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KMID : 1024720210110020089
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Geriatric Rehabilitation
2021 Volume.11 No. 2 p.89 ~ p.93
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Is Robot-assisted Gait Training with tDCS Effective in Advanced PD Patients with DBS A Case Report
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Bang Yu-Min
Im Yu-Jin
Chang Won-Hyuk
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Abstract
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Rehabilitation for functional improvement in advanced Parkinson’s disease (PD) patients requires a higher intensity than conventional rehabilitation. Robot-assisted gait training (RAGT) could provide the high-intensity rehabilitation and transcranial direct current stimulation (tDCS) has been reported as an additional therapeutic strategy to enhance the effect of RAGT. In this case report, we describe the effects of RAGT with tDCS to improve motor function in advanced PD patient with DBS. A 75-year old woman with advanced PD was received cumulative RAGT with tDCS for 8 days during 2 weeks. There was a significant improvement in UPDRS part III from 51 to 35 and FAC from 1 to 2 after the intervention. She required no change in dose of dopaminergic medication during the tDCS period nor a significant side effect during and after RAGT with tDCS. We present the safety and feasibility of RAGT with tDCS in advanced PD patients with DBS.
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KEYWORD
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Parkinson’s disease, Transcranial direct current stimulation, Deep brain stimulation, Robotics, Rehabilitation
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