Parkinson Disease, Physical Medicine, Rehabilitation
Conditions
Brief summary
Parkinson's patients have postural disorders. These disorders are frequent in Martinique. Physiotherapeutic rehabilitation is essential because these disorders are generally non dopa-sensitive.
Detailed description
Postural disorders are very common in Martinique, in patients often having an atypical form of the Parkinson's disease. Physiotherapy rehabilitation is essential because these disorders are generally non-dopa-sensitive. Isokinetic muscle strength may reduce postural disorder in Parkinson's disease. Isokinetic device rehabilitation promotes maximum muscular contraction at constant speed; the resistance of the machine continuously adapting to the force developed by the subject. As the spinal muscle strength gain is superior to conventional post-rehabilitation motor function, the improvement in postural instability should be greater than that achieved with conventional rehabilitation. A better postural support should thus result in a decrease in the risk of falling and an improvement in the quality of walking.
Interventions
Conventional rehabilitation session during 7 weeks
OTHERIsokinetic reeducation
Conventional rehabilitation session and isokinetic during 7 weeks
Sponsors
University Hospital Center of Martinique
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
OTHER
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No
Inclusion criteria
* Patient with Parkinson's disease or atypical parkinsonian syndrome * Age ≥18 years * Patient with postural disorders with a cervical arrow\> 6cm in the sagittal plane and / or the axis C7S2 different from 0 in the frontal plane * UPDRS between 10 and 25/108. * Antiparkinsonian treatment stabilized for 8 weeks * MMS test\> 25 * Insured person or beneficiary of social security
Exclusion criteria
* Patient with a neurological condition other than parkinsonian syndrome * Patient with rheumatic disease * Patient with a history of trunk surgery * Patient with a brain stimulator * Cardiac pathology not stabilized * Incapacitated adult, or under guardianship, or under curatorship or under judicial protection curatorship
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Patient posture | After 8 weeks of reeducation | Measure in centimetres from the arrow to C7 |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Walking speed | After 8 weeks of reeducation | Carry out a 10-metre Walk Test |
| Spinal muscle strength | After 8 weeks of reeducation | Static contraction measured in holding time in seconds |
| Improvement of balance | After 8 weeks of reeducation | Increasing the score on the BERG BALANCE SCALE BETWEEN 0 - 56. |
Countries
Martinique
Contacts
Primary ContactSophia SABINE
Backup ContactCorine CARPIN
Outcome results
None listed