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

University Hospital Center of Martinique

Status: Enrolling

Conditions: Rehabilitation; Parkinson Disease; Physical Medicine

Treatments: Other: Conventional reeducation; Other: Isokinetic reeducation

Study type: Interventional

Funder types: Other

Identifiers

NCT04492345

18_RIPH2-10

Details and patient eligibility

About

Parkinson's patients have postural disorders. These disorders are frequent in Martinique. Physiotherapeutic rehabilitation is essential because these disorders are generally non dopa-sensitive.

Full 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.

Enrollment: 30 estimated patients

Sex: All

Ages: 18 to 85 years old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Other

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

---

30 participants in 2 patient groups

Experimental

Experimental group

Description:

Patient with conventional rehabilitation session and isokinetic reeducation during 7 weeks

Treatment:

Other: Isokinetic reeducation

Control

Other group

Description:

Patient with conventional rehabilitation session during 7 weeks

Treatment:

Other: Conventional reeducation