Postural instability in Parkinson’s disease: Review and bottom-up rehabilitative approaches

Autor: Martin Simoneau, Luc Defebvre, Arnaud Delval, Frédéric Viseux
Přispěvatelé: Laboratoire d'Automatique, de Mécanique et d'Informatique industrielles et Humaines - UMR 8201 (LAMIH), Centre National de la Recherche Scientifique (CNRS)-Université Polytechnique Hauts-de-France (UPHF)-INSA Institut National des Sciences Appliquées Hauts-de-France (INSA Hauts-De-France), Lille Neurosciences & Cognition - U 1172 (LilNCog (ex-JPARC)), Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Lille-Centre Hospitalier Régional Universitaire [Lille] (CHRU Lille), Centre Interdisciplinaire de Recherche en Réadaptation et Intégration Sociale (CIRRIS), Université Laval [Québec] (ULaval), Institut National des Sciences Appliquées (INSA)-Institut National des Sciences Appliquées (INSA), Lille Neurosciences & Cognition - U 1172 (LilNCog)
Rok vydání: 2020
Předmět:
Zdroj: Neurophysiologie Clinique/Clinical Neurophysiology
Neurophysiologie Clinique/Clinical Neurophysiology, Elsevier Masson, 2020, 50 (6), pp.479-487. ⟨10.1016/j.neucli.2020.10.013⟩
Neurophysiologie Clinique = Clinical Neurophysiology
Neurophysiologie Clinique = Clinical Neurophysiology, 2020, 50 (6), pp.479-487. ⟨10.1016/j.neucli.2020.10.013⟩
ISSN: 0987-7053
DOI: 10.1016/j.neucli.2020.10.013
Popis: International audience; The aims of this narrative review are to provide scientific support to characterize the postural instability commonly observed in Parkinson's disease (PD), and to emphasize how bottom-up rehabilitation programs stimulating the sole of the foot can improve postural stability in PD. Postural instability is a typical characteristic of individuals with PD, which increases the frequency of falls and may worsen their consequences. It thus seems relevant to diagnose these alterations as early as possible, in order to develop specific rehabilitative treatment. The association between sensitivity of the sole of the foot and postural instability in individuals with PD is linked to the key role of peripheral alterations of the sensorimotor system in balance and motor symptoms. By enhancing sensory feedback coming from the feet, bottom-up stimulation allows patients to improve their sensorimotor control. In clinical practice, health practitioners can use sensory stimulation to improve postural control. By improving postural stability, a decrease in fall risk can be achieved and the secondary impairments associated with falls prevented.
Databáze: OpenAIRE