The role of sensory cues in the rehabilitation of parkinsonian patients: A comparison of two physical therapy protocols

Marchese, Roberta; Diverio, Manuela; Zucchi, F.; Lentino, Carmelo; Abbruzzese, Giovanni

doi:10.1002/1531-8257(200009)15:5<879::aid-mds1018>3.0.co;2-9

Cited by 151 publications

(138 citation statements)

References 20 publications

(14 reference statements)

Supporting

Mentioning

119

Contrasting

Unclassified

Order By: Relevance

“…Additionally we identified two systematic reviews of the same topic. 44,45 The physiotherapy interventions included multidisciplinary rehabilitation including standard physical therapy and occupational therapy components 46 ; "cued" exercises with visual (mirror), auditory (metronome), and tactile feedback 47 ; treadmill training with body weight support 48,49 ; balance training and high-intensity resistance training 50 ; and active muscle therapy. 51 Some trials relied on techniques such as muscle stretch and reinforced patterns of movement and active muscle contraction designed to facilitate proprioceptive neuromuscular function.…”

Section: Question 2 Are There Any Nonstandard Pharmacologic or Nonphmentioning

confidence: 99%

Practice Parameter: Neuroprotective strategies and alternative therapies for Parkinson disease (an evidence-based review): [RETIRED]

et al. 2006

View full text Add to dashboard Cite

show abstract

Section: Question 2 Are There Any Nonstandard Pharmacologic or Nonphmentioning

confidence: 99%

Practice Parameter: Neuroprotective strategies and alternative therapies for Parkinson disease (an evidence-based review): [RETIRED]

et al. 2006

View full text Add to dashboard Cite

show abstract

“…These results suggest that people with PD not only retain ability for motor adaptation but also that such adaptive strategies may provide functional benefit. Patients with PD also respond better to external rather than internally generated cues to trigger voluntary movement (Horstink et al, 1990, Bagley et al, 1991, Majsak et al, 1998, Marchese et al, 2000, Siegert et al, 2002. Treadmill training is beneficial in improving gait parameters and reducing the number of falls in people with PD (Pohl et al, 2003, FrenkelToledo et al, 2005, Protas et al, 2005.…”

Section: Introductionmentioning

confidence: 99%

Podokinetic after-rotation in Parkinson disease

2007

View full text Add to dashboard Cite

Walking on a rotating platform for 15 minutes causes healthy subjects to involuntarily turn when walking without vision. This adaptive response, called podokinetic after-rotation (PKAR), uses the same kinematic patterns as voluntary turning suggesting that PKAR and voluntary turning share common mechanisms. The purpose of this study is to determine whether people with Parkinson disease (PD), a condition that produces substantial disability from turning difficulties, can adapt to the rotating platform. Initial testing of people with PD revealed that most were unable to step on the rotating platform for 15 continuous minutes. We thus tested a less intense version of the paradigm in eight healthy people. On one day, subjects walked on the platform for 15 continuous minutes; on another day, they walked on the platform for three 5 minutes intervals separated by 5 minute rests. After both sessions, subjects rested for 5 min. then walked in place for 30 min. without vision, while we recorded rotational velocity of PKAR. Continuous and interval protocols effectively elicited robust PKAR. We then tested eight subjects with PD and matched controls using the 5 min. interval protocol and recorded PKAR responses for 10 min. There were no significant differences between the PD and control groups. We conclude that PD subjects can adapt to the rotating platform and develop PKAR from interval training. Future studies are needed to determine whether the rotating platform may act as a rehabilitative tool to reinforce motor patterns for turning and alleviate turning difficulties in people with PD.

show abstract

“…Posture evaluation was performed using UPDRS (items 29-30). The group that performed the exercises with external stimulating signals showed similar results after six weeks, while the group that did not perform exercise with external stimulating signals showed a fourpoint increase in score, without significant difference 24) . This indicates that exercise for six weeks does not result in significant benefits for subjects.…”

Section: Discussionmentioning

confidence: 83%

The Effect of Standing Posture-enhancing Exercise on Parkinson’s Disease Patients’ Turning Around Motion

et al. 2012

View full text Add to dashboard Cite

Abstract.[Purpose] The aim of the present study was to evaluate the effects of shoulder external rotation and trunk extension exercises on standing posture improvement using the turning around motion of patients with Parkinson's disease.[Methods] Sixteen patients with Parkinson's disease performed shoulder external rotation and trunk extension exercises in three sets of ten times a set, three days a week, for twelve weeks. To measure turning around, the ink footprint method was used. The number of steps and the time taken were measured every week from before until the end of the study.

show abstract

The role of sensory cues in the rehabilitation of parkinsonian patients: A comparison of two physical therapy protocols

Cited by 151 publications

References 20 publications

Practice Parameter: Neuroprotective strategies and alternative therapies for Parkinson disease (an evidence-based review): [RETIRED]

Practice Parameter: Neuroprotective strategies and alternative therapies for Parkinson disease (an evidence-based review): [RETIRED]

Podokinetic after-rotation in Parkinson disease

The Effect of Standing Posture-enhancing Exercise on Parkinson’s Disease Patients’ Turning Around Motion

Contact Info

Product

Resources

About