Effects of a Rehabilitation Treatment on Balance in PD Evaluated With a Stabilometric Platform
Effects of a Rehabilitation Treatment on Balance in PD Evaluated With a Stabilometric Platform
Pharmacotherapy with dopaminergic medications and deep brain stimulation cannot provide
 significant improvements in postural instability in Parkinson's disease, whereas previous
 reports of physical interventions have suggested promising results. The investigators want to
 study the effects of the multidisciplinary intensive rehabilitation treatment (MIRT) on
 balance disorders in Parkinson Disease (PD).
Pharmacotherapy with dopaminergic medications and deep brain stimulation cannot provide
 significant improvements in postural instability in Parkinson's disease, whereas previous
 reports of physical interventions have suggested promising results. The investigators want to
 study the effects of our multidisciplinary intensive rehabilitation treatment (MIRT) on
 balance disorders in PD.

 PD patients in stage 3 of Hoen & Yahr will undergo clinical and instrumental evaluations at
 the beginning (T0) and at the end (T1) of the MIRT. Berg Balance Scale (BBS) will be
 performed to assess static and dynamic balance abilities. In order to determine some
 variables as index of postural stability, the investigators will use a stabilometric
 platform. With respect to the average centre of gravity the standard deviation (SD) of trunk
 sway will be calculated: total, in antero-posterior (AP) and in medio-lateral (ML) direction.
 The investigators can obtain a statokinesigram, that is the layout of a line connecting the
 successive positions of the center of pressure during the recording, and the area of the
 ellipse containing 90% of the sampled positions of the center of pressure. These measurements
 will be calculated with open eyes (OE), and while the patient was performing a cognitive task
 (open eyes counting [OEC]).
Inclusion Criteria:

 -  patients diagnosed with PD in stage 3 of Hoen & Yahr according to the United Kingdom
 Brain Bank criteria.

 Exclusion criteria:

 Atypical parkinsonisms, patients with osteoarticular and muscular pathologies, PD patients
 with Mini Mental State Examination < 26, patients with other disorders of balance.