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Nervenheilkunde 2016; 35(04): 198-204
DOI: 10.1055/s-0037-1616375
Parkinson
Schattauer GmbH

Münchner Anti-Freezing-Training (MAFT)

Reduzierung von Gangblockaden bei ParkinsonMunich Anti FOG Training (MAFT)Reduce freezing of gait in Parkinson’s disease
F. E. Schroeteler
1   Abteilung Neurologie und klinische Neurophysiologie, Parkinson Fachklinik, Schön Klinik München Schwabing
,
A. O. Ceballos-Baumann
1   Abteilung Neurologie und klinische Neurophysiologie, Parkinson Fachklinik, Schön Klinik München Schwabing
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Publication History

eingegangen am: 21 December 2015

angenommen am: 11 January 2016

Publication Date:
10 January 2018 (online)

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Zusammenfassung

Motorische Blockaden während des Gehens (engl. freezing of gait) behindern die motorische Selbstständigkeit und sind Ursache für ein gesteigertes Sturzrisiko bei Parkinson-Syndromen. Sie kommen während des Gehens in fünf Situationen vor und kennen drei Schweregrade. Motorische Blockaden sind therapeutisch schwer anzugehen, da sie in vielen Fällen unabhängig von L-Dopa-Gaben auftreten. Für diese als On-Freezing bezeichneten motorischen Blockaden ist das Münchner Anti-Freezing-Training (MAFT) konzipiert. Signifikante Resultate in der Reduktion von Freezing konnten nach zweiwöchigem Training gezeigt werden. MAFT trainiert standardisiert und intensiv die individuell Freezing auslösenden Situationen. Das Training umfasst fünf Komponenten: Motorische FOG-Evaluation, Einsatz von individuell zugeschnittenem Cueing, Schulung von Bewegungsstrategien, hochrepetitives Training von Schrittfolgen und systematische Steigerung der Trainingsanforderung.

Summary

Freezing of gait (FOG) threatens motor independency in Parkinson's disease. FOG occurs in five situations and knows three types of severity. FOG in the “on” state is a therapeutic challenge, which often can not be improved by L-Dopa. Therefore, we conducted the Munich Anti Freezing Training (MAFT), a standardized training of the individual FOG provoking situations. There were shown significant changes in frequency and severity of FOG after a two weeks intensive training of MAFT. It contains five components: Motor FOG evaluation, cueing, movement strategies, repetitive training of step sequences to overcome FOG and shaping. MAFT widens physiotherapeutic options to treat Parkinson's disease with ON FOG to improve gait and motor independence.

Schlüsselwörter

Idiopathisches Parkinson-Syndrom - On-Freezing - Münchner Anti-Freezing-Training (MAFT)

Keywords

Parkinson's disease - freezing of gait in the “on” state - Munich Anti FOG training (MAFT)
 

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