title: Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease.
abstract: OBJECTIVE
  To assess the effects of postural rehabilitation (PR) on trunk asymmetry and balance, with and without Kinesio taping (KT) of the back muscles as additional treatment, in patients with Parkinson's disease (PD) who have postural disorders.
  
  
  METHODS
  Single-blind, randomized controlled trial with 1-month follow-up.
  
  
  METHODS
  Ambulatory care in referral center.
  
  
  METHODS
  Patients (N=20) with PD showing postural abnormalities of the trunk, in the sagittal and/or coronal plane.
  
  
  METHODS
  Four weeks of patient-tailored proprioceptive and tactile stimulation, combined with stretching and postural reeducation, was provided to 13 subjects (PR group), while 7 received no treatment (control group). Six of the 13 subjects receiving PR also had KT strips applied to their trunk muscles, according to the features of their postural abnormalities.
  
  
  METHODS
  Berg Balance Scale, Timed Up and Go, and degrees of trunk bending in the sagittal and coronal planes were assessed at the enrollment (t0), 1 month later (t1), and 2 months later (t2).
  
  
  RESULTS
  At t1, all treated patients showed a significant improvement in trunk posture in both the sagittal (P=.002) and coronal planes (P=.01), compared with baseline. Moreover, they showed an improvement in measures of gait and balance (P<.01). Benefits persisted at t2 for all measures, except lateral trunk bend. No differences were found when comparing the PR and KT groups.
  
  
  CONCLUSIONS
  The combination of active posture correction and trunk movements, muscle stretching, and proprioceptive stimulation may usefully impact PD axial symptoms. Repeated training is advocated to avoid waning of the effect.
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy. Electronic address: m.capecci@univpm.it.
authors: Marianna
authors: M
authors: Capecci
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Chiara
authors: C
authors: Serpicelli
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Luca
authors: L
authors: Fiorentini
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Giovanna
authors: G
authors: Censi
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Matteo
authors: M
authors: Ferretti
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Chiara
authors: C
authors: Orni
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Rosita
authors: R
authors: Renzi
authors: Neurologic Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Leandro
authors: L
authors: Provinciali
authors: Neurorehabilitation Clinic, Department of Experimental and Clinical Medicine, Clinical Neuroscience Section, Politecnica delle Marche University, Ancona, Italy.
authors: Maria Gabriella
authors: MG
authors: Ceravolo
mesh_terms: D000368:Aged; D055052:Athletic Tape; D005081:Exercise Therapy / Q000379:methods; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D008297:Male; D008875:Middle Aged; D052580:Muscle Stretching Exercises / Q000379:methods*; D010300:Parkinson Disease / Q000175:diagnosis / Q000534:rehabilitation*; D026741:Physical Therapy Modalities; D004856:Postural Balance / Q000502:physiology; D011597:Psychomotor Performance / Q000502:physiology*; D012016:Reference Values; D012678:Sensation Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D012720:Severity of Illness Index; D016037:Single-Blind Method; D020886:Somatosensory Disorders / Q000175:diagnosis / Q000534:rehabilitation*; D013997:Time Factors; D016896:Treatment Outcome
keywords: Athletic tape; Camptocormia; Parkinson's disease; Posture; Rehabilitation