HandTutor successful for Parkinson’s Patients (PD)


Maurizio Zibetti MD et al in article first published online: 25 AUG 2011 investigate Deep brain stimulation of the subthalamic nucleus as an effective treatment for advanced Parkinson’s disease. They state that the benefits of bilateral subthalamic stimulation are well documented with some studies reported outcomes with a follow up of more than 5 to 6 years. However this data was limited. We therefore report a long-term prospective evaluation looking at 14 consecutive parkinsonian patients, treated by bilateral subthalamic stimulation over at least 9 years. Outcome measures included Motor symptoms, activity of daily living, the Unified Parkinson’s Disease Rating Scale, and a neuropsychological test battery for cognitive outcome. Patients were evaluated both before surgery and at least 1, 5, and ≥9 years after surgery. We found that follow-up, deep brain stimulation was seen to significantly improved the motor score by 42% compared to baseline. The activities of daily living score did not improve. There was also a 39% reduction in the dosage of dopaminergic drugs with a 59% improvement of l-dopa–related motor complications.

The neuropsychological assessment score showed that 4 patients (29%) developed a significant cognitive decline over the period of follow-up . We therefore conclude that there is a persistent effect of deep brain subthalamic nucleus stimulation on the reduction in advanced Parkinson’s disease patients in the long-term.

Although there is no known cure for Parkinson’s disease research shows that the use of intensive exercise practice can delay the onset of symptoms. The HandTutor, ArmTutor, LegTutor and 3DTutor provides intensive active exercise practice and physical and occupational therapists are using the Tutor system is renowned rehabilitation clinics in the USA, UK, Germany, Poland, Italy and across the world. 


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