Sensorimotor Perceptive Rehabilitation Integrated (SPRInt) program: exercises with augmented movement feedback associated to botulinum neurotoxin in idiopathic cervical dystonia—an observational study

Castagna, Anna; Caronni, Antonio; Crippa, Alessandro; Sciumè, Luciana; Giacobbi, Giulia; Corrini, Chiara; Montesano, Angelo; Ramella, Marina

doi:10.1007/s10072-019-04061-5

Cited by 9 publications

(13 citation statements)

References 33 publications

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“…However, the results of the survey showed that accessibility to these experts was difficult in more than a half the countries. Although more studies with proper methodology and long follow‐up for non‐pharmacological therapies are needed, some of them suggest they can provide benefit and improvement of the patient’s quality of life [12–14]. Acknowledging the importance of non‐pharmacological therapies for RNDs, the ERN‐RND decided to form a specific working group for neurorehabilitation at its last Board meeting in November 2019.…”

Section: Discussionmentioning

confidence: 99%

Management of rare movement disorders in Europe: outcome of surveys of the European Reference Network for Rare Neurological Diseases

Painous

Delamarre

et al. 2020

Euro J of Neurology

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Background and purpose The diagnosis of rare movement disorders is difficult and specific management programmes are not well defined. Thus, in order to capture and assess care needs, the European Reference Network for Rare Neurological Diseases has performed an explorative care need survey across all European Union (EU) countries. Methods This is a multicentre, cross‐sectional study. A survey about the management of different rare movement disorders (group 1, dystonia, paroxysmal dyskinesia and neurodegeneration with brain iron accumulation; group 2, ataxias and hereditary spastic paraparesis; group 3, atypical parkinsonism; group 4, choreas) was sent to an expert in each group of disorders from each EU country. Results Some EU countries claimed for an increase of teaching courses. Genetic testing was not readily available in a significant number of countries. Regarding management, patients’ accessibility to tertiary hospitals, to experts and to multidisciplinary teams was unequal between countries and groups of diseases. The availability of therapeutic options, such as botulinum toxin or more invasive treatments like deep brain stimulation, was limited in some countries. Conclusions The management of these conditions in EU countries is unequal. The survey provides evidence that a European care‐focused network that is able to address the unmet rare neurological disease care needs and inequalities is highly warranted.

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Section: Discussionmentioning

confidence: 99%

Management of rare movement disorders in Europe: outcome of surveys of the European Reference Network for Rare Neurological Diseases

Painous

Delamarre

et al. 2020

Euro J of Neurology

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“…Another intriguing investigation consists in the smoothness analysis when augmented feedback of movement is provided 59 , which (on a clinical basis) is expected to reduce jerkiness.…”

Section: Discussionmentioning

confidence: 99%

“…Finally, treatments, such as the botulinum neurotoxins and neurorehabilitation, have been shown to increase the amplitude and velocity of head movements in cervical dystonia 5 . Therefore, the most natural continuation of the current work likely consists in the study of the smoothness modification after cervical dystonia’s treatments, botulinum neurotoxins and rehabilitation exercise included 59 .…”

Section: Discussionmentioning

confidence: 99%

Smoothness of movement in idiopathic cervical dystonia

Caronni

Arcuri

Carpinella

et al. 2022

Sci Rep

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Smoothness (i.e. non-intermittency) of movement is a clinically important property of the voluntary movement with accuracy and proper speed. Resting head position and head voluntary movements are impaired in cervical dystonia. The current work aims to evaluate if the smoothness of voluntary head rotations is reduced in this disease. Twenty-six cervical dystonia patients and 26 controls completed rightward and leftward head rotations. Patients’ movements were differentiated into “towards-dystonia” (rotation accentuated the torticollis) and “away-dystonia”. Smoothness was quantified by the angular jerk and arc length of the spectrum of angular speed (i.e. SPARC, arbitrary units). Movement amplitude (mean, 95% CI) on the horizontal plane was larger in controls (63.8°, 58.3°–69.2°) than patients when moving towards-dystonia (52.8°, 46.3°–59.4°; P = 0.006). Controls’ movements (49.4°/s, 41.9–56.9°/s) were faster than movements towards-dystonia (31.6°/s, 25.2–37.9°/s; P < 0.001) and away-dystonia (29.2°/s, 22.9–35.5°/s; P < 0.001). After taking into account the different amplitude and speed, SPARC-derived (but not jerk-derived) indices showed reduced smoothness in patients rotating away-dystonia (1.48, 1.35–1.61) compared to controls (1.88, 1.72–2.03; P < 0.001). Poor smoothness is a motor disturbance independent of movement amplitude and speed in cervical dystonia. Therefore, it should be assessed when evaluating this disease, its progression, and treatments.

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“…In CD patients, motor learning techniques focused on biofeedback can restore both sensorimotor altered body perception and motor control and improve the quality of life. 2 Telerehabilitation in movement disorders can be a valid tool for motor and non motor abilities improvement and for daily life activities increase. 3 We provide here a program of exercises directed to colleagues, neurologists and PMR doctors, to explain to their cervical dystonia (CD) patients how to perform specific rehabilitation at home.…”

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confidence: 99%

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confidence: 99%

How Do I Rehabilitate Patients with Cervical Dystonia Remotely?

Castagna

Saibene

Ramella

2021

Movement Disord Clin Pract

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In literature there is a growing evidence that in cervical dystonia (CD) rehabilitation, both in person and remotely, is an efficacious add on treatment to botulinum neurotoxins (BoNT) injections, but there is no consensus about protocols. We present here two rehabilitation programs implemented by our neuro‐rehabilitative multidisciplinary team. The enclosed video clips show exercises to be performed at home as self‐rehabilitation program, and exercises presented by a physiotherapist for a telerehabilitation program. These two protocols may be helpful for integrating rehabilitation with BoNT treatment in CD.

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Sensorimotor Perceptive Rehabilitation Integrated (SPRInt) program: exercises with augmented movement feedback associated to botulinum neurotoxin in idiopathic cervical dystonia—an observational study

Cited by 9 publications

References 33 publications

Management of rare movement disorders in Europe: outcome of surveys of the European Reference Network for Rare Neurological Diseases

Management of rare movement disorders in Europe: outcome of surveys of the European Reference Network for Rare Neurological Diseases

Smoothness of movement in idiopathic cervical dystonia

How Do I Rehabilitate Patients with Cervical Dystonia Remotely?

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