Postural Rehabilitation and Kinesio Taping for Axial Postural Disorders in Parkinson's Disease

Capecci, Marianna; Serpicelli, Chiara; Fiorentini, Luca; Censi, G; Ferretti, Matteo; Orni, Chiara; Renzi, Rosita; Provinciali, Leandro; Ceravolo, Maria Gabriella

doi:10.1016/j.apmr.2014.01.020

Cited by 84 publications

(120 citation statements)

References 37 publications

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“…In line with our findings, which revealed that 8 weeks of ABCT could improve TKA and CVA, some researchers have confirmed the effectiveness of rehabilitation measures in kyphotic and postural malalignment in PD patients (17,18,42,43). They also showed that kyphosis-induced malalignment resulted in gait impairment and FOF, which could be alleviated in PD patients.…”

Section: Discussionsupporting

confidence: 75%

“…Previous studies have revealed the beneficial effects of corrective exercises and Alexander-based corrective technique (ABCT) in PD patients for correcting the trunk and posture disorders (17)(18)(19), besides reducing falls (20). The physical and social aspects of posture disorders, along with gait and balance attributes, are determining factors for the risk of fall (21,22).…”

Section: Introductionmentioning

confidence: 99%

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Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

et al. 2018

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Background: Patients with idiopathic Parkinson's disease (PD) have a flexed posture and are at an increased risk of falls. In addition, fear of falling (FOF) is among the main complaints of PD patients. To reduce the risk of falling, complex non-drug interventions are required, involving balance-challenging exercises with proper strength, along with posture alignment through corrective exercise interventions (Alexander techniques), which are often utilized to manage patients with PD and thoracic hyperkyphosis. Objectives: To investigate the effects of Alexander-based corrective techniques (ABCT) on forward flexed posture (thoracic hyperkyphosis and forward head posture), risk of falling, and FOF among idiopathic PD patients. Methods: In this interventional study, 26 male and female patients were randomly assigned to the experimental (n, 13) and control groups (n, 13). The subjects participated in a postural realignment program, consisting of 60-minute sessions over 8 weeks (3 sessions per week). Pre-and posttest evaluations were also carried out. Results:The results of paired t test regarding the effects of ABCT on the thoracic kyphosis angle (TKA), craniovertebral angle (CVA), falls efficacy scale-international (FES-I) score, freezing of gait (FOG), and functional reach test (FRT) score revealed a significant difference between the pre-and posttest stages in the control group (P = 0.05). In addition, the t test results showed a significant difference in the mean changes of TKA, FES-I score, FOG, and FRT score between the groups in the pre-and postintervention stages. The Pearson's correlation test showed that TKA had a significant positive correlation with FES-I and FOG in the groups. On the other hand, the results of Pearson's correlation test showed a significant negative correlation between TKA and FRT. Finally, the Pearson's correlation coefficient showed a significant positive correlation between CVA and FES-I, but not FRT in the groups. Conclusions: The findings of this study indicated that 8 weeks (24 sessions) of ABCT in the experimental group caused considerable improvements in TKA, CVA, FOF, FOG, and risk of fall in patients with PD.

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Section: Discussionsupporting

confidence: 75%

Section: Introductionmentioning

confidence: 99%

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

et al. 2018

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“…None of the trials reported blinding of participants or care providers, but except for 4 trials38,42,44,48 all assessors were blinded. The majority of articles demonstrated an adequate followup, but only half of the 22 trials35,36,[38][39][40]43,44,[48][49][50][52][53][54]56 conducted their analyses on the basis of intention-to-treat principles.…”

mentioning

confidence: 99%

Effects of Exercise Therapy on Postural Instability in Parkinson Disease

Klamroth¹,

Steib²,

Devan³

et al. 2016

Journal of Neurologic Physical Therapy

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Exercise therapies specifically addressing balance dysfunction are an important treatment option for improving postural stability in persons with PD. Future studies should investigate sustainability of the short-term effects and establish the dose-response relationship of balance training in persons with PD.Video abstract available for additional insights from the authors (see Video, Supplemental Digital Content 1, http://links.lww.com/JNPT/A121).

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“…No differences were found between patients who received postural rehabilitation plus Kinesio taping bands compared with those receiving postural rehabilitation only. 60 A previous study had also demonstrated the effectiveness of a rehabilitation protocol improving posture and range of motion in patients with lateral trunk flexion; however, the benefit was not sustained and diminished after a few months. 61 …”

Section: Rehabilitationmentioning

confidence: 92%

Pisa Syndrome

Michel¹,

Oscar²,

Correa³

et al. 2015

Clinical Neuropharmacology

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Lateral trunk flexion is often seen in patients with Parkinson disease, sometimes coming on as a subacute phenomenon associated with medication adjustments, and in others with gradual onset that seems related to a neurodegenerative process related to the evolution of the disease.Either acute or subacute presentations seem to be pure abnormalities in the coronal plane and are usually reversible. However, a chronic form occurs often in a combined fashion with anteroposterior flexion (camptocormia), improves only partially, remains stable, or even worsens over time.The acute/subacute phenotype is the condition originally named as Pisa syndrome (PS).The pathophysiology of PS remains poorly understood, and a cholinergic-dopaminergic imbalance has been suggested as being involved in the cause of this disorder. The role of other neurotransmitters and how they become dysfunctional in PS remains to be elucidated.Specific treatments, other than discontinuing the medications responsible for the disorder, whenever possible, are undeveloped because of the unknown etiology.

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Postural Rehabilitation and Kinesio Taping for Axial Postural Disorders in Parkinson's Disease

Cited by 84 publications

References 37 publications

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

Effects of Alexander-Based Corrective Techniques on Forward Flexed Posture, Risk of Fall, and Fear of Falling in Idiopathic Parkinson’s Disease

Effects of Exercise Therapy on Postural Instability in Parkinson Disease

Pisa Syndrome

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