Action Observation in People with Parkinson’s Disease. A Motor–Cognitive Combined Approach for Motor Rehabilitation. A Preliminary Report
by
Walter Di Iorio 1, Alessandro Ciarimboli 1, Giorgio Ferriero 2, Michele Feleppa 3, Luigi Baratto 1, Giuseppe Matarazzo 1, Giovanni Gentile 4
, Stefano Masiero 5 and Patrizio Sale 4,5,*
Walter Di Iorio 1, Alessandro Ciarimboli 1, Giorgio Ferriero 2, Michele Feleppa 3, Luigi Baratto 1, Giuseppe Matarazzo 1, Giovanni Gentile 4, Stefano Masiero 5 and Patrizio Sale 4,5,*
1
Rehabilitation Unit, Villa Margherita, 82100 Benevento, Italy
2
Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Lissone, IRCCS, 20851 Lissone, Italy
3
Neurological Unit and Stroke Unit, Ospedale Civile, 82100 Benevento, Italy
4
San Camillo Hospital IRCCS, 30126 Venice, Italy
5
Department of Neuroscience, University of Padua, 35100 Padua, Italy
*
Author to whom correspondence should be addressed.
Diseases 2018, 6(3), 58; https://doi.org/10.3390/diseases6030058
Received: 19 May 2018 / Revised: 29 June 2018 / Accepted: 1 July 2018 / Published: 4 July 2018
(This article belongs to the Special Issue Neuro-psychiatric Disorders - from Diagnosis to Care)
The aim of this study was to assess the role of Action Observation (AO) to improve balance, gait, reduce falls, and to investigate the changes in P300 pattern. Five cognitively intact People with Parkinson’s disease (PwP) were enrolled in this prospective, quasi-experimental study to undergo a rehabilitation program of AO for gait and balance recovery of 60 min, three times a week for four weeks. The statistical analysis showed significant improvements for Unified Parkinson’s Disease Rating Scale (UPDRS) motor section III p = 0.0082, Short form 12-items Healthy Survey (SF-12) Mental Composite Score (MCS) p = 0.0007, Freezing of gait Questionnaire (FOG-Q) p = 0.0030, The 39-items Parkinson’s Disease Questionnaire (PDQ-39) p = 0.100, and for P300ld p = 0.0077. In conclusion, AO reveals to be a safe and feasible paradigm of rehabilitative exercise in cognitively preserved PwP.
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Keywords:
Parkinson’s disease; Action Observation; mirror neuron systems; balance; gait; rehabilitation; neural plasticity; electroencephalogram; P300
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MDPI and ACS Style
Di Iorio, W.; Ciarimboli, A.; Ferriero, G.; Feleppa, M.; Baratto, L.; Matarazzo, G.; Gentile, G.; Masiero, S.; Sale, P. Action Observation in People with Parkinson’s Disease. A Motor–Cognitive Combined Approach for Motor Rehabilitation. A Preliminary Report. Diseases 2018, 6, 58.
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