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Effects of a posture shirt with back active correction keeper on static and dynamic balance in Parkinson's disease
Institution:1. Clinical Laboratory of Experimental Neurorehabilitation, IRCCS Fondazione Santa Lucia, Rome, Italy;2. Department of Psychology, Sapienza University of Rome, Italy;3. Laboratory for the Study of Mind and Action in Rehabilitation Technologies, SmArt Lab, IRCCS Fondazione Santa Lucia, Rome, Italy;4. Aerospace and Mechanical Engineering Department, Sapienza University of Rome, Italy;5. Department of Medical and Oral Sciences and Biotechnologies, University “G.d''Annunzio”, Chieti-Pescara, Italy;6. Department of Life, Health and Environmental Sciences, University of L''Aquila, 67100, L''Aquila, Italy;1. Department of Psychology, Educational Sciences and Human Movement, University of Palermo, Italy;2. NEUROFARBA Department, University of Firenze, Italy;3. NeuroTeam Life and Sciences, Palermo, Italy;4. Regional Sport School of CONI Sicilia, Italy;5. Postura LAB, Palermo, Italy;1. Department of Rehabilitation, Ibaraki Prefectural Central Hospital, Kasama-city, Ibaraki, Japan;2. Graduate School of Health Science, Ibaraki Prefectural University of Health Sciences, Ami, Ibaraki, Japan;3. Department of Physical Therapy, Ibaraki Prefectural University of Health Sciences, Ami, Ibaraki, Japan;4. Master Course of Science in Physical Therapy, Takasaki University of Health and Welfare Graduate School of Health Care, Takasaki-city, Gunma, Japan;1. Department of Mechanical Engineering, The University of Michigan, Ann Arbor, MI, USA;2. Department of Industrial and Systems Engineering, Virginia Tech University, Blacksburg, USA;1. Department of Physiotherapy University of Social Welfare and Rehabilitation Sciences, Tehran, Iran;2. Department of Radiology, Medical Imaging Research Center, Shiraz University of Medical Sciences, Shiraz, Iran;3. Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, GA, USA;4. Department of Health Promotion and Physical Education, Wellstar College of Health and Human Services, Kennesaw State University, Kennesaw, GA, USA;1. Spanish Football Federation, Physiotherapy Team, Madrid, Spain;2. Department of Physical Therapy, Occupational Therapy, Rehabilitation and Physical Medicine, Universidad Rey Juan Carlos, Madrid, Spain;3. Orthopaedic Surgery, Traumatology and Rehabilitation Department, Hospital Universitario Fundación Alcorcón, Madrid, Spain;4. Department of Preventive Medicine & Public Health, Universidad Rey Juan Carlos, Madrid, Spain;5. Baylor University Doctoral Program in Physical Therapy, Waco, TX, USA
Abstract:BackgroundPatients with Parkinson's disease (PD) suffer from postural disorders. This study aims at investigating the short- and medium-term effects of a shirt with appropriate tie-rods that allows to correct the posture of the trunk.MethodsThis is a longitudinal clinical study in which a pressure platform was used to assess the static and dynamic baropodometry and the static stabilometry of 20 patients with PD (70.95 ± 8.39 years old; 13 males, time from the onset of symptoms: 6.95 ± 4.04 years, Unified Parkinson's Disease Rating Scale score: UPDRS = 7.25 ± 6.26) without and with a shirt, specifically designed for improving posture, at baseline and after one month of wearing.ResultsThe results showed a significant improvement in symmetry of loads (p = 0.015) and an enlargement of the foot contact surface (p = 0.038). A significant correlation was found between the change in forefoot load and time spent daily in wearing the shirt (R = 0.575, p = 0.008), with an optimal value identified at 8 h per day.ConclusionThe use of a postural shirt in patients with PD symmetrized the postural load and enlarged the foot contact surface improving their balance.
Keywords:Baropodometry  Gait  Parkinson's disease  Posture  Stabilometry  Walking
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