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Water-based vs. non-water-based physiotherapy for rehabilitation of postural deformities in Parkinson's disease

VOLPE D; GIANTIN MG; MANUELA P; FILIPPETTO C; PELOSIN E; ABBRUZZESE G; ANTONINI A
CLIN REHABIL , 2017, vol. 31, n° 8, p. 1107-1115
Doc n°: 183755
Localisation : Documentation IRR

D.O.I. : http://dx.doi.org/DOI:10.1177/0269215516664122
Descripteurs : AF5 - PARKINSON, DF13 - REEDUCATION - EQUILIBRATION

OBJECTIVE: To compare the efficacy of two physiotherapy protocols (water-based
vs. non-water-based) on postural deformities of patients with Parkinson's
disease. DESIGN: A single blind, randomized controlled pilot study. SETTING: Inpatient (Rehabilitative Department). PARTICIPANTS:
A total of 30 patients with
idiopathic Parkinson's disease. INTERVENTIONS: Participants were randomly
assigned to one of two eight-week treatment groups:
Water-based ( n = 15) or
non-water-based physiotherapy exercises ( n = 15). OUTCOME MEASURES: Changes in
the degree of cervical and dorsal flexion and in the angle of lateral inclination
of the trunk (evaluated by means of a posturographic system) were used as primary
outcomes. Unified Parkinson Disease Rating Scale section III, Time Up and Go
Test, Berg Balance Scale, Activities-specific Balance Confidence, Falls Efficacy
Scale and the Parkinson's disease quality of life questionnaire (39 items) were
the secondary outcomes. All outcomes were assessed at baseline, at the end of
training and eight weeks after treatment. Patients were always tested at the time
of their optimal antiparkinsonian medication ('on' phase). RESULTS: After the
treatment, only Parkinson's disease subjects randomized to water-based treatment
showed a significant improvement of trunk posture with a significant reduction of
cervical flexion (water-based group: -65.2 degrees ; non-water-based group: +1.7
degrees ) and dorsal flexion (water-based group: -22.5 degrees ; non-water-based
group: -6.5 degrees ) and lateral inclination of the trunk (water-based group:
-2.3 degrees ; non-water-based group: +0.3 degrees ).
Both groups presented
significant improvements in the secondary clinical outcomes without between-group
differences. CONCLUSION:
Our results show that water-based physiotherapy was
effective for improving postural deformities in patients with Parkinson's disease.

Langue : ANGLAIS

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