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Sensorimotor integration training in Parkinson`s disease.

Ayla Fil-Balkan1, Yeliz Salci, Hilal Keklicek

  • 1Department of Physiotherapy and Rehabilitation, Faculty of Health Sciences, Hacettepe University, Ankara, Turkey.

Neurosciences (Riyadh, Saudi Arabia)
|July 16, 2018
PubMed
Summary

Sensorimotor integration training improved postural control in Parkinson's disease patients. This approach enhanced balance and vestibular function, with benefits sustained at 12 weeks.

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Area of Science:

  • Neurology
  • Rehabilitation Science
  • Movement Science

Background:

  • Parkinson's disease (PD) significantly impairs postural control, increasing fall risk.
  • Conventional physiotherapy offers some benefit but often fails to fully address complex balance deficits in PD.

Purpose of the Study:

  • To evaluate the efficacy of sensorimotor integration training combined with conventional physiotherapy for improving postural control in Parkinson's disease patients.
  • To assess the impact of this combined approach on balance, sensory organization, and vestibular function.

Main Methods:

  • A prospective, randomized controlled trial involving 24 patients with stage 2-3 Parkinson's disease.
  • The study group received sensorimotor integration training plus conventional physiotherapy; the control group received only conventional physiotherapy, for 6 weeks.

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  • Postural control was assessed using clinical balance tests and computerized dynamic posturography at baseline, 7 weeks, and 12 weeks.
  • Main Results:

    • The sensorimotor integration training group showed significant improvements in computerized dynamic posturography measures, including composite balance and vestibular system scores.
    • These improvements, particularly in composite balance and vestibular function, were maintained at the 12-week follow-up.
    • While the 6th position score also improved, this specific measure did not maintain significance at 12 weeks.

    Conclusions:

    • Sensorimotor integration training, when added to conventional physiotherapy, effectively ameliorates postural control deficits in Parkinson's disease.
    • The training enhances sensory processing, particularly vestibular system function, leading to better balance.
    • This combined approach offers a promising strategy for managing balance impairments in individuals with Parkinson's disease.