None listed
Conditions
Brief summary
The aim of this study is to determine whether osteopathic treatment for low back pain, which influences proprioceptive and nociceptive pathways, could impact the neurophysiological alterations associated with Parkinson’s disease. The study seeks to objectively assess its effects on pain, balance, kinesiophobia, and functional disability related to low back pain, which would ultimately improve patients’ quality of life and autonomy.
Interventions
Osteopathic intervention: we conducted a weekly 1-hour session for a month (a total of 4 sessions), involving a 10-minutes anamnesis (medical history, low back pain intensity during the last week, any change in medication...), 10- minutes questionary (Visual scale analogue and Roland Morris disability questionnaire) and 40-45 minutes of osteopathic treatment by the same osteopath, scheduled at the same day and time each week. The treatment was individualized for each patient according to their reported pain intensity, emotional condition, and degree of stiffness during that week. Various osteopathic techniques (including Mitchell, myofascial release, harmonic, Jones and trigger points) were applied to different body regions (low/upper back, legs, cervical spine, pelvis) according to patient's pain location during that week. The participants continued their regular rehabilitation program (30-min physiotherapy session once or twice a week and theirs weekly activities). No strategies to monitor adherence were implemented.
Sponsors
Study design
Eligibility
Inclusion criteria
Any person diagnosed with Parkinson’s disease (confirmed by a physician) with a Hoehn & Yahr score of 1–3 to homogenize groups, and presenting a low back pain occasional, chronic, or subacute.
Exclusion criteria
Subjects with a score higher than 45 points on the MDS-UPDRS-III scale were excluded to avoid extremes and to homogenize the groups. Patients who are unable to move without assistance were also excluded. Individuals with other severe medical conditions (such as spinal surgery, other neurological condition, cognitive disability...) that may affect the study outcomes, and with contraindications to osteopathic treatment (recent unhealed fracture, acute infection, thrombosis, head trauma...).