Postural stability in Parkinson’s disease patients

• Autorzy: Wilczyński J. , Pedrycz A. , Zieliński E. , Ambroży T. , Mucha D.

Identyfikatory

DOI

10.5277/ABB-00909-2017-04

• Języki publikacji: EN

Abstrakty

EN

Purpose: The aim of the study was to analyze postural stability in Parkinson's disease patients. A total of 32 subjects were tested, including 26 (81.25%) women and 6 (18.75%) men. These were patients with advanced, idiopathic Parkinson’s disease. The disease duration was over 5 years. Methods: The study was conducted in the Posturology Laboratory at the Department of Medicine and Health Sciences, Jan Kochanowski University in Kielce (Poland). The Biodex Balance System was used for evaluation of postural stability. Postural Stability Testing was performed with both feet positioned on a stable surface with the eyes open. Results: The Overall Stability Index in the whole group was 0.5°. The higher Overall Stability Index in women is indicative of slightly worse postural stability compared to men, although in both groups, it was within norms (Z = 2.0545, p = 0.0399). Anterior-Posterior Overall Stability Index (A/P) was an average of 0.35°. The Medial-Lateral Overall Stability Index (M/L) was an average of 0.27°. Both women and men were observed to have higher postural sway in the sagittal plane than the frontal plane. The vast majority of the subjects maintained in Zone A during testing (99.94%), and was slightly bent backwards to the right and in Quadrant IV (61.53%). Conclusions: Regular control of postural stability in Parkinson's disease patients is significant due to the risk of falls.

Słowa kluczowe

EN

postural stability; Parkinson's disease; Postural Stability Test

PL

stabilność posturalna; choroba Parkinsona; test stabilności

• Wydawca: Oficyna Wydawnicza Politechniki Wrocławskiej
• Czasopismo: Acta of Bioengineering and Biomechanics
• Rocznik: 2017
• Tom: Vol. 19, no. 4
• Strony: 135--141
• Opis fizyczny: Bibliogr. 24 poz., tab.

Twórcy

autor

Wilczyński J.

• Institute of Physiotherapy, Department of Medicine and Health Sciences, Jan Kochanowski University of Kielce, Kielce, Poland

autor

Pedrycz A.

• Department of Histology and Embryology Medical University in Lublin, Lublin, Poland

autor

Zieliński E.

• Department of Emergency Medicine and Disaster, Collegium Medicum in Bydgoszcz, Bydgoszcz, Poland
• Nicolaus Copernicus University in Toruń, Toruń, Poland

autor

Ambroży T.

• Department of Physical Education and Sport, Academy of Physical Education in Krakow, Krakow, Poland

autor

Mucha D.

• Department of Physical Education and Sport, Academy of Physical Education in Krakow, Krakow, Poland

