Movement Disorders (revue)

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Leg muscle strength is reduced in Parkinson's disease and relates to the ability to rise from a chair

Identifieur interne : 005C77 ( Main/Merge ); précédent : 005C76; suivant : 005C78

Leg muscle strength is reduced in Parkinson's disease and relates to the ability to rise from a chair

Auteurs : Lisa M. Inkster [Canada] ; Janice J. Eng [Canada] ; Donna L. Macintyre [Canada] ; A. Jon Stoessl [Canada]

Source :

RBID : ISTEX:7C35187FF4AF222AE86C5C5EAE35E749164767E4

English descriptors

Abstract

Individuals with Parkinson's disease (PD) have difficulties rising from a chair; however, factors contributing to this inability have never been investigated. We compared lower extremity strength between individuals with PD and healthy controls and quantified the relationships between strength and the ability to rise from a chair. Ten men with mild PD and 10 sex‐ and age‐matched controls performed maximal concentric, isokinetic knee and hip extensor torque on an isokinetic dynamometer to quantify muscle strength. Subjects also rose from a chair at their comfortable pace without the use of their arms and the duration of this task provided a measure of sit‐to‐stand (STS) ability. Subjects with PD were tested in an on‐ and off‐medication state on different days. Mean hip and knee extensor torques were lower in subjects with PD, with greater deficits found at the hip. Greater hip strength was related to better STS ability in subjects with PD while greater knee strength was related to better STS ability in controls. These results show that individuals with mild PD generate smaller extremity forces compared to controls. Reduced strength, particularly at the hip, may be one factor that contributes to the difficulty of persons with PD to rise from a chair.

Url:
DOI: 10.1002/mds.10299

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ISTEX:7C35187FF4AF222AE86C5C5EAE35E749164767E4

Le document en format XML

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<name sortKey="Macintyre, Donna L" sort="Macintyre, Donna L" uniqKey="Macintyre D" first="Donna L" last="Macintyre">Donna L. Macintyre</name>
<affiliation wicri:level="1">
<nlm:aff id="A1">Department of Physical Therapy, University of British Columbia, Canada</nlm:aff>
<country xml:lang="fr">Canada</country>
<wicri:regionArea>Department of Physical Therapy, University of British Columbia</wicri:regionArea>
<wicri:noRegion>University of British Columbia</wicri:noRegion>
</affiliation>
<affiliation>
<nlm:aff id="A2">Rehabilitation Research Laboratory, GF Strong Rehab Centre</nlm:aff>
<wicri:noCountry code="subfield">GF Strong Rehab Centre</wicri:noCountry>
</affiliation>
</author>
<author>
<name sortKey="Stoessl, A Jon" sort="Stoessl, A Jon" uniqKey="Stoessl A" first="A. Jon" last="Stoessl">A. Jon Stoessl</name>
<affiliation>
<nlm:aff id="A3">Pacific Parkinson’s Research Centre, University of BC</nlm:aff>
<wicri:noCountry code="subfield">University of BC</wicri:noCountry>
</affiliation>
</author>
</analytic>
<series>
<title level="j">Movement disorders : official journal of the Movement Disorder Society</title>
<idno type="ISSN">0885-3185</idno>
<idno type="eISSN">1531-8257</idno>
<imprint>
<date when="2003">2003</date>
</imprint>
</series>
</biblStruct>
</sourceDesc>
</fileDesc>
<profileDesc>
<textClass>
<keywords scheme="KwdEn" xml:lang="en">
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Carbidopa (therapeutic use)</term>
<term>Disability Evaluation</term>
<term>Drug Combinations</term>
<term>Female</term>
<term>Hip (physiopathology)</term>
<term>Humans</term>
<term>Knee (physiopathology)</term>
<term>Levodopa (therapeutic use)</term>
<term>Lower Extremity (physiopathology)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Weakness (diagnosis)</term>
<term>Muscle Weakness (etiology)</term>
<term>Muscle Weakness (physiopathology)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (physiopathology)</term>
<term>Posture (physiology)</term>
<term>Random Allocation</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en">
<term>Antiparkinson Agents</term>
<term>Carbidopa</term>
<term>Levodopa</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en">
<term>Muscle Weakness</term>
</keywords>
<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en">
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en">
<term>Muscle Weakness</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en">
<term>Posture</term>
</keywords>
<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en">
<term>Hip</term>
<term>Knee</term>
<term>Lower Extremity</term>
<term>Muscle Weakness</term>
<term>Muscle, Skeletal</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" xml:lang="en">
<term>Disability Evaluation</term>
<term>Drug Combinations</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Random Allocation</term>
<term>Severity of Illness Index</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front>
<div type="abstract" xml:lang="en">
<p id="P1">Individuals with Parkinson’s disease (PD) have difficulties rising from a chair; however, factors contributing to this inability have never been investigated. This study compared lower extremity strength between individuals with PD and healthy controls and quantified the relationships between strength and the ability to rise from a chair. Ten males with mild PD and ten male age-matched controls performed maximal concentric, isokinetic knee and hip extensor torque on an isokinetic dynamometer to quantify muscle strength. Subjects also rose from a chair at their comfortable pace without the use of their arms and the duration of this task provided a measure of sit-to-stand (STS) ability. Subjects with PD were tested in an on- and off-medication state on different days. Mean hip and knee extensor torques were less in subjects with PD, with greater deficits found at the hip. Greater hip strength was related to better STS ability in subjects with PD while greater knee strength was related to better STS ability in controls. These results show that individuals with mild PD generate smaller extremity forces compared to controls. Reduced strength, particularly at the hip, may be one factor that contributes to the difficulty of persons with PD to rise from a chair.</p>
</div>
</front>
</TEI>
</PMC>
</double>
</record>

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