Effets de la natation en dos crawlé impliquant un renforcement moteur et une flexibilité du tronc sur la longueur de pas lors de la marche chez des patients atteints de la maladie de Parkinson

Background : Parkinson's disease is a major source of disability due to its motor and non-motor disorders. Among them, gait and posture disorders are frequently present in patients with Parkinson's disease. This study is particularly interested in the symptom of hypometria during walking, characterized by a reduction in the amplitude of the steps during walking, as well as in the posture disorder resulting in a round-shouldered slouch posture, characteristic of Parkinson's disease.Objective : The primary objective of this research is to evaluate the effects of a physical activity involving motor strengthening and trunk flexibility, such as backstroke, on step length during walking in patients with idiopathic Parkinson's disease. Secondary objectives were to evaluate the effects of this program on walking speed, ability to get up from the ground and quality of life.Method : Five patients were randomly selected fron the backstroke program group and the traditional balneotherapy group. Evaluations such as a 20-meter walk test (AT20), a floor survey test (GMT) and a quality of life questionnaire were performed before and after the intervention.Results : The results of this study do not demonstrate the effectiveness of the backstroke program compared to traditional balneotherapy due to the numerous methodological limitations encountered. However, both groups slightly improved their ability to get up from the floor and their quality of life scores.Conclusion : We cannot conclude that a backstroke program involving motor strengthening and trunk flexibility leads to an improvement in step length during walking. However, it is necessary to reproduce this study taking into account the methodological limitations observed. ; Contexte : La maladie de Parkinson est une source majeure de handicap en raison de ses troubles moteurs et non-moteurs. Parmi eux, les troubles de la marche et de la posture sont fréquemment présents chez les patients atteints de la maladie de Parkinson. Cette étude s’intéresse particulièrement au ...