[C-Mill sensory treadmill in the treatment of idiopathic normotensive hydrocephalus].

Abstract

The authors studied motor disorders in idiopathic normotensive hydrocephalus (iNPH, Hakim-Adams syndrome) using C-Mill treadmill.

Objective: To present the first experience of C-Mill in assessing the motor function in patients with iNPH.

Material and methods: The study is carried out at the Pavlov State Medical University and Hospital for War Veterans. To date, we enrolled 10 patients with iNPH and examined these ones using a unique multifunctional tool C-Mill before surgery, after tap test and after cerebrospinal fluid bypass surgery.

Results: In all cases, we obtained positive postoperative results with improvement of motor function.

Conclusion: C-Mill is a special treadmill with built-in tools designed to analyze human gait and balance, as well as for rehabilitation to improve gait and balance disorders in virtual reality. C-Mill sensory treadmill is valuable to assess motor disorders in patients with iNPH before surgery, improve the diagnostic process when selecting patients for surgery using invasive diagnostic methods and significantly improve the accuracy of postoperative evaluating the effectiveness of surgical treatment by quantifying the regression of motor disorders.