Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

De Vitis, Andrea; Battaglino, Andrea; Sinatti, Pierluigi; Sánchez Romero, Eleuterio A.; Bissolotti, Luciano; Cotella, Diego; Villafañe, Jorge Hugo

doi:10.1097/tgr.0000000000000413

Cited by 3 publications

(2 citation statements)

References 39 publications

(124 reference statements)

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“…Taking into account the number of scientific articles that relate gait training to the use of new rehabilitation methods, it can be inferred that the attention given to conventional gait training methods is scarce, but not the same for those articles that focus on the use of new technologies [23][24][25][26][27].…”

Section: Discussionmentioning

confidence: 99%

Effects of a Gait Training Program on Spinal Cord Injury Patients: A Single-Group Prospective Cohort Study

Echemendía del Valle,

Bender del Busto,

Sentmanat Belisón

et al. 2023

JCM

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Introduction: Spinal cord injury is defined as the pathological process produced by any etiology affecting the spinal cord, which may alter motor, sensory, and/or autonomic function below the level of the lesion. The complexity of the neurological deficit and, therefore, the resulting clinical picture depends on the level of the lesion, the extent, and the affectation of the white or gray substance. This injury can totally or partially affect the ability to walk, and its highest priority with respect to mobility is to restore the ability to walk. All of which make the improvement of the methods used in their rehabilitation a top priority for health systems. Objective: The main objective of this study was to evaluate the effect of a gait training program for patients with spinal cord injuries. Material and Methods: A single-group, prospective cohort study was developed following the Strengthening the Reporting of Observational Studies in Epidemiology Guidelines (STROBE) at the International Center for Neurological Restoration of Siboney Playa (Havana, Cuba) from May 2020 to July 2021 with a sample of 30 patients by accidental or deliberate non-probabilistic sampling that met the expected inclusion criteria, who underwent a physical rehabilitation program for 8 weeks of work. Results: Statistically significant changes were observed in the overall course, by sex, by topographic level of lesion, and by functional class. Conclusions: The gait training program used produced significant changes in thoracic spinal cord injured patients regardless of the level of injury, sex, or functional class of the patient.

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Section: Discussionmentioning

confidence: 99%

Effects of a Gait Training Program on Spinal Cord Injury Patients: A Single-Group Prospective Cohort Study

Echemendía del Valle,

Bender del Busto,

Sentmanat Belisón

et al. 2023

JCM

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“…However, a significant group of these patients presents more severe postural abnormalities on the sagittal or frontal planes, including camptocormia, antecollis, Pisa syndrome, and scoliosis [ 3 , 4 ]. These severe postural deformities are usually linked to considerable disabilities and have a multifactorial etiology [ 5 ].…”

Section: Introductionmentioning

confidence: 99%

Gender-Specific Differences in Spinal Alignment and Muscle Power in Patients with Parkinson’s Disease

Bissolotti,

Rota,

Calza

et al. 2024

Diagnostics

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Background: Parkinson’s disease (PD) is an advancing neurodegenerative disorder characterized by spinal anomalies and muscular weakness, which may restrict daily functional capacities. A gender-focused examination of these effects could provide valuable insights into customized rehabilitation strategies for both sexes. Purpose: This study investigates the influence of spinal alignment on lower-limb function during the sit-to-stand (STS) movement in patients with Parkinson’s disease compared to healthy individuals. Methods: A cross-sectional study was conducted with 43 consecutive patients with PD (25 males and 18 females; average age 73.7 ± 7.1 years) and 42 healthy controls (22 males and 20 females; average age 69.8 ± 6.0 years). Assessments included the International Physical Activity Questionnaire (IPAQ), Hoehn and Yahr staging, and measurements of vertical deviations from several spinal landmarks. Lower-limb muscle power during the STS task was evaluated using the Muscle Quality Index (MQI). Results: Both absolute (Watts) and relative (Watts/Kg) muscle power in the lower limbs were notably decreased in the PD group compared to the control group. Within the PD cohort, muscle power showed a negative relationship with age and a positive association with the degree of lumbar lordosis (PL-L3). Importantly, gender-specific analysis revealed that male patients with PD had significantly higher lower-limb muscle power compared to female patients with PD, highlighting the need for gender-tailored therapeutic approaches. Conclusions: The findings suggest that preserving lumbar lordosis is crucial for maintaining effective lower-limb muscle biomechanics in individuals with Parkinson’s disease.

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Pain in non-communicative older adults beyond dementia: a narrative review

Tagliafico,

Maizza,

Ottaviani

et al. 2024

Front. Med.

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Aging is associated with an increased risk of developing pain, especially in the presence of concurrent chronic clinical conditions. Similarly, multimorbidity can affect the perception and ability of older adults to appropriately respond to and communicate pain, and there is a clinical heterogeneity in the processing of painful sensations in different neurological conditions. The present narrative review is aimed at assessing the prevalent diseases associated with poor communication and pain in older adults, together with the available diagnostic instruments for the clinical assessment of pain in such a vulnerable population. Dementia was the most described pathology identified in the current literature associated with poor communication in older adults affected by pain, along with Parkinson’s disease and stroke. Notably, a common pattern of pain behaviors in these neurological disorders also emerged, indicating potential similarities in the clinical presentation and appropriate diagnostic workout. At the same time, there are many differences in the way patients express their pain according to their main neurological pathology. In addition to this, although a plethora of observation-based tools for pain in patients with dementia have been developed, there is no gold standard, and the clinical utility of such measurements is still largely unaddressed. Meanwhile, there is substantially no standardized observation-based tool for pain in non-communicative patients with Parkinson’s disease, and only a few for stroke. Overall, the present narrative review provides an update on the prevalent diseases beyond dementia associated with a communicative disability and a painful condition in older adults.

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Effects of Telemedicine for Postural Instability in Independent Patients With Parkinson's Disease

Cited by 3 publications

References 39 publications

Effects of a Gait Training Program on Spinal Cord Injury Patients: A Single-Group Prospective Cohort Study

Effects of a Gait Training Program on Spinal Cord Injury Patients: A Single-Group Prospective Cohort Study

Gender-Specific Differences in Spinal Alignment and Muscle Power in Patients with Parkinson’s Disease

Pain in non-communicative older adults beyond dementia: a narrative review

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