Assessment of a Special Modality of Back Muscles Strengthening for Postural Deformations in Parkinsonian Patient

Not Applicable

Recruiting

• Conditions: Physical Medicine; Rehabilitation; Parkinson Disease
• Interventions: Other: Isokinetic reeducation; Other: Conventional reeducation

• Registration Number: NCT04492345
• Lead Sponsor: University Hospital Center of Martinique

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.

Study Timeline

• Study First Submitted: 2020-04-21
• Study First Submitted QC: 2020-07-28
• Study First Posted: 2020-07-30
• Study Start: 2021-06-11
• Status Verified: 2024-02
• Last Update Submitted: 2024-02-12
• Last Update Posted: 2024-02-14
• Primary Completion: 2026-04
• Study Completion: 2026-06

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 30

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

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Experimental	Isokinetic reeducation	Patient with conventional rehabilitation session and isokinetic reeducation during 7 weeks
Control	Conventional reeducation	Patient with conventional rehabilitation session during 7 weeks

Primary Outcome Measures

Name	Time	Method
Patient posture	After 8 weeks of reeducation	Measure in centimetres from the arrow to C7

Secondary Outcome Measures

Name	Time	Method
Spinal muscle strength	After 8 weeks of reeducation	Isokinetic contraction measured by a force in Newton/Kg and an abdominal spinal ratio of 66%.
Walking speed	After 8 weeks of reeducation	Carry out a 10-metre Walk Test
Improvement of balance	After 8 weeks of reeducation	Increasing the score on the BERG BALANCE SCALE BETWEEN 0 - 56.

Trial Locations

Locations (1)

CHU de Martinique; 🇲🇶 Le Lamentin, Martinique