Rehabilitation of Postural Abnormalities in Parkinson's Disease
Parkinson Disease
About this trial
This is an interventional treatment trial for Parkinson Disease focused on measuring postural defect
Eligibility Criteria
Inclusion Criteria:
- Age higher than 18 years old:
- A medical diagnosis of PD confirmed according to the Movement disorders criteria;
- PS defined as at least 10 degrees of lateral trunk flexion that can be reduced by passive mobilization or supine positioning (PS≥10) (Doherty et. al., 2011);
- Camptocormia defined as a flexion (at least 5°) in the sagittal plane originating in the thoracolumbar spine, (classified as upper and lower), manifesting during standing and walking and completely subside in recumbent position (Pandey et. al., 2016);
- Hoehn & Yahr (H&Y) stage <4 in "ON" medication phase.
- Informed consent to participate in the study
Exclusion Criteria:
- Severe dyskinesia or "on-off" fluctuations;
- PD medication modification in the 3 months preceding enrollment into the study;
- Need for assistive devices to rise from a chair or bed; somatic sensation deficits involving the legs;
- Vestibular disorders or paroxysmal vertigo; other neurological, orthopaedic or cardiovascular co-morbidities
Sites / Locations
- AOUI Verona
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Experimental
Control
The experimental group will undergo three groups of exercises: 1) active self-correction exercises (20 minutes) defined as the best possible trunk alignment the patient can achieved in the three-dimensional planes; 2) passive and active trunk stabilization exercises (20 minutes) to improve trunk biomechanical constraint and to counteract the evolution of the misalignment; 3) functional tasks (20 minutes) defined as functional exercises to train the automatic response to maintain the best alignment through the broadest possible range of challenging activities (Romano2015).Training will consist of individualized treatment 60 mins/day, 2 days/week, for 5 consecutive weeks.
The control group will undergo strengthening exercises and gait training as the usual practice in Parkinson Disease. Training will consist of individualized treatment 60 mins/day, 2 days/week, for 5 consecutive weeks (Bartolo et. al., 2010).