Premium
Static and dynamic postural control: Comparison between community old adults and people with Parkinson's disease
Author(s) -
Lazarotto Leilane,
Bobbo Giovana Z. G.,
Siega Juliana,
da Silva Adriano Z.,
Iucksch Dielise D.,
Israel Vera L.,
Bento Paulo C. B.
Publication year - 2020
Publication title -
physiotherapy research international
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.509
H-Index - 49
eISSN - 1471-2865
pISSN - 1358-2267
DOI - 10.1002/pri.1844
Subject(s) - balance (ability) , parkinson's disease , eyes open , force platform , repeated measures design , analysis of variance , medicine , centre of pressure , dynamic balance , posturography , physical medicine and rehabilitation , mann–whitney u test , physical therapy , psychology , disease , mathematics , statistics , physics , quantum mechanics
Aims To compare the static and dynamic postural control of people with Parkinson's disease and community old adults. Methods Thirty‐five people were in the Parkinson's disease group (PDG; 12 women, 62.4 ± 11.0 years, 77.9 ± 15.6 kg, 166.5 ± 11.0 cm, 27.9 ± 3.8 kg/m 2 , 1.9 ± 0.5 Hoehn & Yahr) and 32 were in the old adults group (OAG; 13 women, 69.5 ± 6.0 years, 74.2 ± 12.3 kg, 165.0 ± 8.3 cm, 27.2 ± 4.0 kg/m 2 ). The static balance was measured on a force platform, three 30‐s trials in four conditions: feet side‐by‐side (FSBS) and semi‐tandem stance (ST) positioning, eyes open (EO) and eyes closed (EC). The total sway path length (SPL), sway area (SA), anterior–posterior (APSR) and medial‐lateral (MLSR) sway range of the centre of pressure were obtained. Dynamic balance was assessed using the timed‐up‐and‐go test (TUG). For comparison between groups and repeated‐measures, a mixed‐design ANOVA was carried out and the Mann–Whitney U test to compare TUG between groups. The significance level was set at p ≤ .05. Results Between groups, PDG presented higher mean values for SPL, APSR and SA in feet side‐by‐side eyes open compared to the OAG, for SPL in feet side‐by‐side eyes closed, for SPL and SA in STEO. For repeated‐measures, both groups had higher mean values in the EC condition compared to EO and MLSR compared to APSR. No significant difference was found between groups for TUG. Conclusion Balance disorders are found early in people with Parkinson's disease compared to healthy older adults. Thus, Parkinson's disease seems to advance the process of alterations in the postural control system.