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Báo cáo khoa hoc:" Postural adaptations to long-term training in Prader-Willi patients"

Tuyển tập báo cáo các nghiên cứu khoa học quốc tế ngành y học dành cho các bạn tham khảo đề tài: Postural adaptations to long-term training in Prader-Willi patients | Capodaglio et al. Journal of NeuroEngineering and Rehabilitation 2011 8 26 http www.jneuroengrehab.eom content 8 1 26 Iril JOURNAL OF NEUROENGINEERING NCR AND REHABILITATION RESEARCH Open Access Postural adaptations to long-term training in Prader-Willi patients 1 1.2 1 -3 1 1 Paolo Capodaglio Veronica Cimolin Luca Vismara Graziano Grugni Cinzia Parisio Olivia Sibilia and Manuela Galli2 4 Abstract Background Improving balance and reducing risk of falls is a relevant issue in Prader-Willi Syndrome PWS . The present study aims to quantify the effect of a mixed training program on balance in patients with PWS. Methods Eleven adult PWS patients mean age 33.8 4.3 years mean BMI 43.3 5.9 Kg m2 attended a 2-week training program including balance exercises during their hospital stay. At discharge Group 1 6 patients continued the same exercises at home for 6 months while Group 2 5 patients quitted the program. In both groups a low-calorie well-balanced diet of 1.200 kcal day was advised. They were assessed at admission PRE after 2 weeks POST1 and at 6-month POST2 . The assessment consisted of a clinical examination video recording and 60-second postural evaluation on a force platform. Range of center of pressure CoP displacement in the antero-posterior direction RANGEap index and the medio-lateral direction RANGEML index and its total trajectory length were computed. Results At POST1 no significant changes in all of the postural parameters were observed. At completion of the home program POST2 the postural assessment did not reveal significant modifications. No changes in BMI were observed in PWS at POST2. Conclusions Our results showed that a long-term mixed but predominantly home-based training on PWS individuals was not effective in improving balance capacity. Possible causes of the lack of effectiveness of our intervention include lack of training specificity an inadequate dose of exercise an underestimation of the neural and sensory component in planning .