Four-week trunk-specific rehabilitation treatment improves lateral trunk flexion in Parkinson's disease

Movement Disorders : Official Journal of the Movement Disorder Society
Michelangelo BartoloGiorgio Sandrini

Abstract

People with Parkinson's disease (PD) often have a posture characterized by lateral trunk flexion poorly responsive to antiparkinsonian drugs. To examine the effects of a rehabilitation programme (daily individual 90-minute-sessions, 5-days-a-week for 4-consecutive weeks) on lateral trunk flexion and mobility, 22 PD patients with mild to severe lateral trunk flexion, and 22 PD patients without trunk flexion were studied. Patients were evaluated using the Unified Parkinson's Disease Rating Scale motor subscale (UPDRS-III) score, and the kinematic behavior of the trunk was recorded by means of an optoelectronic system to determine: a) trunk flexion, inclination and rotation values in the erect standing posture; b) ranges of trunk flexion and inclination during trunk movements. After the treatment, significant decreases in trunk flexion [24 degrees (4) vs. 14 degrees (3), P < 0.001] and inclination in the static condition [23 degrees (5) vs. 12 degrees (4), P < 0.001)] were observed, both of which were maintained at the 6-month follow up. During the trunk flexion task, a significantly increased range of trunk flexion [64 degrees (15) vs. 83 degrees (15), P < 0.001] was observed; similarly, during the lateral bending task, the range...Continue Reading

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Citations

Apr 2, 2014·Sensors·Filippo CasamassimaLaura Rocchi
Feb 11, 2014·Archives of Physical Medicine and Rehabilitation·Marianna CapecciMaria Gabriella Ceravolo
Dec 15, 2015·Aging Clinical and Experimental Research·Joanna StożekAndrzej Szczudlik
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Oct 15, 2011·Movement Disorders : Official Journal of the Movement Disorder Society·Cristina TassorelliEmilia Martignoni
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Oct 26, 2016·Movement Disorders : Official Journal of the Movement Disorder Society·Michele TinazziAlfonso Fasano
Sep 27, 2020·Clinical Neurology and Neurosurgery·Mohammad EtoomDiego Centonze

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