Studi sperimentali sull’efficacia di interventi di Promozione di Attività Motoria e di Sostituzione Sensoriale nel recupero dei disordini della marcia e dell’equilibrio nelle patologie neurologiche croniche disabilitanti

Motor activities in chronic and disabling neurological disorders. Promotion of motor activity educational, adaptive, playful and sporty is directed towards the maintenance and recovery of motor skills and psychological well-being related to them. The aim of the doctoral research (PHD) conducted in the three years has been to design, to conduct and to evaluate studies on the effectiveness of proposals to promote mobility for people with neurological disabilities brand. In this context have been identified several lines of research undertaken at the Sections of Otolaryngology- Audiology/Neurology. The studies aimed to seek new strategies to ensure that motor activity was conducted with objectives aimed at overcoming and improving motor deficits characteristic of each disease. Based on these premises have been well developed plans based on the involvement of motor activity and emotional play, through music, games, dance and other creative expressions. All activities have been put under medical screening and the results of studies conducted have been very encouraging, as to be received with considerable interest even to the last national congresses of the Italian Society of Neurology. The studies have involved subjects with Parkinson's disease, multiple sclerosis, sensory ataxia. Pilot surveys were carried out in patients with Alzheimer's disease, sequelae of cerebral palsy, amyotrophic lateral sclerosis and ataxia in childhood. The programs are based on the proposal for emotional stimuli of various kinds aimed to train and develop mental and physical abilities that may be lost or not used due to specific disease of central or peripheral nervous system. Other objective of researches during the doctoral research’s three years was to evaluate the functional recovery of static and dynamic postural disorders by using tecniques of sensitive substitutions among patients with cerebellar, vestibular and sensitive ataxia. In these researches, and also in studies of promotion of motor adapted activity, tecniques of evaluation of the results such as clinical and instrumental tests were adopted. Among these, accelerometer was used for analyzing dynamics of gait of the patients with movement neurological disorders under study.