Movement Disorders (revue)

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Postural sway approaches center of mass stability limits in Parkinson's disease.

Identifieur interne : 001448 ( PubMed/Corpus ); précédent : 001447; suivant : 001449

Postural sway approaches center of mass stability limits in Parkinson's disease.

Auteurs : Jasmine C. Menant ; Mark D. Latt ; Hylton B. Menz ; Victor S. Fung ; Stephen R. Lord

Source :

RBID : pubmed:21312283

English descriptors

Abstract

Although Parkinson's disease (PD) is a well recognised risk factor for falls, how this disease and its therapy affect postural stability and leaning balance remains unclear. The aim of this study was to examine the effects of PD and levodopa on postural sway and leaning balance.

DOI: 10.1002/mds.23547
PubMed: 21312283

Links to Exploration step

pubmed:21312283

Le document en format XML

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<name sortKey="Menant, Jasmine C" sort="Menant, Jasmine C" uniqKey="Menant J" first="Jasmine C" last="Menant">Jasmine C. Menant</name>
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<nlm:affiliation>Falls and Balance Research Group, Neuroscience Research Australia, Randwick, New South Wales, Australia.</nlm:affiliation>
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<name sortKey="Latt, Mark D" sort="Latt, Mark D" uniqKey="Latt M" first="Mark D" last="Latt">Mark D. Latt</name>
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<name sortKey="Menz, Hylton B" sort="Menz, Hylton B" uniqKey="Menz H" first="Hylton B" last="Menz">Hylton B. Menz</name>
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<name sortKey="Fung, Victor S" sort="Fung, Victor S" uniqKey="Fung V" first="Victor S" last="Fung">Victor S. Fung</name>
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<name sortKey="Lord, Stephen R" sort="Lord, Stephen R" uniqKey="Lord S" first="Stephen R" last="Lord">Stephen R. Lord</name>
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<term>Antiparkinson Agents (therapeutic use)</term>
<term>Female</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Muscle Rigidity (etiology)</term>
<term>Neurologic Examination (methods)</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Postural Balance (physiology)</term>
<term>Posture (physiology)</term>
<term>Reproducibility of Results</term>
<term>Sensation Disorders (drug therapy)</term>
<term>Sensation Disorders (etiology)</term>
<term>Statistics as Topic</term>
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<term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<term>Parkinson Disease</term>
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<term>Postural Balance</term>
<term>Posture</term>
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<term>Aged</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Reproducibility of Results</term>
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<div type="abstract" xml:lang="en">Although Parkinson's disease (PD) is a well recognised risk factor for falls, how this disease and its therapy affect postural stability and leaning balance remains unclear. The aim of this study was to examine the effects of PD and levodopa on postural sway and leaning balance.</div>
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<AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Although Parkinson's disease (PD) is a well recognised risk factor for falls, how this disease and its therapy affect postural stability and leaning balance remains unclear. The aim of this study was to examine the effects of PD and levodopa on postural sway and leaning balance.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Performances of 28 PD participants {median [inter-quartile range (IQR)] duration of PD: 10 (6-13) years, median (IQR) UPDRS motor score "off": 22 (14-31) "on" and "off" levodopa were compared with 28 age- and gender-matched healthy controls on two measures of controlled leaning balance [ratio of anterior-posterior (AP) sway to maximal balance range (MBR) and coordinated stability].</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">PD participants had greater ratio of AP sway to MBR than controls (P < 0.001), indicating that they swayed more as a proportion of their limits of stability, both "off" and "on" levodopa (P < 0.001). They also performed poorer in the coordinated stability test both "off" and "on" levodopa compared to controls (P < 0.001, for both), suggesting greater difficulty in controlling the center of mass at or near the limits of stability. Levodopa improved PD "participants" leaning balance (P < 0.001) and reduced the AP sway to MBR ratio (P < 0.001), although not to the level of controls.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">PD participants perform poorer than controls in leaning balance tests but significantly improve when "on" levodopa. Regardless of medication state, PD participants sway markedly more as a percentage of their limits of stability than controls suggesting a higher risk of falling.</AbstractText>
<CopyrightInformation>Copyright © 2011 Movement Disorder Society.</CopyrightInformation>
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