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Sensors (Basel). 2019 May 7;19(9). pii: E2101. doi: 10.3390/s19092101.

Focal Vibration Training (Equistasi®) to Improve Posture Stability. A Retrospective Study in Parkinson's Disease.

Author information

1
Department of Rehabilitation, ASL Taranto, 74121 Taranto, Italy. francesco.serio@asl.taranto.it.
2
Department of Rehabilitation, ASL Taranto, 74121 Taranto, Italy. cosimo.minosa@asl.taranto.it.
3
Department of Rehabilitation, ASL Taranto, 74121 Taranto, Italy. deluca_matteo@libero.it.
4
Department of Rehabilitation, ASL Taranto, 74121 Taranto, Italy. pierguido.conte@asl.taranto.it.
5
Hospital Clinic "Le Terrazze" di Cunardo, Varese, 210365, Italy, 5 Department of Neurology and Neurorehabilitation, Clinical and Research Institute, Piancavallo, 28921 Verbania, Italy. g.albani@auxologico.it.
6
Fondation S. Lucia IRCSS, 00142 Rome, Italy. a.peppe@hsantalucia.it.

Abstract

BACKGROUND:

For people with Parkinson's disease (PD), falls are a critical point. Focal vibration training (FVT) may represent a valid tool to improve postural performances and reduce the risk of falls. The aim of this study was to evaluate the efficacy of FVT to improve the postural stability in PD patients.

METHODS:

Since October 2015, 55 consecutive PD patients have been selected (T0) for an approach including FVT associated with a rehabilitative protocol (RP); after eight weeks (T1), those patients showing a relevant improvement in the clinical rating scales ((Timed Up and Go (TUG), Tinetti, Unified Parkinson's disease rating scale (UPDRS) Part III, Berg Balance scale (BBS) and falls rate scale), continued with the FVT protocol (FVTRP group). The remaining patients continued with only the RP (RP group). In July 2018, we have extrapolated the data of the last clinical visit (T2) to observe any differences in the rate of falls.

RESULTS:

The FVTRP group shows a decrement in the rate of falls from 2.1 to 1.25 (p 0.036) and a stability of the levodopa equivalent daily dosage (LEDD). The RP group shows an increment of LEDD and stability in falls.

CONCLUSIONS:

FVT has been confirmed as a valid tool to enhance the effect of the rehabilitation protocol aimed at postural training.

KEYWORDS:

Equistasi®; Parkinson’s disease; falls; focal vibrations; rehabilitation

PMID:
31067663
DOI:
10.3390/s19092101
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