Effects of postural exercises in patients with Parkinson's disease and Pisa syndrome: A pilot study

Francesco Lena, Ennio Iezzi, Mohammad Etoom, Marco Santilli, Diego Centonze, Calogero Foti, Giovanni Grillea, Nicola Modugno

Research output: Contribution to journalArticlepeer-review

Abstract

BACKGROUND: Pisa syndrome (PS) or lateral axial dystonia is often seen in patients with Parkinson's disease (PD). It is characterized by a marked and reversible lateral flexion of the trunk (LFT) more than 10°. OBJECTIVE: To assess the effectiveness of a program of postural exercises and assess the effectiveness in term of pattern of muscular hyperactivity. METHODS: A total of 6 patients with PD and PS enrolled in the program of 10 sessions of postural exercise (90min/session). EMG of thoraco-lumbar paraspinal muscles was performed to detect the pattern of muscular hyperactivity. Outcomes were examined using the Unified Parkinson's Disease Rating Scale part II and part III, degree of LFT and Visual Analogues Scale for back pain. RESULTS: EMG showed two patterns of muscular hyperactivity; ipsilateral to the bending side and contralateral to the bending side. The exercise improved the outcomes in both groups. Patients with muscular hyperactivity ipsilateral to the bending side gained more improvements. CONCLUSION: Our results show that the exercise may be considered as a possible treatment for patients with PD and PS irrespective of the pattern of muscular activation. The effectiveness of exercise differed according to the pattern of muscular activation.

Original languageEnglish
Pages (from-to)423-428
Number of pages6
JournalNeuroRehabilitation
Volume41
Issue number2
DOIs
Publication statusPublished - Jan 1 2017

Keywords

  • axial bending
  • dystonia
  • exercise
  • lateral trunk flexion
  • Parkinson's disease
  • Pisa syndrome
  • rehabilitation

ASJC Scopus subject areas

  • Physical Therapy, Sports Therapy and Rehabilitation
  • Rehabilitation
  • Clinical Neurology

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