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Theatre is a valid complementary therapeutic intervention for emotional rehabilitation in Parkinson's disease patients
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Abstracts / Parkinsonism and Related Disorders 22 (2016) e11ee15
References [1] Kelly VE, Johnson CO, McGough EL, Shumway-Cook A, Horak FB (2015) Association of cognitive domains with postural instability/gait disturbance in Parkinson's disease. Parkinsonism & Related Disorders. 21, 692e697. [2] Nantel J, Bronte-Stewart H (2014) The effect of medication and the role of postural instability in different components of freezing of gait (FOG). Parkinsonism & Related Disorders. 20, 447e451. [3] Owan Y, Murakami H, Mori Y, Yamagishi K, Watanabe D (2015) Correlation between cognitive impairment and postural instability in patients with Parkinson's disease. Brain Nerve. 67, 99e104.
Table 1 The posturographic data comparing between before cognitive loading and during cognitive loading (reading and counting backward) PD (N¼30) CoP
Before Cognitive loading
Cognitive loading Reading
Counting backward
PL Area RMS ML AP
91.81±49.65 11.27±12.6 2.99±3.19 2.84±1.96 3.27±1.23
113.25±82.82** 16.95±25.73 4.43±5.89 3.43±3.18 3.44±1.76
129.3±105.91** 27.35±45.51* 7.35±13.78 4.13±3.82 3.83±2.43
* p<0.05, ** p<0.01
Table 2 The posturographic data comparing the PD patients with/without FOG between before cognitive loading and during cognitive loading (reading and counting backward) FOG (FOG>6)N¼21 COP Before Cognitive loading
Non - FOG (FOG<6)N¼9 Cognitive loading
Cognitive loading
Reading
Counting backward
Before Cognitive loading
Cognitive loading
Cognitive loading
Reading
Counting backward
PL 100.3±56.67 127.74±95.29** 149.44±121.01** 71.99±16.69 79.46±18.23** 82.3±22.5** Area 13.99±14.18 21.76±29.53 35.13±52.25* 4.34±2.82 5.74±4.08 9.19±12.46 RMS 3.65±5.6 5.58±6.73 9.62±16 1.43±0.72 1.73±0.89 2.05±1.78 ML 3.23±2.18 4.04±3.61** 4.76±4.18* 1.93±0.9 2.02±0.97 2.66±2.4 AP 3.61±1.3 3.8±1.95** 4.35±2.67 2.48±0.45 2.63±0.81 2.59±1.05
* p<0.05, ** p<0.01
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OP 2.50.10. THEATRE IS A VALID COMPLEMENTARY THERAPEUTIC INTERVENTION FOR EMOTIONAL REHABILITATION IN PARKINSON'S DISEASE PATIENTS Giovanni Mirabella 1, Paolo De Vita 2, Silvia Rampelli 2, Francesco Lena 2, Fulvia Dilettuso 2, Marta Iacopini 2, Raffaella D'Avella 2, Maria Concetta Borghese 2, Silvia Mazzotta 2, Deborah Lanni 2, Marco Grano 2, Sara Lubrani 2, Nicola Modugno 2. 1 Istituto Neurologico Mediterraneo Neuromed, Sapienza University of Rome, Pozzilli (IS), Italy; 2 Istituto Neurologico Mediterraneo Neuromed, Pozzilli (IS), Italy
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Objectives: Whether art therapy can be a useful rehabilitative tool is a long standing and debated question (Mirabella 2015). In a previous study (Modugno et al, 2010), we showed that after three years of theatre therapy Parkinson's patients significantly improved their emotional well-being in comparison to patients undergoing conventional physiotherapy for the same amount of time. The aim of this work was to replicate these findings, improving at the same time the efficacy of the treatment. Methods: We run a randomized, controlled and single-blinded study lasted 1.5 years, on 24 subjects affected by a moderate form of idiopathic Parkinson's disease. Twelve were assigned to a theatre program in which patients underwent an ‘emotional' training. The other 12 underwent group physiotherapy. Patients of both groups were evaluated at the beginning, and at the end of their treatments, using a battery of 9 clinical scales and 5 neuropsychological scales. Results: We found that the ‘emotional' theatre was extremely effective and allowed to improve emotional well-being of patients in only 1.5 years time. Conversely, control patients did not exhibit significant such ameliorations. Interestingly, both groups did not show improvements either in motor symptoms or in the cognitive abilities tested by the neuropsychological battery. Conclusions: All in all, we fully replicated our previous results. Importantly we also found a form of theatre-therapy which allows to speed up the appearance of benefits. References: 1. Mirabella. J Altern Complement Med 2015;21:196e199. 2. Modugno et al. The Scientific World Journal 2010;10:2301e2313.
