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April 17-18, 2019 | Frankfurt, Germany
Parkinson’s, Huntington’s & Movement Disorders
International Conference on
Journal of Brain and Neurology | Volume 3
Non- Pharmacological interventions for Lateral Axial Dystonia (Pisa syndrome) in
Parkinson’s diseases: A review
Mohammad Etoom
Al-isra University, Jordan
P
ostural deformities are frequent and disabling
complication of Parkinson’s diseases. Pisa
syndrome (PS), or lateral axial dystonia is a postural
deformitycharacterizedbyamarked lateral flexionof
trunk. PS studies showed patterns of trunk muscles
hyperactivity ipsilateral or contralateral to bending
side. Recent evidences found that PS is correlated
with more impairments vestibulospinal tract, upper
limb functions, spinepain, andquality of life. The aim
of this abstract to review the non-pharmacological
interventions for PS in Parkinson’s diseases through
MEDLINE database. The current evidence shows a
set of non-pharmacological interventions address
PS as: exercise interventions, Botulinum toxin, spine
surgery, spinal cord stimulation, and subthalamic
deep brain stimulation. The studies show positive
effects for exercise interventions, Botulinum toxin,
spinal cord stimulation, and deep brain stimulation
on lateral trunk deformity, spine pain, and motor
impairments. Spine surgery did not improve spine
deformities or motor impairments. Exercise and
Botulinium toxin recommended considering the
hyperactive muscles regardless the bending side.
Observational studies found that the more impaired
muscles are paraspinal, abdominal oblique, rectus
femoris, rectus abdominis, external oblique, and
quadratus lumborm. According to the previous
findings, non-pharmacological interventions except
spine surgery are beneficial option for PS. More
consideration for the impaired muscle, dystonia
characteristics, and trunk proprioception is required
to treat and rehab patients with PS.
e
:
mohammed.etoom2016@gmail.com