biomechanical-changes-related-to-low-back-pain-an-innovative-tool-for

Biomechanical Changes Related to Low Back Pain: An Innovative Tool for Movement Pattern Assessment and Treatment Evaluation in Rehabilitation

Low back pain (LBP) is a highly prevalent disorder frequently related to biomechanical alterations. Movement pattern assessments have a role in the ...

the University of Eastern Piedmont "A. Avogadro"

Sport Education Team - Medical Rehabilitation and Sport Performance Center

: Although the growing literature is now focusing on the long-term effects of Deep Brain Stimulation (DBS) in Parkinson's disease (PD), there is still a large gap of knowledge about its long-term implications in rehabilitation. Therefore, this study aimed at investigating the effects of rehabilitation in PD patients years after DBS implantation.  This retrospective case-control study analyzed records from Moriggia-Pelascini Hospital, Italy from September 2022 to January 2024. Data of PD patients ( = 47) with (DBS group,  = 22) and without (control group,  = 25) DBS were considered. All study participants underwent a daily rehabilitation program lasting four weeks, including warm-up, aerobic exercises, strength training, postural exercises, and proprioceptive activities. The outcomes assessed were the Unified Parkinson's Disease Rating Scale (UPDRS), Berg Balance Scale (BBS), Timed Up and Go (TUG), 6 Min Walk Test (6MWT), and Self-Assessment Parkinson Disease Scale (SPDDS).  DBS group showed significant improvements in terms of all outcome measures after the rehabilitation intervention (UPDRS III: -7.0 (-11.5 to -1.0);  = 0.001; UPDRS I II IV: -12.0 (-19.0 to -4.5);  = 0.001; BBS: 7.0 (3.8 to 10.3);  < 0.001; TUG (s): -2.8 (-5.7 to -1.1);  < 0.001; SPDDS: -8 (-13.0 to -4.0);  < 0.001; 6MWT (m): 81 (37.3 to 132.3);  < 0.001). No differences were reported in the between-group analysis (p: NS). : This study emphasizes positive rehabilitation effects on PD patients irrespective of DBS status. Further research is essential to elucidate long-term effects of DBS on rehabilitation outcomes of PD patients.

Simone Rivaroli

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