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Abytov S.A.

Pavlov First St. Petersburg State Medical University

Gavrilov G.V.

Pavlov First St. Petersburg State Medical University

Skoromets T.A.

Pavlov First St. Petersburg State Medical University;
Hospital for War Veterans

Stanishevskiy A.V.

Kirov Military Medical Academy

Cherebillo V.Yu.

Pavlov First St. Petersburg State Medical University

Svistov D.V.

Kirov Military Medical Academy

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

Authors:

Abytov S.A., Gavrilov G.V., Skoromets T.A., Stanishevskiy A.V., Cherebillo V.Yu., Svistov D.V.

More about the authors

Journal: Burdenko's Journal of Neurosurgery. 2025;89(1): 75‑82

DOI: 10.17116/neiro20258901175

Read: 906 times

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Table of contents

C-MILL SENSORY TREADMILL IN THE TREATMENT OF IDIOPATHIC NORMOTENSIVE HYDROCEPHALUS
C-MILL SENSORY TREADMILL IN THE TREATMENT OF IDIOPATHIC NORMOTENSIVE HYDROCEPHALUS

To cite this article:

Abytov SA, Gavrilov GV, Skoromets TA, Stanishevskiy AV, Cherebillo VYu, Svistov DV. C-Mill sensory treadmill in the treatment of idiopathic normotensive hydrocephalus. Burdenko's Journal of Neurosurgery. 2025;89(1):75‑82. (In Russ., In Engl.)
https://doi.org/10.17116/neiro20258901175

Подписка 2025 Журнал «Вопросы нейрохирургии» имени Н.Н. Бурденко (Burdenko's Journal of Neurosurgery)
 
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Использование инфографики авторами научных работ
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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.

Keywords:

normotensive hydrocephalus
stabilometry
C-Mill
common center of mass
center of pressure

Authors:

Abytov S.A.

Pavlov First St. Petersburg State Medical University

Gavrilov G.V.

Pavlov First St. Petersburg State Medical University

Skoromets T.A.

Pavlov First St. Petersburg State Medical University;
Hospital for War Veterans

Stanishevskiy A.V.

Kirov Military Medical Academy

Cherebillo V.Yu.

Pavlov First St. Petersburg State Medical University

Svistov D.V.

Kirov Military Medical Academy

Received:

06.05.2024

Accepted:

21.11.2024

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References:

  1. Passaretti M, Maranzano A, Bluett B, Rajalingam R, Fasano A. Gait Analysis in Idiopathic Normal Pressure Hydrocephalus: A Meta-Analysis. Movement Disorders Clinical Practice. 2023;10(11):1574-1584. https://doi.org/10.1002/mdc3.13816
  2. Wang Z, Zhang Y, Hu F, Ding J, Wang X. Pathogenesis and pathophysiology of idiopathic normal pressure hydrocephalus. CNS Neuroscience & Therapeutics. 2020;26(12):1230-1240. https://doi.org/10.1111/cns.13526
  3. Passos-Neto CEB, Lopes CCB, Teixeira MS, Studart Neto A, Spera RR. Normal pressure hydrocephalus: an update. Arquivos de Neuro-Psiquiatria. 2022;80(5 Suppl 1):42-52.  https://doi.org/10.1590/0004-282X-ANP-2022-S118
  4. Yin R, Wen J, Wei J. Progression in Neuroimaging of Normal Pressure Hydrocephalus. Frontiers in Neurology. 2021;12:700269. https://doi.org/10.3389/fneur.2021.700269
  5. Saldarriaga-Cantillo A, Yepes-Gaviria V, Rivas JC. Normal pressure hydrocephalus: Diagnostic delay. Biomedica. 2020;40(4):656-663.  https://doi.org/10.7705/biomedica.5382
  6. Skvortsov DV. Clinical analysis of movements, gait analysis. Biomechanics of normal gait. Moscow: Stimul; 1996. (In Russ.).
  7. Instructions for the C-Mill operator. Clinical guidance. (In Russ.). https://www.motekforcelink.com
  8. Adams RD, Fisher CM, Hakim S, Ojemann RG, Sweet WH. Symptomatic occult hydrocephalus with “normal” cerebrospinal-fluid pressure. a treatable syndrome. The New England Journal of Medicine. 1965;273:117-126.  https://doi.org/10.1056/NEJM196507152730301
  9. Gavrilov GV. Idiopathic Normal Pressure Hydrocephalus (Hakim-Adams Syndrome): Clinical Symptoms, Diagnosis and Treatment [dissertation]. Moscow; 2020. (In Russ.). https://pubmed.ncbi.nlm.nih.gov/32160166/
  10. Skvortsov DV. Diagnosis of motor pathology using instrumental methods: gait analysis and stabilometry. Moscow: T.M. Andreeva; 2007. (In Russ.).
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