Article

OBJECTIVE: To assess the effects of postural rehabilitation (PR) on trunk
asymmetry and balance, with and without Kinesio taping (KT) of the back muscles
as additional treatment, in patients with Parkinson's disease (PD) who have
postural disorders. DESIGN: Single-blind, randomized controlled trial with
1-month follow-up. SETTING: Ambulatory care in referral center. PARTICIPANTS:
Patients (N=20) with PD showing postural abnormalities of the trunk, in the
sagittal and/or coronal plane. INTERVENTIONS: Four weeks of patient-tailored
proprioceptive and tactile stimulation, combined with stretching and postural
reeducation, was provided to 13 subjects (PR group), while 7 received no
treatment (control group). Six of the 13 subjects receiving PR also had KT strips
applied to their trunk muscles, according to the features of their postural
abnormalities. MAIN OUTCOME MEASURES: Berg Balance Scale, Timed Up and Go, and
degrees of trunk bending in the sagittal and coronal planes were assessed at the
enrollment (t0), 1 month later (t1), and 2 months later (t2). RESULTS: At t1, all
treated patients showed a significant improvement in trunk posture in both the
sagittal (P=.002) and coronal planes (P=.01), compared with baseline. Moreover,
they showed an improvement in measures of gait and balance (P<.01). Benefits
persisted at t2 for all measures, except lateral trunk bend. No differences were
found when comparing the PR and KT groups. CONCLUSIONS: The combination of active
posture correction and trunk movements, muscle stretching, and proprioceptive
stimulation may usefully impact PD axial symptoms. Repeated training is advocated
to avoid waning of the effect.
CI - Copyright (c) 2014 American Congress of Rehabilitation Medicine. Published by
Elsevier Inc. All rights reserved.

Langue : ANGLAIS