Article

Subjects affected by Parkinson's disease have substantially impaired
static and dynamic balance, leading to diminished functional ability.
Conventional and innovative exercises have been suggested, but most of them were
focused on motor features of posture and gait, deserving poor attention to
perceptive aspects of balance. OBJECTIVE: To evaluate the efficacy of the
perceptive rehabilitation, based on perceptual surfaces, for postural balance
(primary aim) and pain, depression and activity daily living.
METHODS: In this
pilot study, we have treated 9 patients with Parkinson's disease undergone
rehabilitation aiming to restoring their correct body midline perception,
according a schema treatment - no treatment - treatment. RESULTS: During the
rehabilitative intervention, both Tinetti balance score (p = 0.007 in both
phases) and Tinetti gait score (p = 0.011 and p = 0.016, respectively), such as
pain relief assessed by Visual Analogue Scale (p = 0.011, p = 0.010) were
improved. Conversely in the phase of no-intervention, lasting the same amount of
time, it was showed a significant reduction of Tinetti Balance score (p = 0.010)
and no significant changes in terms of Tinetti Gait score and Visual Analogue
Scale. CONCLUSIONS: These preliminary results highlighted the importance of
introducing perceptive training into the exercises proposed to patients with
Parkinson's disease for reducing both their static and dynamic balance
impairments.

Langue : ANGLAIS