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

Study Overview
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Brief Summary
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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
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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.

Official Title
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Impact of Isocinetism on the Disorders of the Spinal Statics of the Parkinsonian Patient

Conditions
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Parkinson Disease, Physical Medicine, Rehabilitation

Intervention / Treatment
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* Other: Isokinetic reeducation
* Other: Conventional reeducation


Participation Criteria
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Eligibility Criteria
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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

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 85 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Other
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Experimental<br>Patient with conventional rehabilitation session and isokinetic reeducation during 7 weeks | Other: Isokinetic reeducation<br>* Conventional rehabilitation session and isokinetic during 7 weeks<br>|
| Other: Control<br>Patient with conventional rehabilitation session during 7 weeks | Other: Conventional reeducation<br>* Conventional rehabilitation session during 7 weeks<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Patient posture | Measure in centimetres from the arrow to C7 | After 8 weeks of reeducation | 

Secondary Outcome Measures

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