Objective: Is to evaluate the effects of balance training with rhythmical(BRT) which is a motor program to improve balance associated with rhythmical auditory cues (RACs). This study is ongoing in the stage 1 to 2.

Background: Postural instability is a particularly incapacitating disorder, where loss of motor independence by pelope with Parkinson´s Disease (PD) marks a significant stage of disease onset. Evidence suggests that deficits in automatic motor control, sensory integration and attention are associated with lack of balance in PD. Physiotherapy, together with medication, plays an important role in the treatment of this state.

Methods: A total of 150 PD patients at H&Y stages II–III and asymptomatic for depression and dementia were enrolled in a single-blind randomized study. Randomization was achieved via a computer-generated random-sequence table. All patients should also present a fall history. They were assigned into one of three groups, and their balance and gait were assessed before and after 10 training sessions, and after 4 and 30 weeks subsequent to the end of the training. The BRT group received a motor program to improve balance associated with RACs, the MT group performed motor training with the same aims as those in the BRT group but without RACs, and the control group (CG) was trained only in orientations. The exercise program specific to balance is of 5 weeks’ duration with two sessions per week, 45 minutes each, and consists of general physiotherapy exercises. Each session is divided into five warm-up minutes—30 minutes for the main part and 10 minutes for the cool down. The training progresses and intensifies each week depending on the individual’s performance. The subjects should be able to execute 10 repetitions of the exercise sequences correctly to progress to the next movement. Clinicaltrials.gov NCT02488265; Ethics Committee of the University of São Paulo Faculty of Medicine Clinics Hospital 1.102.464.

Results: The preliminary results showed improvement on BRT and MT Groups TUG (p=0,01), 6 min walk (p=0,00). To BBS (p=0,00), Mini BESTest (p=0,00) only to BRT showed difference.

Conclusions: This protocol could be effective to improve balance and gait; evaluate the effects of a motor program to improve balance associated with RACs and assess whether balance training leads to activation of balance reactions.

DOI 10.1186/s12883-015-0418-x

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MDS Abstracts - https://www.mdsabstracts.org/abstract/randomized-controlled-trial-protocol-balance-training-with-rhythmical-cues-to-improve-and-maintain-balance-control-in-parkinsons-disease/