersin.org/article/10.3389/fneur.2020.00215/full |
_version_ | 1818987804838854656 |
---|---|
author | Naoya Kotani Naoya Kotani Takashi Morishita Aya Yatsugi Aya Yatsugi Shinsuke Fujioka Satoshi Kamada Etsuji Shiota Yoshio Tsuboi Tooru Inoue |
author_facet | Naoya Kotani Naoya Kotani Takashi Morishita Aya Yatsugi Aya Yatsugi Shinsuke Fujioka Satoshi Kamada Etsuji Shiota Yoshio Tsuboi Tooru Inoue |
author_sort | Naoya Kotani |
collection | DOAJ |
description | Introduction: Elderly people often exhibit “frailty,” and motor dysfunction occurs. Several studies have reported about the relationship between motor dysfunction and frailty in Parkinson's disease (PD). This study aimed to test whether the core exercise using the hybrid assistive limb lumbar type for care support (HAL-CB02) may improve the motor functions in frailty patients with or without PD and to explore the optimal patient selection from the frailty cohort.Materials and Methods: We recruited 16 frailty patients (PD = 8; non-PD = 8). The participants performed core exercise and squats using HAL-CB02 for five sessions a week. Outcome measures were 10-m walking test, step length, timed up-and-go test, 30-s chair stand test, and visual analog scale. Evaluation was conducted at baseline, post-exercise, and 1- and 3-month follow-ups.Results: Both PD and non-PD patients showed significant improvement in all evaluation items post-exercise. Moreover, no significant difference was found in the improvement value between the two groups.Conclusions: Our results suggest that biofeedback exercise with HAL-CB02 is a safe and promising treatment for frailty patients. Motor dysfunction in PD patients may be partly due to physical frailty, and biofeedback exercise with HAL-CB02 is proposed as a treatment option. |
first_indexed | 2024-12-20T19:12:31Z |
format | Article |
id | doaj.art-1ac45814b0b04d10af5779a3898da08f |
institution | Directory Open Access Journal |
issn | 1664-2295 |
language | English |
last_indexed | 2024-12-20T19:12:31Z |
publishDate | 2020-04-01 |
publisher | Frontiers Media S.A. |
record_format | Article |
series | Frontiers in Neurology |
spelling | doaj.art-1ac45814b0b04d10af5779a3898da08f2022-12-21T19:29:11ZengFrontiers Media S.A.Frontiers in Neurology1664-22952020-04-011110.3389/fneur.2020.00215523000Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's DiseaseNaoya Kotani0Naoya Kotani1Takashi Morishita2Aya Yatsugi3Aya Yatsugi4Shinsuke Fujioka5Satoshi Kamada6Etsuji Shiota7Yoshio Tsuboi8Tooru Inoue9Department of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, JapanDepartment of Rehabilitation Medicine, Fukuoka University Hospital, Fukuoka, JapanDepartment of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, JapanDepartment of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, JapanDepartment of Rehabilitation Medicine, Fukuoka University Hospital, Fukuoka, JapanDepartment of Neurology, Fukuoka University Faculty of Medicine, Fukuoka, JapanDepartment of Rehabilitation Medicine, Fukuoka University Hospital, Fukuoka, JapanDepartment of Rehabilitation Medicine, Fukuoka University Hospital, Fukuoka, JapanDepartment of Neurology, Fukuoka University Faculty of Medicine, Fukuoka, JapanDepartment of Neurosurgery, Fukuoka University Faculty of Medicine, Fukuoka, JapanIntroduction: Elderly people often exhibit “frailty,” and motor dysfunction occurs. Several studies have reported about the relationship between motor dysfunction and frailty in Parkinson's disease (PD). This study aimed to test whether the core exercise using the hybrid assistive limb lumbar type for care support (HAL-CB02) may improve the motor functions in frailty patients with or without PD and to explore the optimal patient selection from the frailty cohort.Materials and Methods: We recruited 16 frailty patients (PD = 8; non-PD = 8). The participants performed core exercise and squats using HAL-CB02 for five sessions a week. Outcome measures were 10-m walking test, step length, timed up-and-go test, 30-s chair stand test, and visual analog scale. Evaluation was conducted at baseline, post-exercise, and 1- and 3-month follow-ups.Results: Both PD and non-PD patients showed significant improvement in all evaluation items post-exercise. Moreover, no significant difference was found in the improvement value between the two groups.Conclusions: Our results suggest that biofeedback exercise with HAL-CB02 is a safe and promising treatment for frailty patients. Motor dysfunction in PD patients may be partly due to physical frailty, and biofeedback exercise with HAL-CB02 is proposed as a treatment option.https://www.frontiersin.org/article/10.3389/fneur.2020.00215/fullarthrogenic muscle inhibitionbiofeedbackcentral pattern generatorfrailtyhybrid assistive limbParkinson's disease |
spellingShingle | Naoya Kotani Naoya Kotani Takashi Morishita Aya Yatsugi Aya Yatsugi Shinsuke Fujioka Satoshi Kamada Etsuji Shiota Yoshio Tsuboi Tooru Inoue Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease Frontiers in Neurology arthrogenic muscle inhibition biofeedback central pattern generator frailty hybrid assistive limb Parkinson's disease |
title | Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease |
title_full | Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease |
title_fullStr | Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease |
title_full_unstemmed | Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease |
title_short | Biofeedback Core Exercise Using Hybrid Assistive Limb for Physical Frailty Patients With or Without Parkinson's Disease |
title_sort | biofeedback core exercise using hybrid assistive limb for physical frailty patients with or without parkinson s disease |
topic | arthrogenic muscle inhibition biofeedback central pattern generator frailty hybrid assistive limb Parkinson's disease |
url | https://www.frontiersin.org/article/10.3389/fneur.2020.00215/full |
work_keys_str_mv | AT naoyakotani biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT naoyakotani biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT takashimorishita biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT ayayatsugi biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT ayayatsugi biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT shinsukefujioka biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT satoshikamada biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT etsujishiota biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT yoshiotsuboi biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease AT tooruinoue biofeedbackcoreexerciseusinghybridassistivelimbforphysicalfrailtypatientswithorwithoutparkinsonsdisease |