A Rehabilitative Approach in Patients With Parkinson's Disease
Parkinson's Disease
About this trial
This is an interventional treatment trial for Parkinson's Disease focused on measuring Posture, Pain, Muscle stretching, Mézières method, Camptocormia, Trunk control
Eligibility Criteria
Inclusion Criteria:
- Diagnosis od idiopathic Parkinson's disease (according to UK Brain Bank Criteria), Hoehn-Yahr stage ≤3 (determined during "on phase"), Mini Mental State Examination (MMSE) > or = 27, no rehabilitation treatment carried out within 3 months prior to the study, diagnosis of Parkinson's disease by at least 5 years.
Exclusion Criteria:
- Dyskinesias
- Severe fluctuations "on-off"
- Modifications of anti-Parkinsonian drug therapy during the three months prior to the start of the study)
- Sensitivity deficit of the trunk or lower extremities (physical examination)
- Vestibular disorders or paroxysmal vertigo
- Previous thoracic or abdominal surgery
- Other neurological or orthopedic conditions involving the trunk or lower extremities (musculoskeletal diseases, severe osteoarthritis, peripheral neuropathy, prosthetic surgery)
- Cardiovascular comorbidities (recent myocardial infarction, heart failure, uncontrolled hypertension, orthostatic hypotension)
Sites / Locations
- Umberto I Hospital
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Mézières Method group
Home based exercise program group
Sessions of exercises for the recovery of midline symmetry, diaphragmatic breathing exercises, stretching of the latissimus dorsi respecting the global elongation according to the Mézières Method.
Sessions of home based exercises performed by the patients at their domicile after a training session about the exercise program made by a physiotherapy. The exercises aimed at promoting trunk control in static and dynamic position according to the specific guidelines for Parkinson's disease and proprioceptive exercises for the recovery of balance. An illustrated exercises booklet was given to the patient.