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Parkinsonism Relat. Disord. · Jul 2015
The walk-bicycle: A new assistive device for Parkinson's patients with freezing of gait?
- Claudia Stummer, Valeria Dibilio, Sebastiaan Overeem, Vivian Weerdesteyn, Bastiaan R Bloem, and Jorik Nonnekes.
- Radboud University Medical Centre, Donders Institute for Brain, Cognition and Behaviour, Department of Neurology, Nijmegen, The Netherlands. Electronic address: Claudia.Stummer@radboudumc.nl.
- Parkinsonism Relat. Disord. 2015 Jul 1; 21 (7): 755-7.
BackgroundPrevious studies reported a preserved ability to cycle in freezers, creating opportunities for restoring mobility and independence. However, use of a bicycle is not always feasible. Here, we investigated the effectiveness of a "walk-bicycle" in reducing freezing of gait (FOG).MethodsEighteen Parkinson patients with FOG performed the following tasks, each four times, with and without the walk-bicycle: (1) normal walking; (2) walking with small steps, at normal speed; (3) walking with small steps, as rapidly as possible.ResultsSeven patients showed FOG during walking without the walk-bicycle. In those patients, the walk-bicycle afforded a 12% reduction of time frozen (p = 0.026). In 11 patients no FOG was observed during walking without the walk-bicycle. Two of them showed FOG when using the walk-bicycle.ConclusionsThe walk-bicycle may help to reduce FOG in some patients, but not in all. Future studies need to evaluate its usefulness in a home environment.Copyright © 2015 Elsevier Ltd. All rights reserved.
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