1. Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
- Author
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Hernán Maureira-Pareja, Rocio Córdova-Arellano, Maiter Espinoza-Espinoza, Juan Pablo Bustamante-Aguirre, Yoan Espinoza-Valdés, Diego Méndez-Alfaro, and Antonio Roberto Zamunér
- Subjects
Male ,medicine.medical_specialty ,Parkinson's disease ,Supine position ,Health, Toxicology and Mutagenesis ,lcsh:Medicine ,030204 cardiovascular system & hematology ,elderly ,Article ,03 medical and health sciences ,Orthostatic vital signs ,0302 clinical medicine ,Center of pressure (terrestrial locomotion) ,Internal medicine ,Heart rate ,Postural Balance ,medicine ,heart rate ,Heart rate variability ,Humans ,postural balance ,Aged ,business.industry ,autonomic nervous system ,lcsh:R ,Public Health, Environmental and Occupational Health ,heart rate variability ,Heart ,Parkinson Disease ,Middle Aged ,medicine.disease ,nervous system diseases ,Autonomic nervous system ,Cardiology ,Parkinson’s disease ,Female ,business ,030217 neurology & neurosurgery - Abstract
Parkinson&rsquo, s disease (PD) is a neurodegenerative disorder that affects postural and cardiac autonomic control. However, since it is unknown whether these changes are associated, the objective of this study was to determine whether such a relationship exists. Twenty-three patients with PD participated. The RR intervals were recorded in different positions and heart rate variability (HRV) was analyzed. Postural sway was analyzed based on the center of pressure. No significant differences on HRV indices were induced by postural change. A correlation was found between these indices and postural control, high frequency (HF), and anterior-posterior (AP) root mean square (RMS-AP) (r = 0.422, p = 0.045), low frequency (LF)/HF, and AP mean velocity (r = 0.478, p = 0.021). A correlation was found between HRV induced by postural change and postural control, &Delta, LF/HF and RMS-AP (r = 0.448, p = 0.032), &Delta, LF/HF and ellipse area (r = 0.505, p = 0.014), &Delta, LF/HF and AP mean velocity (r = &minus, 0.531, p = 0.009), and &Delta, LF and AP mean velocity (r = &minus, 0.424, p = 0.044). There is an association between the autonomic and postural systems, such that PD patients with blunted cardiac autonomic function in both the supine and orthostatic positions have worse postural control.
- Published
- 2021