Bibliografia

• [1] ABBRUZZESE G., TROMPETTO C., MARINELLI L., The rationale for motor learning in Parkinson’s disease, Eur. J. Phys. Rehabil. Med., 2009, 45, 2009–2014.
• [2] AGOSTI V., VITALE C., AVELLA D., RUCCO R., SANTANGELO G., SORRENTINO P., VARRIALE P., SORRENTINO G., Effects of Global Postural Reeducation on gait kinematics in Parkinsonian patients: a pilot randomized three-dimensional motion analysis study, Neurol. Sci., 2016, 4, 515–522.
• [3] Biodex Medical Systems, Inc. 20 Ramsay Road, Shirley, New York 2008.
• [4] BONNET C.T., DELVAL A., SZAFFARCZYK S., DEFEBVRE L., Levodopa has primarily negative influences on postural control in patients with Parkinson’s disease, Behav. Brain Res., 2017, Jul. 28, 331, 67–75, DOI: 10.1016/j.bbr.2017.05.033.
• [5] BRYANT M.S., HOU J.G., COLLINS R.L., PROTAS E.J., Contribution of Axial Motor Impairment to Physical Inactivity in Parkinson Disease, Am. J. Phys. Med. Rehabil., 2016, 5, 348–354.
• [6] DONA F., AQUINO C., GAZZOLA J., BORGES V., SILVA S.M., GANANCA F.F., CAOVILLA H.H., FERRAZ H.B., Changes in postural control in patients with Parkinson’s disease: a posturographic study, Physiotherapy, 2016, 102, 3, 272–279, DOI:10.1016/j.physio.2015. 08.009.
• [7] DUNCAN R.P., LEDDY A.L., CAVANAUGH J.T., DIBBLE L.E., ELLIS T.D., FORD M.P., FOREMAN K.B., EARHART G.M., Balance differences in people with Parkinson disease with and without freezing of gait, Gait Posture, 2015, 3, 306–309.
• [8] FALAKI A., HUANG X., LEWIS M.M., LATASH M.L., Impaired synergic control of posture in Parkinson’s patients without postural instability, Gait Posture, 2016, 44, 209–215.
• [9] KATAOKA H., OKADA Y., KIRIYAMA T., KITA Y., NAKAMURA J., MORIOKA S., SHOMOTO K., UENO S., Can Postural Instability Respond to Galvanic Vestibular Stimulation in Patients with Parkinson’s Disease?, J. Mov. Disord., 2016, 9, 40–43.
• [10] KLAMROTH S., STEIB S., DEVAN S., PFEIFER K., Effects of Exercise Therapy on Postural Instability in Parkinson Disease: A Meta-Analysis, J. Neurol. Phys. Ther., 2016, 1, 3–14.
• [11] KOZAK-PUTOWSKA D., IŁŻECKA D., PISKORZ J. et al., Kinezyterapia w chorobie Parkinsona, Medycyna Ogólna i Nauki o Zdrowiu, 2015, 21, 19–23.
• [12] LASKOWSKA I., GORZELAŃCZYK E.J., Zaburzenia poznawcze i emocjonalne u osób z chorobą Parkinsona leczonych farmakologicznie i neurochirurgicznie, Episteme, 2010, 1, 207–226.
• [13] LAURETANI F., GALUPPO L., COSTANTINO C., TICINESI A., CEDA G., RUFFINI L., NARDELLI A., MAGGIO M., Parkinson’s disease (PD) with dementia and falls is improved by AChEI? A preliminary study report, Aging. Clin. Exp. Res., 2016, 3, 551–555.
• [14] MELLONE S., MANCINI M., KING L.A., HORAK F.B., CHIARI L., The quality of turning in Parkinson's disease: a compensatory strategy to prevent postural instability?, J. Neuroeng. Rehabil., 2016, 13, 39.
• [15] PANDEY S., GARG H., Postural & amp; striatal deformities in Parkinson`s disease: Are these rare?, Indian J. Med. Res., 2016, 143, 11–17.
• [16] PARK J.H., KANG Y.J., HORAK F.B., What Is Wrong with Balance in Parkinson’s Disease?, Journal of Movement Disorders, 2015, 8, 3, 109–114, DOI: 10.14802/jmd.15018.
• [17] PAUL S.S., THACKERAY A., DUNCAN R.P., CAVANAUGH J.T., ELLIS T.D., EARHART G.M., FORD M.P., FOREMAN K.B., DIBBLE L.E., Two-Year Trajectory of Fall Risk in People with Parkinson Disease: A Latent Class Analysis, Arch. Phys. Med. Rehabil., 2016, 3, 372–379.
• [18] PETERSON D.S., HORAK F.B., Effects of freezing of gait on postural motor learning in people with Parkinson’s disease, Neuroscience, 2016, 15, 283–289, DOI: 10.1016/j.neuroscience.2016.08. 017.
• [19] SCHLENSTEDT C., MUTHURAMAN M., WITT K., WEISSER B., FASANO A., DEUSCHL G., Postural control and freezing of gait in Parkinson’s disease, Parkinsonism Relat. Disord., 2016, 24, 107–112.
• [20] STRUENSEE M., IDZIKOWSKI M., PRZYTASKA L., BUŁATOWICZ I., KAŹMIERCZAK U., SROKOWSKI G., Ocena wpływu kinezyterapii na sprawność motoryczną pacjentów z chorobą Parkinsona, Nowiny Lek., 2010, 79, 191–198.
• [21] SUTTER E.N., SEIDLER K.J., DUNCAN R.P., EARHART G.M., MCNEELY M.E., Low to moderate relationships between gait and postural responses in Parkinson disease, J. Rehabil. Med., 2017, May 29, DOI: 10.2340/16501977-2238, [Epub ahead of print].
• [22] VAN NIMWEGEN M., SPEELMAN A.D., HOFMAN-VAN ROSSUM E.J.M., OVEREEM S. et al., Physical inactivity in Parkinson’s disease, J. Neurol., 2011, 258, 2214–2221.
• [23] YANG W.C., HSU W.L., WU R.M., LU T.W., LIN K.H., Motion analysis of axial rotation and gait stability during turning in people with Parkinson’s disease, Gait Posture, 2016, 44, 83–88.
• [24] YOSHII F., MORIYA Y., OHNUKI T., RYO M., TAKAHASHI W., Postural deformities in Parkinson’s disease -Mutual relationships among neck flexion, fore-bent, knee-bent and lateral-bent angles and correlations with clinical predictors, J. Clin. Mov. Disord., 2016, 29, 1.

Uwagi

Opracowanie rekordu w ramach umowy 509/P-DUN/2018 ze środków MNiSW przeznaczonych na działalność upowszechniającą naukę (2018).