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EUROPEAN JOURNAL OF PHYSICAL AND REHABILITATION MEDICINE

Rivista di Medicina Fisica e Riabilitativa dopo Eventi Patologici


Official Journal of the Italian Society of Physical and Rehabilitation Medicine (SIMFER), European Society of Physical and Rehabilitation Medicine (ESPRM), European Union of Medical Specialists - Physical and Rehabilitation Medicine Section (UEMS-PRM), Mediterranean Forum of Physical and Rehabilitation Medicine (MFPRM), Hellenic Society of Physical and Rehabilitation Medicine (EEFIAP)
In association with International Society of Physical and Rehabilitation Medicine (ISPRM)
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European Journal of Physical and Rehabilitation Medicine 2014 August;50(4):447-51

Copyright © 2014 EDIZIONI MINERVA MEDICA

lingua: Inglese

Parkinson’s patient runs an ultra marathon: a case report

Daviet J.-C. 1, 2, Roy X. 1, Quelven-Bertin I. 3, Jallageas R. 1, Mandigout S. 2, Torny F. 4, Monteil J. 3

1 Service of Physical and Readaptation Medicine, Head and Neck Neuroscience Center, CHU Limoges, J Rebeyrol Hospital, Limoges, France;
2 Faculty of Sciences and Techniques, University of Limoges, Limoges, France;
3 Service of Nuclear Medicine, Oncohemathological Center, Hôpital Dupuytren, CHU Limoges, Limoges, France;
4 Service of Neurology, Head and Neck Neuroscience Center, CHU Limoges, J Rebeyrol Hospital, Limoges, France


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Studies show that physical activity involving prolonged endurance may benefit patients with Parkinson’s disease by promoting the secretion and/or availability and use of dopamine. We report the case of a Parkinson’s patient who took part in an ultra-marathon to show that extreme physical activity is possible and can facilitate medical treatment with a possible positive effect on brain structures. We report the case of a 48-year-old man in the initial stages of Parkinson’s disease who took part in a 100-km run. Preparation included running approximately 90 km a week in six sessions. Evaluation included clinical monitoring and DaTSCAN® follow-up. After taking up running, the patient gradually stopped levodopa without worsening of symptoms as assessed on the UPDRS scale. DaTSCAN® imaging performed 3 days after the 100-km run showed partial correction of abnormalities seen 3 days before the race: improvement in binding at the putamen bilaterally and at the caudate nucleus on the right. Since then, the patient has continued to run regularly, for an average of 40 minutes on 5 days out of every 7. This case shows that demanding physical activity is possible in such circumstances and can help reduce medical treatment, potentially with a positive effect on the plasticity of the brain structures involved.

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jean-christophe.daviet@unilim.fr