Open Access Research Article

Pisa Syndrome in Parkinson’s Disease: A Novel Rehabilitation Approach in a Microgravitary Environment

Raoul Saggini1, Teresa Paolucci1*, Claudia Barbato2 and Rosa Grazia Bellomo2

1Department of Medical and Oral Sciences and Biotechnologies, Unit of Physical Medicine and Rehabilitation, University G. d’ Annunzio Chieti, Chieti-Pescara, Italy

2Department of Biomolecular Sciences, University of Study of Urbino Carlo Bo, Urbino, Italy

Corresponding Author

Received Date: May 12, 2020;  Published Date: June 22, 2020


Background: Pisa Syndrome (PS) is clinically defined as the sustained lateral bending of the trunk and worsened by prolonged sitting or walking.

Aim of the study: To measure the effect of postural exercises under microgravity conditions using the Dynamic-Antigravity-Postural-System (SPAD) and focal mechanical vibration (ViSS) in PS patients.

Materials and methods: A proof concept study was performed. Twenty (N=20) (mean age 68 ± 8,4 years) consecutive patients affected by Pisa Syndrome in Parkinson’s Disease with trunk lateral flexion were included. Patients were divided into two groups of 10 patients according to electromyography characteristics: neurogenic group (hyperactivity of lumbar paraspinals ipsilateral to the trunk leaning side) and myogenic group (hyperactivity of paraspinals contralateral to the trunk leaning side).

Results: We found improvements especially in myogenic group, in terms of decrease of lateral trunk flexion (61%, compared to 35% of the neurogenic group) and in terms of improvement in paraspinal EMG measurement (43% compared to 14% of the neurogenic group) after rehabilitation treatment (T1) respect baseline (T0).

Conclusion: This study suggested the efficacy of specific postural training in a microgravitary environment with SPAD system in combination with focal mechanical vibration as an integrative rehabilitation program in Pisa Syndrome patients.

Keywords:Exercise, Rehabilitation, Focal mechanical vibration, Dynamic-Antigravity-Postural-System (SPAD), Electromyography

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