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Does the Pisa syndrome affect postural control, balance, and gait in patients with Parkinson's disease? An observational cross-sectional study
- Source :
- Parkinsonismrelated disorders. 21(7)
- Publication Year :
- 2014
-
Abstract
- An altered sense of verticality, associated with impaired proprioception and somatosensory integration deficits, has been reported in patients with Parkinson's disease (PD) but it has not been characterized in patients with Pisa syndrome (PS). Therefore, we investigated postural control, balance, and gait disturbances in patients with PD and PS, patients with PD but without PS, and aged-matched normal controls.This observational cross-sectional study involved patients with PD and PS (n = 10, HoehnYahr score4), patients with PD but without PS (n = 10), and age-matched healthy controls (n = 10). The primary outcome measure was the velocity of CoP displacement (VEL_MED_AP/ML) assessed by static stabilometry in eyes open (EO) and eyes closed (EC) conditions. The secondary outcomes were other stabilometric parameters, the Sensory Organization Balance Test (SOT), and gait analysis (GA).There were no significant differences in demographic and clinical data and Berg Balance Scale scores between the groups. There was a significant main effect in the VEL_MED_AP/ML between the groups and eye conditions (p = .016). A significant main effect was found in the EO (p = .01) and EC (p = .04) conditions. Post-hoc comparisons showed a significant increase in VEL_CoP in both the EO and EC conditions only in the patients with PD and PS. No significant main effects on SOT and GA were found.Patients with PD and PS had more difficulty achieving good postural alignment with gravity and greater velocity of body sway than the other groups. Rehabilitation programs for patients with PD and PS should include spine alignment and dynamic postural training.
- Subjects :
- Adult
Male
medicine.medical_specialty
Parkinson's disease
postural orientation
Cross-sectional study
proprioception
medicine.medical_treatment
equilibrium,falls,postural orientation,proprioception
Pilot Projects
equilibrium
Physical medicine and rehabilitation
falls
medicine
Humans
Gait
Postural Balance
Balance (ability)
Aged
Aged, 80 and over
Rehabilitation
Proprioception
Gait Disturbance
Parkinson Disease
Syndrome
Middle Aged
medicine.disease
Cross-Sectional Studies
Neurology
Berg Balance Scale
Physical therapy
Somatosensory Disorders
Female
Neurology (clinical)
Geriatrics and Gerontology
Psychology
Subjects
Details
- ISSN :
- 18735126
- Volume :
- 21
- Issue :
- 7
- Database :
- OpenAIRE
- Journal :
- Parkinsonismrelated disorders
- Accession number :
- edsair.doi.dedup.....9cdeb29c9fc782436a4927552fb72bde