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Review

Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review

by 1 and 2,3,*
1
Department of Biomedical and Neuromotor Science, University of Bologna, Via Ugo Foscolo 7, 40123 Bologna, Italy
2
Frailty and Cognitive Impairment Organized Group (FROG), University of Valencia, 46010 Valencia, Spain
3
Department of Nursing, University of Valencia, c/Jaume Roig s/n, 46010 Valencia, Spain
*
Author to whom correspondence should be addressed.
Received: 1 April 2020 / Revised: 28 April 2020 / Accepted: 7 May 2020 / Published: 10 May 2020
(This article belongs to the Special Issue Exclusive Papers of the Editorial Board Members (EBMs) of Diseases)
Background: Parkinson′s disease (PD) is the second most prevalent neurodegenerative disease in older individuals. Neurorehabilitation-based interventions such as those improving gait are crucial for a holistic approach and to limit falls. Several studies have recently shown that mechanical plantar foot stimulation is a beneficial intervention for improving gait impairment in PD patients. The objective of this scoping review is to evaluate the beneficial effects of this stimulation on gait parameters, and to analyse protocols of foot stimulation and other effects in non-motor symptoms. Relevant articles were searched in the Medline database using Pubmed and Scopus, using the primary search terms ‘foot stimulation’ OR ‘plantar stimulation’ AND ‘Parkinson’s disease*’. Several protocols have been used for mechanical plantar foot stimulation (ranging from medical devices to textured insoles). The gait parameters that have been shown to be improved are stride length and walking speed. The beneficial effects are achieved after both acute and repeated plantar foot stimulation. Beneficial effects are observed in other organs and systems, such as muscle activation, brain connectivity, cardiovascular control in the central nervous system, and the release of brain-derived neurotrophic factor and cortisol in blood added evidence about this intervention’s impact on brain function. Mechanical plantar foot stimulation is a safe and effective add-on treatment able for improving gait impairments in PD patients during the L-dopa off state. Randomized and controlled clinical trials to study its eventual potentiating effect with different pharmacotherapy regimens are warranted. View Full-Text
Keywords: gait; asymmetry; stride length; foot; rehabilitation; medical device; 3D printing gait; asymmetry; stride length; foot; rehabilitation; medical device; 3D printing
MDPI and ACS Style

Brognara, L.; Cauli, O. Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review. Diseases 2020, 8, 12. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8020012

AMA Style

Brognara L, Cauli O. Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review. Diseases. 2020; 8(2):12. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8020012

Chicago/Turabian Style

Brognara, Lorenzo, and Omar Cauli. 2020. "Mechanical Plantar Foot Stimulation in Parkinson′s Disease: A Scoping Review" Diseases 8, no. 2: 12. https://0-doi-org.brum.beds.ac.uk/10.3390/diseases8020012

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