About this trial
Postural control depends on the central integration of vestibular, visual, and somatosensory inputs and the integrity of the neural efferent motor pathway, which continuously provides postural adjustments to environmental and body position changes. It is considered a complex skill and involves the integration of movement strategies necessary for maintaining balance. Decreased postural control can induce instabilities that affect the performance of daily activities and increase the risk of falls. Decreased postural control can be linked to fluctuations in body weight: significant weight gain or loss, in fact, can induce musculoskeletal adaptations , which contribute to postural and motor alterations . In Italy, approximately 3 million people are affected by Feed and Eating Disorders (FED), which include, among others, anorexia nervosa (AN), bulimia nervosa (BN) and uncontrolled eating disorder (UED). There are works in the literature highlighting that both anorexic and obese patients present with impaired postural control and, consequently, reduced balance.
Eligibility criteria
Qualifiers
Age between 18 and 65 years;
Diagnosis of AN, BN, DAI according to the criteria of the Diagnostic and Statistical Manual of Mental Disorders-5 Edition, DSM-5)
Ability to walk independently or with little assistance;
Ability to understand and sign informed consent.
Disqualifiers
Current or past cognitive disorders (mental retardation) with Mini Mental State Evaluation (MMSE) values ≤ 26 ;
Severe clinical conditions (head trauma, severe neurological and cardiac diseases and vascular disorders, oncological diseases);
Substance use disorders;
Unstabilized major psychiatric disorders (e.g., manic episode, acute psychotic episode, etc.);
Trial design
Treatments tested in this trial
- Robotic balance rehabilitation with hunova® robotic platform