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Straighten your back! Self-correction posture and postural balance in "non rehabilitative instructed" multiple sclerosis patients.
Paolucci, Teresa; Bernetti, Andrea; Sbardella, Silvia; La Russa, Chiara; Murgia, Massimiliano; Salomè, Angela; Villani, Ciro; Altieri, Marta; Santilli, Valter; Paoloni, Marco; Agostini, Francesco; Mangone, Massimiliano.
Afiliación
  • Paolucci T; Department of Medical, Oral and Biotechnological Sciences, University of Chieti-Pescara, Chieti, Italy.
  • Bernetti A; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Sbardella S; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • La Russa C; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Murgia M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Salomè A; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Villani C; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Altieri M; Multiple Sclerosis Center, Sapienza University of Rome, Rome, Italy.
  • Santilli V; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Paoloni M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Agostini F; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
  • Mangone M; Department of Anatomical and Histological Sciences, Legal Medicine and Orthopedics, Sapienza University of Rome, Rome, Italy.
NeuroRehabilitation ; 46(3): 333-341, 2020.
Article en En | MEDLINE | ID: mdl-32250329
BACKGROUD: Patients with MS, regardless of the complexity of the activity or sensory conditions, commonly present a significant postural control deficit compared to healthy subjects. OBJECTIVE: To investigate which postural self-correction strategies are adopted by patients with Multiple Sclerosis versus a group of healthy-subjects and how self-correction can influence the control of postural balance. METHODS: A case-control prospective observational study was conducted. Person with Multiple Sclerosis and a group of healthy volunteers were enrolled. Patients included were instructed with vocal commands, to reach a self-correction posture, and they were compared to healthy subjects. Clinical assessments including Balance, Stabilometry and Postural evaluation of the spine were performed. RESULTS: Sixty patients (30: control-group; 30: treatment-group) were enrolled. In the treatment group, the analysis reported a significant statistical difference between path length and center of pressure speed in self-correction posture with closed-eyes (p = 0,049; 0,047) and an improvement in C7 and L3 levels in self-correction posture (p < 0,01-C7; p < 0,01-L3). There are significant statistical differences about path length between the two groups in all examined conditions (p = 0,0001). At sagittal plane evaluation, results show an increase of all measurements in both posture (C7-neutral posture p = 0,0001; L3-neutral posture p = 0,0001; C7-self-correction posture p = 0,0001; L3-self-correction posture p = 0,0001). CONCLUSION: Further study should investigate dynamic situations and different Multiple Sclerosis forms to complete balance analysis and to establish a correct rehabilitative program with self-correction exercise as powerful focus.
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Postura / Equilibrio Postural / Terapia por Ejercicio / Esclerosis Múltiple Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: NeuroRehabilitation Asunto de la revista: NEUROLOGIA / REABILITACAO Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos
Texto completo
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Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Asunto principal: Postura / Equilibrio Postural / Terapia por Ejercicio / Esclerosis Múltiple Tipo de estudio: Observational_studies Límite: Humans Idioma: En Revista: NeuroRehabilitation Asunto de la revista: NEUROLOGIA / REABILITACAO Año: 2020 Tipo del documento: Article País de afiliación: Italia Pais de publicación: Países Bajos