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Immediate effects of an approach in high cervical and occipitomastoidon postural control and mobility of individuals with parkinson’s disease: case series
Author(s) -
Alexandre Rodrigues Severo,
Mateus Corrêa Silveira,
Carlos Bolli Mota,
Eduardo Costa Rhoden,
Nadiesca Taísa Filippin
Publication year - 2020
Publication title -
manual therapy, posturology and rehabilitation journal
Language(s) - English
Resource type - Journals
ISSN - 2236-5435
DOI - 10.17784/mtprehabjournal.2016.14.0322
Subject(s) - physical medicine and rehabilitation , trunk , center of pressure (fluid mechanics) , parkinson's disease , medicine , physical therapy , psychology , disease , ecology , engineering , aerodynamics , biology , aerospace engineering
Parkinson’s disease (PD) causes impairments in postural control and mobility that affect the individual’s independence. Manual therapy has been used in the treatment of these disorders and can change mobility and postural control. Objective: To assess the immediate effects of an approach in high cervical and occipitomastoid on postural control and mobility of individuals with PD. Method: Three individuals with PD, females, aged 52 to 73 years, participated in this case series. Participants were assessed immediately before and after therapeutic intervention through releases of suboccipital muscles and occipitomastoid sutures. Trunk mobility, functional mobility and postural control (center of pressure parameters - COP) were evaluated. Results: All participants demonstrated improvements in trunk mobility. Participants 1 and 2 slightly improved functional mobility. Participants 1 and 2 showed a decrease in the medial-lateral displacement of the COP. All participants showed increases in at least one direction to the limits of stability. Conclusions: The results showed that the intervention appears more effective on trunk mobility. Variables related to postural control changed with no consistent pattern. Further studies could investigate the association of other manual therapy techniques and their effects on mobility and postural control in individuals with PD.

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