Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation
Pisa Syndrome (PS) is a real clinical enigma, and its management remains a challenge. In order to improve the knowledge about resting state and during maximal voluntary muscle contraction (MVMC) of the axial muscles, we described the electromyography results of paraspinal muscles, rectus abdominis,...
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2015/437190 |
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| author | Giuseppe Frazzitta Pietro Balbi Francesco Gotti Roberto Maestri Annarita Sabetta Luca Caremani Laura Gobbi Marina Capobianco Rossana Bera Nir Giladi Davide Ferrazzoli |
| author_facet | Giuseppe Frazzitta Pietro Balbi Francesco Gotti Roberto Maestri Annarita Sabetta Luca Caremani Laura Gobbi Marina Capobianco Rossana Bera Nir Giladi Davide Ferrazzoli |
| author_sort | Giuseppe Frazzitta |
| collection | DOAJ |
| description | Pisa Syndrome (PS) is a real clinical enigma, and its management remains a challenge. In order to improve the knowledge about resting state and during maximal voluntary muscle contraction (MVMC) of the axial muscles, we described the electromyography results of paraspinal muscles, rectus abdominis, external oblique, and quadratus lumborum of both sides of 60 patients. Electromyography was assessed at rest, during MVMC while bending in the opposite direction of the PS and during MVMC while bending in the direction of the PS. The MVMC gave information about the interferential pattern (INT) or subinterferential pattern (sub-INT). We defined asymmetrical activation (AA) when a sub-INT was detected on the muscle on the side opposite to the PS bending and an INT of same muscle in the direction of PS bending. We observed significant AA during MVMC only in the external oblique muscles in 78% of the subjects. Our results of asymmetric ability to generate maximal voluntary force of the external oblique muscles support a central dissynchronisation of axial muscles as a significant contributor for the bending of the spine in erect position. These results could have important implication to physiotherapy and the use of botulinum toxin in the treatment of PS. |
| format | Article |
| id | doaj-art-14513cc8908b46e3ac4cd5dd57baa6a4 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-14513cc8908b46e3ac4cd5dd57baa6a42025-02-03T06:00:03ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/437190437190Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for RehabilitationGiuseppe Frazzitta0Pietro Balbi1Francesco Gotti2Roberto Maestri3Annarita Sabetta4Luca Caremani5Laura Gobbi6Marina Capobianco7Rossana Bera8Nir Giladi9Davide Ferrazzoli10Department of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Neurorehabilitation, “Salvatore Maugeri” Foundation, IRCCS, Scientific Institute of Pavia, via Boezio, 27100 Pavia, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Biomedical Engineering, S. Maugeri Foundation, IRCCS, Scientific Institute of Montescano, 27040 Pavia, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyMovement Disorders Unit, Neurological Institute, Tel Aviv Medical Centre, Sieratzki Chair of Neurology, Sackler School of Medicine, Sagol School for Neuroscience, Tel-Aviv University, 69978 Tel-Aviv, IsraelDepartment of Parkinson’s Disease, Movement Disorders and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, 22015 Como, ItalyPisa Syndrome (PS) is a real clinical enigma, and its management remains a challenge. In order to improve the knowledge about resting state and during maximal voluntary muscle contraction (MVMC) of the axial muscles, we described the electromyography results of paraspinal muscles, rectus abdominis, external oblique, and quadratus lumborum of both sides of 60 patients. Electromyography was assessed at rest, during MVMC while bending in the opposite direction of the PS and during MVMC while bending in the direction of the PS. The MVMC gave information about the interferential pattern (INT) or subinterferential pattern (sub-INT). We defined asymmetrical activation (AA) when a sub-INT was detected on the muscle on the side opposite to the PS bending and an INT of same muscle in the direction of PS bending. We observed significant AA during MVMC only in the external oblique muscles in 78% of the subjects. Our results of asymmetric ability to generate maximal voluntary force of the external oblique muscles support a central dissynchronisation of axial muscles as a significant contributor for the bending of the spine in erect position. These results could have important implication to physiotherapy and the use of botulinum toxin in the treatment of PS.http://dx.doi.org/10.1155/2015/437190 |
| spellingShingle | Giuseppe Frazzitta Pietro Balbi Francesco Gotti Roberto Maestri Annarita Sabetta Luca Caremani Laura Gobbi Marina Capobianco Rossana Bera Nir Giladi Davide Ferrazzoli Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation Parkinson's Disease |
| title | Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation |
| title_full | Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation |
| title_fullStr | Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation |
| title_full_unstemmed | Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation |
| title_short | Pisa Syndrome in Parkinson’s Disease: Electromyographic Aspects and Implications for Rehabilitation |
| title_sort | pisa syndrome in parkinson s disease electromyographic aspects and implications for rehabilitation |
| url | http://dx.doi.org/10.1155/2015/437190 |
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