Assessment of a Special Modality of Back Muscles Strengthening for Postural Deformations in Parkinsonian Patient

Impact of Isocinetism on the Disorders of the Spinal Statics of the Parkinsonian Patient

Parkinson's patients have postural disorders. These disorders are frequent in Martinique. Physiotherapeutic rehabilitation is essential because these disorders are generally non dopa-sensitive.

Postural disorders are very common in Martinique, in patients often having an atypical form of the Parkinson's disease. Physiotherapy rehabilitation is essential because these disorders are generally non-dopa-sensitive. Isokinetic muscle strength may reduce postural disorder in Parkinson's disease.

Isokinetic device rehabilitation promotes maximum muscular contraction at constant speed; the resistance of the machine continuously adapting to the force developed by the subject. As the spinal muscle strength gain is superior to conventional post-rehabilitation motor function, the improvement in postural instability should be greater than that achieved with conventional rehabilitation. A better postural support should thus result in a decrease in the risk of falling and an improvement in the quality of walking.

Inclusion Criteria:

• Patient with Parkinson's disease or atypical parkinsonian syndrome
• Age ≥18 years
• Patient with postural disorders with a cervical arrow> 6cm in the sagittal plane and / or the axis C7S2 different from 0 in the frontal plane
• UPDRS between 10 and 25/108.
• Antiparkinsonian treatment stabilized for 8 weeks
• MMS test> 25
• Insured person or beneficiary of social security

Exclusion Criteria:

• Patient with a neurological condition other than parkinsonian syndrome
• Patient with rheumatic disease
• Patient with a history of trunk surgery
• Patient with a brain stimulator
• Cardiac pathology not stabilized
• Incapacitated adult, or under guardianship, or under curatorship or under judicial protection curatorship