About the Speaker

Prof Areerat Suputtitada, M.D.

Physiatrist, Chulalongkorn University &
King Chulalongkorn Memorial Hospital 
Bangkok, Thailand

Dr. Areerat Suputtitada is Professor of Rehabilitation Medicine, full time working faculty at Chulalongkorn University and King Chulalongkorn Memorial Hospital in Bangkok, She received 14 national awards,7 international awards, and published more than 54 international and 21 national articles in the areas of her experts including neurological rehabilitation, spasticity and dystonia, gait and motion, and pain. She has also been invited to lecture and act as chairman for over 90 international conferences. Professor Dr. Suputtitada has been elected and appointed to important positions in the International Society of Physical and Rehabilitation Medicine (ISPRM) such as the Chair of Women and Health Task Force and International Exchange Committee. Moreover, she is the youngest physician to have appointed as Professor in Thailand since she was only 36 years old.

She has been further studying in various advance rehabilitation medicine as Diploma in Pain, Movement disorders and Neurorehabilitation at Mount Sinai Medical Center and Colorado Neurological Institute, USA 1995-1996; Certificate in Gait and Movement Analysis in Austria 1996, England 2009, Sweden and Finland 2009; Certificate in Extracorporeal Shockwave Therapy at Geinermany 2010; Certificate in Diagnostic Ultrasound and Ultrasound guidance injection in Australia 2012, AAPMR 2012, USA 2013 ; Certificate in Comprehensive Sports Medicine Update and Board Review in AAPMR and ASM in USA 2014.


Topics

Track 12: Spectrum of Neurological Rehabilitation
Cueing Effect on Gait Ability in Parkinson's Disease
Date :  Friday, 8 September 2017
Time  :   1530
Venue  :   Auditorium
     
Abstract  :  Abnormal gait patterns are commonly found in patients with Parkinson’s disease (PD). These often consist of short shuffling steps, decreased walking speed, increased cadence and freezing of gait. External cues have been tested for improving gait ability in patients with PD. Advanced rehabilitation techniques have been evidenced over the years: these included treadmill walking, direct current stimulation, transcranial magnetic stimulation and ground training with cues. Traditionally, visual cues had been used in the form of a series of strips located on the floor in transverse lines for the patient to walk over and pole striding which has been shown to reduce gait variability. In addition, laser guided-walking cues have been proposed which can be in the form of goggles with a light emitting diode (LED), laser guided-walking cane, or a laser-assisted device (LAD). Auditory cues in the form of music beats or metronomes, have been shown to help PD patients’ gait. A number of studies have considered different kinds of rhythmic somatosensory cues such as an electrical stimulation, rhythmic vibration or an insole with a vibratory device. Cues are defined as external stimuli of different type, that is, instructional, auditory, visual, and sensory, and are applied to improve gait ability via the activation of different strategies of motor control. Auditory cues, for instance, are believed to provide an external rhythm that bypasses internal rhythm deficit and visual cues engage the visual cerebellar motor pathway to facilitate the generation of a better gait ability, whereas somatosensory cues enable the voluntary activation of the dorsolateral premotor control system, thus bypassing the failure of supplementary motor area in controlling automatic movement. Abnormal gait patterns often persist despite treating with optimal pharmacological or deep brain stimulation. Evidences of cueing for improve gait ability are beneficial for delay dependency and bed ridden in patients with PD. The most beneficial of cueing are effectiveness, highly safety, easy to use and low cost.