Possible treatment for the Pisa-syndrome by Parkinson disease: a case report

Objective: To give an example what can be an good treatment to counter the Pisa-syndrome by persons with the disease of Parkinson. Method: To give an overview of the assessment and possible treatment possibilities that are the outcome of that assessment. And an search in the literature to find an way that the shortening of the muscle of the spine is treatable. And place that possibilities in the treatment session but also an attempt to bring this change in the ADL of this person. So that the complaints of him has an possibility to be counter also during the day. Results: The greatest result were there, when he was exercising in the water but there was only an short effect of this on land. Through the hypothesis of the effect in water and the discovery of the dynamic proprioceptive /exteroceptive stimuli was it possible to get an grip on the shortening of the spine on land and not only in the treatment but also on some moments in de ADL. Especially the speech/eating/swallowing component was improved. Conclusion: One case can never be an significant prove that this approach is working but it has learn us that the shortening of the spine (Pisa–syndrome) has his roots in an “malfunction” in the brain. That brain is treatable through the right stimuli and will react with an decrease of tone /rigidity but only for an short time and with the possibility to give dynamic stimuli. Further research is necessary to get the treatment for every Parkinson with the Pisa syndrome working.