Abstracts / Parkinsonism and Related Disorders 22 (2016) e11ee15
References [1] Kelly VE, Johnson CO, McGough EL, Shumway-Cook A, Horak FB (2015) Association of cognitive domains with postural instability/gait disturbance in Parkinson's disease. Parkinsonism & Related Disorders. 21, 692e697. [2] Nantel J, Bronte-Stewart H (2014) The effect of medication and the role of postural instability in different components of freezing of gait (FOG). Parkinsonism & Related Disorders. 20, 447e451. [3] Owan Y, Murakami H, Mori Y, Yamagishi K, Watanabe D (2015) Correlation between cognitive impairment and postural instability in patients with Parkinson's disease. Brain Nerve. 67, 99e104.
Table 1 The posturographic data comparing between before cognitive loading and during cognitive loading (reading and counting backward) PD (N¼30) CoP
Before Cognitive loading
Cognitive loading Reading
Counting backward
PL Area RMS ML AP
91.81±49.65 11.27±12.6 2.99±3.19 2.84±1.96 3.27±1.23
113.25±82.82** 16.95±25.73 4.43±5.89 3.43±3.18 3.44±1.76
129.3±105.91** 27.35±45.51* 7.35±13.78 4.13±3.82 3.83±2.43
* p<0.05, ** p<0.01
Table 2 The posturographic data comparing the PD patients with/without FOG between before cognitive loading and during cognitive loading (reading and counting backward) FOG (FOG>6)N¼21 COP Before Cognitive loading
Non - FOG (FOG<6)N¼9 Cognitive loading
Cognitive loading
Reading
Counting backward
Before Cognitive loading
Cognitive loading
Cognitive loading
Reading
Counting backward
PL 100.3±56.67 127.74±95.29** 149.44±121.01** 71.99±16.69 79.46±18.23** 82.3±22.5** Area 13.99±14.18 21.76±29.53 35.13±52.25* 4.34±2.82 5.74±4.08 9.19±12.46 RMS 3.65±5.6 5.58±6.73 9.62±16 1.43±0.72 1.73±0.89 2.05±1.78 ML 3.23±2.18 4.04±3.61** 4.76±4.18* 1.93±0.9 2.02±0.97 2.66±2.4 AP 3.61±1.3 3.8±1.95** 4.35±2.67 2.48±0.45 2.63±0.81 2.59±1.05
* p<0.05, ** p<0.01
Ă
OP 2.50.10. THEATRE IS A VALID COMPLEMENTARY THERAPEUTIC INTERVENTION FOR EMOTIONAL REHABILITATION IN PARKINSON'S DISEASE PATIENTS Giovanni Mirabella 1, Paolo De Vita 2, Silvia Rampelli 2, Francesco Lena 2, Fulvia Dilettuso 2, Marta Iacopini 2, Raffaella D'Avella 2, Maria Concetta Borghese 2, Silvia Mazzotta 2, Deborah Lanni 2, Marco Grano 2, Sara Lubrani 2, Nicola Modugno 2. 1 Istituto Neurologico Mediterraneo Neuromed, Sapienza University of Rome, Pozzilli (IS), Italy; 2 Istituto Neurologico Mediterraneo Neuromed, Pozzilli (IS), Italy
Ă
Ă
Objectives: Whether art therapy can be a useful rehabilitative tool is a long standing and debated question (Mirabella 2015). In a previous study (Modugno et al, 2010), we showed that after three years of theatre therapy Parkinson's patients significantly improved their emotional well-being in comparison to patients undergoing conventional physiotherapy for the same amount of time. The aim of this work was to replicate these findings, improving at the same time the efficacy of the treatment. Methods: We run a randomized, controlled and single-blinded study lasted 1.5 years, on 24 subjects affected by a moderate form of idiopathic Parkinson's disease. Twelve were assigned to a theatre program in which patients underwent an ‘emotional' training. The other 12 underwent group physiotherapy. Patients of both groups were evaluated at the beginning, and at the end of their treatments, using a battery of 9 clinical scales and 5 neuropsychological scales. Results: We found that the ‘emotional' theatre was extremely effective and allowed to improve emotional well-being of patients in only 1.5 years time. Conversely, control patients did not exhibit significant such ameliorations. Interestingly, both groups did not show improvements either in motor symptoms or in the cognitive abilities tested by the neuropsychological battery. Conclusions: All in all, we fully replicated our previous results. Importantly we also found a form of theatre-therapy which allows to speed up the appearance of benefits. References: 1. Mirabella. J Altern Complement Med 2015;21:196e199. 2. Modugno et al. The Scientific World Journal 2010;10:2301e2313.