Assessment of dynamic balance during step initiation in Parkinson’s disease patients and elderly – a validity study

• Autorzy: Juras Grzegorz , Kamieniarz Anna , Michalska Justyna , Słomka Kajetan

Identyfikatory

DOI

10.37190/ABB-01494-2019-02

• Języki publikacji: EN

Abstrakty

EN

The aim of this study was to evaluate the reliability of the novel posturographic procedure and to investigate the relationships between parameters of this procedure and clinical tests. We hypothesised the proposed step initiation procedure to be reliable method of balance and motor disability assessment, especially in patients with neurological deficits. Also, we assumed high significant correlation between parameters of step initiation procedures and clinical tests. Methods: The 35 subjects with idiopathic PD and 35 agedmatched healthy controls participated in this study. The gait initiation was measured using two force platforms. The procedure consisted of three phases: (1) quiet standing on a first platform (2) crossing on the second platform, (3) quiet standing on a second platform. Testing was carried out in four conditions: unperturbed trial, obstacle crossing, step-up and step-down. Results: In the proposed gait initiation procedure, the vCOP, raCOP and rmsCOP showed an excellent reliability (ICC > 0.80). For transit phase, reliability of all variables in all conditions also was excellent (ICC = 0.8–0.9). There were only a few associations between Tinetti scores and posturographic variables in controls, but in PD patients the significant correlations were found between the proposed measures and the UPDRS, Tinetti, FRT, TUG and with the BBS. Conclusions: The proposed gait initiation procedure is reliable and very suitable for the assessment of patients with Parkinson’s disease. It can be used as an objective assessment of the clinical condition and dynamic balance, and help in the designing and programming of the appropriate rehabilitation and treatment.

Słowa kluczowe

EN

Parkinson’s disease; elderly; postural stability; validity; step initiation

PL

choroba Parkinsona; wiek starszy; stabilność postawy

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2020
• Tom: Vol. 22, no. 1
• Strony: 3--10
• Opis fizyczny: Bibliogr. 31 poz., rys., tab.

Twórcy

autor

Juras Grzegorz

• Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Poland

autor

Kamieniarz Anna

• Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Poland

autor

Michalska Justyna

• Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Poland

autor

Słomka Kajetan

• Institute of Sport Sciences, The Jerzy Kukuczka Academy of Physical Education in Katowice, Poland

Bibliografia

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