Rehabilitation in Parkinson Disease Cyclone in Life (IRMA)
Parkinson Disease, Physical Disability
About this trial
This is an interventional treatment trial for Parkinson Disease
Eligibility Criteria
Inclusion Criteria: Hoehn & Yahr between 2.0 and 3.0; No need for a walking aid; Mini-Mental State Examination (MMSE) score >24; Effective dopaminergic pharmacological control; Absence of other relevant neurological comorbidities; Absence of postural deformities (and/or Pisa syndrome); Absence of severe cardiological pathologies (exertional angina, severe decompensation). Ability to travel to the rehabilitation treatment site independently or with support Exclusion Criteria: presence of Deep Brain Stimulation (DBS); presence of severe heart and/or lung disease; presence of therapeutic regimen in the definition phase; impaired joint and/or motor function to follow a proposed rehabilitation treatment programme contraindications to performing MRI scans undergoing rehabilitation therapy in the 3 months preceding enrolment.
Sites / Locations
- IRCCS Centro Neurolesi "Bonino-Pulejo"
Arms of the Study
Arm 1
Arm 2
No Intervention
Experimental
control GROUP
irma group
This group will perform 8 continuous weeks of treatment, 5 days a week, for a total of 180 minutes, including muscle stretching, joint range increase with passive and active assisted mobilization sessions of the scapulohumeral and pelvic girdles. Motor coordination exercises. Postural exercises with exercises for trunk control in sitting and standing positions with feedback and feed-forward techniques. gait training; gait training; proprioceptive exercises and exercises to maintain static and dynamic balance in monopodalica; strengthening of trunk muscles; postural exercises, muscle relaxation/stretching, release of the tracks; re-education in postural passages and transfers with fall prevention strategies.
This group will perform 8 continuous weeks of treatment, 5 days a week, for a total of 180 minutes, including muscle stretching, increasing joint range with assisted passive and active mobilisation sessions of the scapulohumeral and pelvic girdles. Motor coordination exercises. Postural exercises with exercises for trunk control in sitting and standing with feedback and feed-forward technique. Gait training; gait training; proprioceptive exercises and static and dynamic balance maintenance in monopodalics; trunk muscle strengthening; postural exercises, muscle relaxation/relaxation, caterpillar release; re-education in postural transitions and transfers with fall prevention strategies. Prior to neuromotor rehabilitation treatment, the subjects will undergo rehabilitation training using the NIRVANA augmentative reality system.