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Parkinson’s Disease
Volume 2017 (2017), Article ID 2762987, 11 pages
https://doi.org/10.1155/2017/2762987
Research Article

Impact of Mézières Rehabilitative Method in Patients with Parkinson’s Disease: A Randomized Controlled Trial

1Complex Unit of Physical Medicine and Rehabilitation, Policlinico Umberto I Hospital, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
2Department of Physical Medicine and Rehabilitation, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00151 Rome, Italy
3Department of Public Health and Infectious Diseases, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy
4Department of Physical Medicine and Rehabilitation, A.C.I.S.M.O.M., San Giovanni Battista Hospital, Via Luigi Ercole Morselli 13, 00148 Rome, Italy
5Department of Neurology, San Camillo-Forlanini Hospital, Circonvallazione Gianicolense 87, 00151 Rome, Italy
6University Department of Anatomic, Histologic, Forensic and Locomotor Apparatus Sciences, Section of Locomotor Apparatus Sciences, Policlinico Umberto I Hospital, “Sapienza” University of Rome, Piazzale Aldo Moro 5, 00185 Rome, Italy

Correspondence should be addressed to Teresa Paolucci

Received 30 June 2017; Accepted 8 October 2017; Published 3 December 2017

Academic Editor: Matej Skorvanek

Copyright © 2017 Teresa Paolucci et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Abstract

The aim of this study was to assess the efficacy of Mézières method in improving trunk flexibility of the back muscles and balance in patients with Parkinson’s disease (PD). Materials and Methods. Thirty-six patients were randomized into 2 groups: the Mézières treatment group and the control group (home exercise group). The primary outcome was the improvement in balance per the Berg Balance Scale (BBS) and the trunk flexibility of the back for the anterior flexion trunk test. Also, we evaluated pain, gait balance for the Functional Gait Assessment (FGA), disease-related disability for the Modified Parkinson’s Activity Scale and the Unified Parkinson’s Disease Rating Scale (UPDRS), the quality of life, and the functional exercise capacity. All the measures were evaluated at baseline (), at the end of the rehabilitative program (), and at the 12-week follow-up (). Results. In the Mézières group, the BBS () and trunk flexion test () improved significantly at and remained the same at . Between groups, significant changes were reported in FGA () and UPDRS Total () at and in FGA () at . Conclusion. The Mézières approach is efficacious in improving the flexibility of the trunk and balance in PD patients.