Four-week trunk-specific exercise program decreases forward trunk flexion in Parkinson's disease: A single-blinded, randomized controlled trial
Autor: | Marialuisa Gandolfi, Giulia Busselli, Nicola Smania, Niccolò Polo, Eleonora Kirilova Dimitrova, Paolo Manganotti, Christian Geroin, Francesca Magrinelli, Alfonso Fasano, Michele Tinazzi |
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Přispěvatelé: | Gandolfi, M., Tinazzi, M., Magrinelli, F., Busselli, G., Dimitrova, E., Polo, N., Manganotti, P., Fasano, A., Smania, N., Geroin, C. |
Rok vydání: | 2019 |
Předmět: |
Male
0301 basic medicine Joint mobilization Parkinson's disease medicine.medical_treatment Camptocormia 0302 clinical medicine Outcome Assessment Health Care Fall Postural Balance Single-Blind Method Rehabilitation Neurological Rehabilitation Torso Parkinson Disease Middle Aged Exercise Therapy Neurology Falls Female Quality of life medicine.medical_specialty Spinal Curvatures Bent spine syndrome Postural balance Muscular Atrophy Spinal 03 medical and health sciences Physical medicine and rehabilitation medicine Humans Aged Balance (ability) Proprioception business.industry medicine.disease Trunk Gait 030104 developmental biology Quality of Life Accidental Falls Neurology (clinical) Geriatrics and Gerontology business 030217 neurology & neurosurgery Follow-Up Studies |
Zdroj: | Web of Science |
ISSN: | 1353-8020 |
Popis: | Introduction Pathological forward trunk flexion is a disabling and drug-refractory motor complication of Parkinson's disease (PD) leading to imbalance, pain, and fall-related injuries. Since it might be reversible, early and multidisciplinary management is emphasised. The primary aim was to compare the effects of a four-week trunk-specific rehabilitation program on the severity of the forward trunk flexion. The secondary aim was to compare the training effects on the motor impairments, dynamic and static balance, pain, falls, and quality of life. Methods 37 patients with PD (H&Y ≤ 4) and forward trunk flexion were randomized in the experimental (n = 19) or control group (n = 18). The former consisted of active self-correction exercises with visual and proprioceptive feedback, passive and active trunk stabilization exercises and functional tasks. The latter consisted of joint mobilization, muscle strengthening and stretching, gait and balance exercises. Protocols lasted 4 weeks (60 min/day, 5 days/week). Before, after, and at 1-month follow-up, a blinded examiner evaluated patients using primary and secondary outcomes. The primary outcome was the forward trunk flexion severity (degree). Secondary outcomes were the UPDRS III, dynamic and static balance, pain falls, and quality of life assessment. Results The experimental group reported a significantly greater reduction in forward trunk flexion than the control group from T0 to both T1 (p = 0.003) and T2 (p = 0.004). The improvements in dynamic and static balance were significantly greater for the experimental group than the control group from T0 to T2 (p = 0.017 and 0.004, respectively). Comparable effects were reported on the other outcomes. Pre-treatment forward trunk flexion values were highly correlated to post-treatment trunk deviation changes. Conclusion The four-week trunk-specific rehabilitation training decreased the forward trunk flexion severity and increased postural control in patients with PD. NCT03741959. |
Databáze: | OpenAIRE |
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