Balance in Parkinson's disease under static and dynamic conditions
Identifieur interne : 003572 ( Main/Exploration ); précédent : 003571; suivant : 003573Balance in Parkinson's disease under static and dynamic conditions
Auteurs : Antonio Nardone [Italie] ; Marco Schieppati [Italie]Source :
- Movement Disorders [ 0885-3185 ] ; 2006-09.
Descripteurs français
- Pascal (Inist)
English descriptors
- KwdEn :
- Accidental Falls, Aged, Antiparkinson Agents (adverse effects), Antiparkinson Agents (therapeutic use), Coordination, Dose-Response Relationship, Drug, Drug Therapy, Combination, Dynamic conditions, Female, Head Movements (drug effects), Head Movements (physiology), Humans, Levodopa (adverse effects), Levodopa (therapeutic use), Male, Middle Aged, Nervous system diseases, Neurologic Examination (drug effects), Parkinson Disease (diagnosis), Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson disease, Parkinson's disease, Postural Balance (drug effects), Postural Balance (physiology), Static conditions, Vision, balance, coordination, falls, mobile platform, vision.
- MESH :
- chemical , adverse effects : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- diagnosis : Parkinson Disease.
- drug effects : Head Movements, Neurologic Examination, Postural Balance.
- drug therapy : Parkinson Disease.
- physiology : Head Movements, Postural Balance.
- physiopathology : Parkinson Disease.
- Accidental Falls, Aged, Dose-Response Relationship, Drug, Drug Therapy, Combination, Female, Humans, Male, Middle Aged.
Abstract
We tested balance performance in 15 on phase Parkinson's disease (PD) patients (8 nonfallers, PD‐NF; 7 fallers, PD‐F) during quiet stance (stabilometry) and on a platform continuously moving in the anteroposterior direction (dynamic test). Neither stabilometry (eyes open or closed) nor the dynamic test (eyes open) separated PD‐F from PD‐NF. With the dynamic test, eyes closed, PD‐F with respect to PD‐NF showed larger head oscillations, smaller cross‐correlation between head and malleolus motion (more so in patients with low Unified Parkinson's Disease Rating Scale, or UPDRS), and larger delays of head with respect to platform motion. Further, across all PD patients, head displacement increased with the equivalent levodopa dose, indicating a trend for medication to worsen balancing capacity while improving UPDRS. The dynamic test is a sensitive tool for detecting instability in PD‐F since absence of visual flow selectively impairs both association between body segment movements and anticipatory adjustments. © 2006 Movement Disorder Society
Url:
DOI: 10.1002/mds.21015
Affiliations:
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Le document en format XML
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<front><div type="abstract" xml:lang="en">We tested balance performance in 15 on phase Parkinson's disease (PD) patients (8 nonfallers, PD‐NF; 7 fallers, PD‐F) during quiet stance (stabilometry) and on a platform continuously moving in the anteroposterior direction (dynamic test). Neither stabilometry (eyes open or closed) nor the dynamic test (eyes open) separated PD‐F from PD‐NF. With the dynamic test, eyes closed, PD‐F with respect to PD‐NF showed larger head oscillations, smaller cross‐correlation between head and malleolus motion (more so in patients with low Unified Parkinson's Disease Rating Scale, or UPDRS), and larger delays of head with respect to platform motion. Further, across all PD patients, head displacement increased with the equivalent levodopa dose, indicating a trend for medication to worsen balancing capacity while improving UPDRS. The dynamic test is a sensitive tool for detecting instability in PD‐F since absence of visual flow selectively impairs both association between body segment movements and anticipatory adjustments. © 2006 Movement Disorder Society</div>
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