PMID- 29526852 OWN - NLM STAT- MEDLINE DCOM- 20181009 LR - 20181009 IS - 1878-3627 (Electronic) IS - 0922-6028 (Linking) VI - 36 IP - 2 DP - 2018 TI - Plantar stimulation in parkinsonians: From biomarkers to mobility - randomized-controlled trial. PG - 195-205 LID - 10.3233/RNN-170744 [doi] AB - BACKGROUND: The decrease of Brain-Derived Neurotrophic Factor (BDNF) serum levels has been related to the pathophysiology of several neurodegenerative diseases as well as to neural plasticity and rehabilitation. Automated Mechanical Peripheral Stimulation (AMPS) has been investigated as a complementary therapy for Parkinson Disease (PD). OBJECTIVES: (1) to investigate the effects of AMPS on BDNF and Cortisol serum levels of subjects with PD; (2) to evidence the interplay between BDNF and Cortisol serum levels and the functional mobility improvement after AMPS treatment. METHODS: Thirty-three subjects with PD were randomized into two groups: effective stimulation (AMPS, n = 16) or placebo stimulation (AMPS SHAM, n = 17). Fourteen healthy aged-matched subjects were included as a reference group. Each AMPS group received eight sessions of treatment using a commercial medical device (Gondola). BDNF and Cortisol serum levels, spatiotemporal gait parameters and TUG test were assessed at baseline and after eight sessions of treatment. RESULTS: After the treatment, AMPS group showed significantly higher levels of BDNF and lower levels of Cortisol compared to AMPS SHAM. AMPS group also showed a positive effect on gait pattern as a higher improvement on gait velocity, stride length, and TUG performance was shown. CONCLUSION: Effective AMPS treatment increased BDNF and decreased Cortisol serum levels and produced improvements in functional mobility. FAU - Pagnussat, Aline Souza AU - Pagnussat AS AD - Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. AD - Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Kleiner, Ana F R AU - Kleiner AFR AD - Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Milan, Italy. FAU - Rieder, Carlos R M AU - Rieder CRM AD - Graduate Program in Rehabilitation Sciences, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Frantz, Anapaula AU - Frantz A AD - Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Ehlers, Jaira AU - Ehlers J AD - Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Pinto, Camila AU - Pinto C AD - Movement Analysis and Neurological Rehabilitation Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Dorneles, Gilson AU - Dorneles G AD - Cellular and Molecular Immunology Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Netto, Carlos Alexandre AU - Netto CA AD - Department of Biochemistry, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. FAU - Peres, Alessandra AU - Peres A AD - Cellular and Molecular Immunology Laboratory, Universidade Federal de Ciencias da Saude de Porto Alegre (UFCSPA), Porto Alegre, Brazil. AD - Research Center, Methodist University Center IPA, Porto Alegre, Brazil. FAU - Galli, Manuela AU - Galli M AD - Politecnico di Milano, Dipartimento di Elettronica, Informazione e Bioingegneria, Milan, Italy. AD - "Gait Analysis Lab" IRCCS San Raffaele Pisana, Rome, Italy. LA - eng PT - Journal Article PT - Randomized Controlled Trial PL - Netherlands TA - Restor Neurol Neurosci JT - Restorative neurology and neuroscience JID - 9005499 RN - 0 (Brain-Derived Neurotrophic Factor) RN - 7171WSG8A2 (BDNF protein, human) RN - WI4X0X7BPJ (Hydrocortisone) SB - IM MH - Aged MH - Brain-Derived Neurotrophic Factor/blood MH - Case-Control Studies MH - Double-Blind Method MH - Female MH - Foot/*innervation MH - Gait/physiology MH - Humans MH - Hydrocortisone/blood MH - Male MH - Middle Aged MH - Parkinson Disease/blood/*physiopathology/*rehabilitation MH - Physical Stimulation/*methods MH - Retrospective Studies MH - Treatment Outcome OTO - NOTNLM OT - Gondola OT - Parkinson Disease OT - automated mechanical peripheral stimulation OT - brain-derived neurotrophic factor OT - glucocorticoids OT - rehabilitation EDAT- 2018/03/13 06:00 MHDA- 2018/10/10 06:00 CRDT- 2018/03/13 06:00 PHST- 2018/03/13 06:00 [entrez] PHST- 2018/03/13 06:00 [pubmed] PHST- 2018/10/10 06:00 [medline] AID - RNN170744 [pii] AID - 10.3233/RNN-170744 [doi] PST - ppublish SO - Restor Neurol Neurosci. 2018;36(2):195-205. doi: 10.3233/RNN-170744.