Clinical trial NCT04492345: Assessment of a Special Modality of Back Muscles Strengthening for Postural Deformations in Parkinsonian Patient
Official title: Impact of Isocinetism on the Disorders of the Spinal Statics of the Parkinsonian Patient
Study type: INTERVENTIONAL
Overall status: RECRUITING
Phase: NA
Conditions: Parkinson Disease
Physical Medicine
Rehabilitation
Lead sponsor: University Hospital Center of Martinique
Sponsor class: OTHER
First posted: 2020-07-30
Enrollment: 30
Sex: ALL
Minimum age (years): 18
Maximum age (years): 85
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: OTHER

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.

Eligibility criteria: 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

Primary outcomes:
measure: Patient posture
timeFrame: After 8 weeks of reeducation
Secondary outcomes:
measure: Spinal muscle strength
timeFrame: After 8 weeks of reeducation
measure: Spinal muscle strength
timeFrame: After 8 weeks of reeducation
measure: Improvement of balance
timeFrame: After 8 weeks of reeducation
measure: Walking speed
timeFrame: After 8 weeks of reeducation
Other outcomes:
Locations:
city: Le Lamentin
country: Martinique
facility: CHU de Martinique
Study officials:
affiliation: CHU Martinique
name: Sabine SOPHIA
role: PRINCIPAL_INVESTIGATOR
References:
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