Combined rehabilitation program for postural instability in progressive supranuclear palsy.
NeuroRehabilitation
; 32(4): 855-60, 2013.
Article
en En
| MEDLINE
| ID: mdl-23867411
ABSTRACT
BACKGROUND:
Progressive supranuclear palsy (PSP) is an atypical parkinsonism clinically characterized by prominent axial extrapyramidal motor symptoms with frequent falls. The clinical response to L-dopa is poor and there is strong need for alternative treatment strategies.METHODS:
We tested the efficacy of a rehabilitative program combining a dynamic antigravity postural system (SPAD) and a vibration sound system (ViSS) on postural instability of 10 patients affected by PSP. The patients underwent SPAD and VISS treatments with a 3 sessions/week schedule for 2 months. Patients were clinically examined at baseline, every week during the 2-months treatment, and at 1 month after the end of treatment for the following parameters baropodometry static, baropodometry dynamic and stabilometry. PSP rating scale and PD36 quality of life scale were also administered.RESULTS:
The combined rehabilitative program produced improvement of all the parameters explored (p = 0.01-0.05) at the end of treatment as compared to baseline. Baropodometric dynamics improvement lasted until the end of follow-up.CONCLUSION:
Our results suggest that a specific rehabilitation program could improve postural instability in PSP patients. A more continuous treatment protocol would allow stabilizations of results.
Texto completo:
1
Banco de datos:
MEDLINE
Asunto principal:
Parálisis Supranuclear Progresiva
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Trastornos de la Sensación
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Equilibrio Postural
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Terapia por Ejercicio
Tipo de estudio:
Evaluation_studies
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Guideline
Límite:
Aged
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Female
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Humans
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Male
Idioma:
En
Año:
2013
Tipo del documento:
Article