Are static posturography-assisted biofeedback exercises effective in Parkinson's disease?

Abstract Background  Parkinson disease (PD) is a progressive condition that causes disorders in movement and balance. Objective  To evaluate the effectiveness of static posturography-assisted biofeedback exercises in PD-related balance disorder. Methods  We screened 83 patients, 48 of whom were enro...

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Veröffentlicht in:Arquivos de neuro-psiquiatria 2022-09, Vol.80 (9), p.935-943
Hauptverfasser: Yakşi, Elif, Yaşar, Mustafa Fatih, Türel, Canan Akünal, Balcı, Muhammed
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Sprache:eng
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Zusammenfassung:Abstract Background  Parkinson disease (PD) is a progressive condition that causes disorders in movement and balance. Objective  To evaluate the effectiveness of static posturography-assisted biofeedback exercises in PD-related balance disorder. Methods  We screened 83 patients, 48 of whom were enrolled, and 41 completed the study. The sample was randomized into two groups, one submitted to static posturography-assisted biofeedback exercises and the other, to a conventional exercise program. The patients in the biofeedback group ( n  = 20) performed biofeedback exercises in addition to conventional balance exercises. Those in the conventional exercise group ( n  = 21) performed classic balance exercises. Both groups were treated for 20 minutes per session 3 times a week for 6 weeks. The patients were evaluated using the Hoehn and Yahr Scale, the Movement Disorder Society–Unified Parkinson's Disease Rating Scale (MDS-UPDRS), the Berg Balance Scale (BBS), the Tinetti Gait and Balance Assessment (TGBA), the Timed Up and Go Test (TUG), the Tandem Stance Test (TST), a Turkish version of the Stanford Health Assessment Questionnaire (HAQ), and the Beck Depression Inventory (BDI) before and at the end of the treatment. Results  No statistically significant differences were observed between the two groups in terms of the MDS-UPDRS, BBS, TGBA, TST, TUG, HAQ, or BDI measurements before and after the treatment ( p  > 0.05). Conclusions  Improved balance parameters were observed following balance training in the patients with PD, although static posturography-assisted biofeedback exercises appeared to provide no additional benefit. However, larger, randomized controlled trials are needed to investigate their effectiveness.
ISSN:0004-282X
1678-4227
1678-4227
DOI:10.1055/s-0042-1755325