Erratum to: Effects of Global Postural Reeducation on gait kinematics in parkinsonian patients: a pilot randomized three-dimensional motion analysis study

The Global Postural Reeducation (GPR) method is a physical therapy based on the stretching of antigravity muscle chains with the parallel enhancement of the basal tone of antagonistic muscles addressed to improve static and dynamic stability. Through a three-dimensional motion analysis (3DMA) system, our study aims to investigate whether in Parkinson's disease (PD) patients a GPR program results in a more physiological gait pattern. The kinematic parameters of gait of twenty subjects with clinically diagnosed PD were calculated. The patients were randomly assigned to a study (10 or control (10) group. All subjects underwent neurological and 3DMA assessments at entry time (t 0), at 4 weeks (t 1, end of GPR program), and at 8 and 12 weeks (t 2 and t 3, follow-up evaluation). The study group underwent a four-week GPR program, three times a week, for 40 min individual sessions. Kinematic gait parameters of thigh (T), knee (K) and ankle (A) and UPDRS-III scores were evaluated. At the end of the GPR program, we observed an improvement of the kinematic gait pattern, documented by the increase in KΔc and TΔc values that respectively express the flexion amplitude of knee and thigh. The amelioration was persistent at follow-up assessments, with a parallel enhancement in clinical parameters. GPR intervention shows a long-term efficacy on gait pattern in PD patients. Furthermore, we validated 3DMA as a valuable tool to study the kinematics of gait thus refining the understanding of the effects of specific rehabilitation programs.

[1]  J. Summers,et al.  The pathogenesis of gait hypokinesia in Parkinson's disease. , 1994, Brain : a journal of neurology.

[2]  Michael R. Wells,et al.  Resistance Training and Gait Function in Patients with Parkinson’s Disease , 2001, American journal of physical medicine & rehabilitation.

[3]  Elizabeth Eckstrom,et al.  Tai chi and postural stability in patients with Parkinson's disease. , 2012, The New England journal of medicine.

[4]  Madeleine. E. Hackney,et al.  Health-related quality of life and alternative forms of exercise in Parkinson disease. , 2009, Parkinsonism & related disorders.

[5]  R. B. Davis,et al.  A gait analysis data collection and reduction technique , 1991 .

[6]  F. Stella,et al.  Exercise programs improve mobility and balance in people with Parkinson's disease. , 2009, Parkinsonism & related disorders.

[7]  L. King,et al.  Effects of exercise on mobility in people with Parkinson's disease , 2013, Movement disorders : official journal of the Movement Disorder Society.

[8]  M. Morris,et al.  Three‐dimensional gait biomechanics in Parkinson's disease: Evidence for a centrally mediated amplitude regulation disorder , 2005, Movement disorders : official journal of the Movement Disorder Society.

[9]  D. Grosset,et al.  Switching from ergot to nonergot dopamine agonists in Parkinson's disease: A clinical series and five‐drug dose conversion table , 2004, Movement disorders : official journal of the Movement Disorder Society.

[10]  Giuseppe Zappalà,et al.  The mini‐mental state examination: Normative study of an Italian random sample , 1993 .

[11]  Lynn Rochester,et al.  Moving forward on gait measurement: Toward a more refined approach , 2013, Movement disorders : official journal of the Movement Disorder Society.

[12]  P. Barone,et al.  Effect of Global Postural Rehabilitation program on spatiotemporal gait parameters of parkinsonian patients: a three-dimensional motion analysis study , 2012, Neurological Sciences.

[13]  J. Duchateau,et al.  Mechanisms of decreased motoneurone excitation during passive muscle stretching , 2001, Experimental Brain Research.

[14]  Rebecca Stowe,et al.  Physiotherapy versus placebo or no intervention in Parkinson's disease. , 2013, The Cochrane database of systematic reviews.

[15]  E Knutsson,et al.  An analysis of Parkinsonian gait. , 1972, Brain : a journal of neurology.

[16]  M. Morris,et al.  Constraints on the kinetic, kinematic and spatiotemporal parameters of gait in Parkinson's disease , 1999 .

[17]  Joe R. Nocera,et al.  Effects of home-based exercise on postural control and sensory organization in individuals with Parkinson disease. , 2009, Parkinsonism & related disorders.

[18]  J. Gerber,et al.  High intensity eccentric resistance training decreases bradykinesia and improves Quality Of Life in persons with Parkinson's disease: a preliminary study. , 2009, Parkinsonism & related disorders.

[19]  J. Collins,et al.  Biomechanical gait alterations independent of speed in the healthy elderly: evidence for specific limiting impairments. , 1998, Archives of physical medicine and rehabilitation.

[20]  D. Kerrigan,et al.  Effect of a hip flexor-stretching program on gait in the elderly. , 2003, Archives of physical medicine and rehabilitation.

[21]  K. Stecker,et al.  Therapeutic value of exercise training in Parkinson's disease. , 1999, Medicine and science in sports and exercise.

[22]  F. Violante,et al.  Effectiveness of a 'Global Postural Reeducation' program for persistent Low Back Pain: a non-randomized controlled trial , 2010, BMC musculoskeletal disorders.

[23]  C. Caltagirone,et al.  Fast increase of motor cortical inhibition following postural changes in healthy subjects , 2012, Neuroscience Letters.

[24]  J. Perry,et al.  Gait Analysis , 2024 .

[25]  W. Gibb,et al.  The relevance of the Lewy body to the pathogenesis of idiopathic Parkinson's disease. , 1988, Journal of neurology, neurosurgery, and psychiatry.

[26]  E. K. Alpar,et al.  Joint structure & function: A comprehensive analysis , 1983 .

[27]  E. Knutsson,et al.  Quantitative effects of L-dopa on different types of movements and muscle tone in Parkinsonian patients. , 1971, Scandinavian journal of rehabilitation medicine.

[28]  C. Maitland,et al.  Aerobic exercise intervention improves aerobic capacity and movement initiation in Parkinson's disease patients. , 2002, NeuroRehabilitation.

[29]  I. Miyai,et al.  Treadmill training with body weight support: its effect on Parkinson's disease. , 2000, Archives of physical medicine and rehabilitation.

[30]  M. Morris,et al.  A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease , 2009, Movement disorders : official journal of the Movement Disorder Society.

[31]  F. Stella,et al.  Quality of life (QoL) in relation to disease severity in Brazilian Parkinson's patients as measured using the WHOQOL-BREF. , 2008, Archives of gerontology and geriatrics.

[32]  Bastiaan R Bloem,et al.  Impact of falls and fear of falling on health-related quality of life in patients with Parkinson's disease. , 2013, Journal of Parkinson's disease.

[33]  J. Aita,et al.  Why patients with Parkinson's disease fall. , 1982, JAMA.

[34]  Murray Mp,et al.  Walking patterns of men with parkinsonism. , 1978, American journal of physical medicine.

[35]  C. Ugrinowitsch,et al.  Transient effects of stretching exercises on gait parameters of elderly women. , 2009, Manual therapy.