CLINICAL RESEARCH POSTER PRESENTATION ABSTRACTS
Please note: All posters will be displayed in
Salons 10-12.
FRIDAY, 5:45-6:30 PM
Anca MH, Kerten A*.
Gyro-Kinetics: a preventive rehabilitation method in
Parkinson's disease.
The Israeli Center for Gyro-Kinetics gyrokine@netvision.net.il
*Presenting author
OBJECTIVE: To assess the effect of Gyro-Kinetics,
a complex rehabilitation program on Parkinson's disease in an open label
pilot study.
BACKGROUND: The management of Parkinson's disease
(PD) aims to improve quality of life by preventing and reducing the
multiple clinical disabilities. The oscillatory human basal ganglia
activity focuses on the effect of voluntary movement that, similar to
levodopa, could change the synchronization of neuronal discharge and
improve the bradykinesia. Several reports showed an improving effect
of music therapy and physical training on motor performance in PD. GyroKinetics
(GK) is a rehabilitation method that combines movement, touch and music
to restore the physiological balanced state on physical, mental and
emotional levels. It has been successfully used in several conditions:
movement disorders, musculoskeletal, vascular, respiratory and digestive
disorders, ADHD.
METHOD: Our pilot study lasted 3 months. It
consisted of weekly session of GK in 11 PD patients (7 males) with mean
age of 63 + 9.9 years, mean disease duration of 3.9 + 2 years and Hoehn
and Yahr stage 1 to 3. Only 4 patients received levodopa as a previous
therapy. No drug changes were made during the study period. The disease
severity was assessed by a neurologist using UPDRS motor score, ADL
score and CGIC. The assessment was done monthly, at baseline and final
visit, pre and post training session and once during the second month.
The CGIC was done each session.
RESULTS: All patients finished very satisfied
this study. GK had a significant immediate post session but also long
standing improving effect on motor parameters: baseline UPDRS improved
(P = 0.004) in all patients after the training session and remained
improved for 1 week, between 2 sessions (P = 0.13). Remarkable immediate
improvement was seen in: hypomimia (P = 0.002), hand alternated rapid
movements (P = 0.004), speech, tremor at rest, bradykinesia, gait and
mood. The patients reported improvement of their breathing and constipation
problems. The ADL improved from baseline to the last visit (P = 0.09).
Nine patients (81 %) reported clear improvement on CGIC (P =0.01). 2
patients with advanced disease did not improve but remained stable.
CONCLUSION: GK seems to be effective on general
motor and mood dysfunction in PD. It also can improve the respiratory
and gastrointestinal disturbances and the patient awareness of his disease.
The combined modalities of GK prove a higher effectiveness and usefulness
in the early stages of the disease in order to prevent the later complications.
Further controlled studies are desirable.
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