Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease

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.