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Using Unidirectional Rotations to Improve Vestibular System Asymmetry in Patients with Vestibular Dysfunction

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Published on: August 30, 2019

Supervised-not voluntary-upper limb exercise enhances vestibular function in Parkinson's disease.

Federica Ginanneschi¹, David Cioncoloni¹, Carla Battisti¹

¹Department of Medical, Surgical and Neurological Sciences, AOUS, Siena, Italy.

Frontiers in Neurology

|July 23, 2025

Summary

Supervised upper limb aerobic exercise significantly improved vestibular function and motor symptoms in Parkinson disease (PD) patients. This targeted exercise is a crucial treatment for PD, especially for those with lower limb limitations.

Keywords:

Equitest Parkinson forced exercise rehabilitation vestibular system

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Area of Science:

Neurology
Exercise Physiology
Rehabilitation Science

Background:

Gait dysfunction is a primary challenge in Parkinson disease (PD) management.
Reduced vestibular efficacy is implicated in PD-related imbalance.
Targeting axial muscles via upper limb exercise may improve PD symptoms.

Purpose of the Study:

To investigate if upper limb aerobic exercise can enhance postural control and motor function in PD patients.
To compare the effects of supervised exercise (SE) versus voluntary exercise (VE).

Main Methods:

Twenty-eight PD patients underwent 2 months of exercise.
Evaluations included dynamic posturography (Sensory Integration Test - SOT) and clinical measures (UPDRS Part III, Hoehn and Yahr scale).
Participants were divided into SE and VE groups.

Main Results:

Supervised exercise (SE) significantly improved vestibular SOT scores (p=0.017).
No significant changes in somatosensory or visual SOT scores were observed.
SE group showed significant improvements in Hoehn and Yahr scale (p=0.031) and UPDRS Part III (p=0.007).

Conclusions:

Active assistive SE enhances vestibular utilization and motor performance in Parkinson disease.
This exercise modality is vital for PD patients, particularly those with lower limb impairments.