Balance and Gait Improvements of Postoperative Rehabilitation in Patients with Parkinson’s Disease Treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS)
Joint Authors
Hattori, Nobutaka
Nakamura, Ryota
Fujiwara, Toshiyuki
Hatano, Taku
Sato, Kazunori
Aita, Noriaki
Hokari, Yoshihide
Kitahara, Eriko
Tani, Mami
Izawa, Nana
Hatori, Kozo
Sasaki, Fuyuko
Sekimoto, Satoko
Jo, Takayuki
Oyama, Genko
Iwamuro, Hirokazu
Umemura, Atsushi
Shimo, Yasushi
Source
Issue
Vol. 2019, Issue 2019 (31 Dec. 2019), pp.1-5, 5 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2019-08-04
Country of Publication
Egypt
No. of Pages
5
Main Subjects
Abstract EN
Background.
Deep brain stimulation of the subthalamic nucleus (STN-DBS) is a surgical treatment to reduce the “off” state motor symptoms of Parkinson’s disease (PD).
Postural instability is one of the major impairments, which induces disabilities of activities of daily living (ADLs).
The effectiveness of STN-DBS for postural instability is unclear, and the effect of rehabilitation following STN-DBS has remained uncertain.
Objective.
The purpose of this study was to examine changes in balance ability, gait function, motor performance, and ADLs following 2 weeks of postoperative rehabilitation in PD patients treated with STN-DBS.
Methods.
Sixteen patients were reviewed retrospectively from February 2016 to March 2017.
All patients were tested in their “on” medication state for balance and gait performance using the Mini-Balance Evaluation Systems Test (Mini-BESTest) and the Timed “Up and Go” (TUG) test before the operation, after the operation, and during the discharge period.
The UPDRS motor score (UPDRS-III) and Barthel Index (BI) were assessed before the operation and during the discharge period.
Rehabilitation focused on muscle strengthening with stretching and proactive balance training.
Friedman’s test and the post hoc Wilcoxon’s signed-rank test were used to analyze the balance assessments, and ANOVA and the post hoc Tukey’s test were used to analyze gait performance.
The significance level was p<0.05.
Results.
During the discharge period, the Mini-BESTest and TUG were significantly improved compared with the preoperative and postoperative periods (p<0.05).
There were no differences between preoperative and postoperative periods in the Mini-BESTest (p=0.12) and TUG (p=0.91).
The BI and motor sections of the UPDRS did not differ significantly between the preoperative and postoperative periods (p=0.45, p=0.22).
Conclusion.
The results of this study suggest that postoperative rehabilitation improves balance and gait ability in patients with PD treated with STN-DBS.
American Psychological Association (APA)
Sato, Kazunori& Aita, Noriaki& Hokari, Yoshihide& Kitahara, Eriko& Tani, Mami& Izawa, Nana…[et al.]. 2019. Balance and Gait Improvements of Postoperative Rehabilitation in Patients with Parkinson’s Disease Treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS). Parkinson’s Disease،Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1206997
Modern Language Association (MLA)
Sato, Kazunori…[et al.]. Balance and Gait Improvements of Postoperative Rehabilitation in Patients with Parkinson’s Disease Treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS). Parkinson’s Disease No. 2019 (2019), pp.1-5.
https://search.emarefa.net/detail/BIM-1206997
American Medical Association (AMA)
Sato, Kazunori& Aita, Noriaki& Hokari, Yoshihide& Kitahara, Eriko& Tani, Mami& Izawa, Nana…[et al.]. Balance and Gait Improvements of Postoperative Rehabilitation in Patients with Parkinson’s Disease Treated with Subthalamic Nucleus Deep Brain Stimulation (STN-DBS). Parkinson’s Disease. 2019. Vol. 2019, no. 2019, pp.1-5.
https://search.emarefa.net/detail/BIM-1206997
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1206997