Open AccessAssessment of the correlation between gait and balance disorders, and the severity of motor symptoms in Parkinson’s disease, depression and cognitive impairment.
Author(s) -
B. Czechowicz,
Joanna Siuda,
Magdalena Bednar,
Iwoowakowska,
Monika RudzińskaBar
Publication year - 2016
Publication title -
rehabilitacja medyczna
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.108
H-Index - 7
eISSN - 1896-3250
pISSN - 1427-9622
DOI - 10.5604/01.3001.0009.4806
Subject(s) - tinetti test , physical medicine and rehabilitation , rating scale , montreal cognitive assessment , depression (economics) , gait , balance (ability) , parkinson's disease , fear of falling , movement disorders , berg balance scale , beck depression inventory , physical therapy , psychology , cognition , motor disorder , disease , medicine , poison control , cognitive impairment , psychiatry , injury prevention , anxiety , economics , macroeconomics , developmental psychology , environmental health
Postural instability in patients with Parkinson’s disease (PD) is one of the major factors contributing to an increasingnumber of falls and fall related complications. Diagnosis of balance disorder is based on assessment of postural controlby the biomechanical assessment of the musculoskeletal system, coordinating speed and precision of movements. The conditionfor the performance of precise and smooth movement is coordination of motor activity and sensory signals fl owing tothe motor system.Study aim: The aim of the study is to assess the impact of non-motor symptoms (depression and cognitive impairment) and theimpact of the severity of motor symptoms on the process of course of movement planning and control in Parkinson’s disease.Material and methods: The study involved 40 patients with idiopathic Parkinson’s disease, diagnosed according to the criteriaadopted by the United Kingdom Parkinson’s Disease Society Brain Bank (UKPDSBB), with stage II or III severity of symptomsof the disease according to the Hoehn-Yahr sclae. All the patients underwent physical examination with an evaluationusing the UPDRS (Unifi ed Parkinson’s Disease Rating Scale) and screening clinical trials were performed, evaluating cognitivefunctions (Montreal Cognitive Assessment, MoCA) and depressive disorders (Beck Depression Inventory, BDI). Evaluation ofmobility, stability and motor control was done using the Berg Balance Scale (BBS), the Tinetti test, the Up and Go test (TUG)and the Dynamic Gait Index (DGI).Results: There was a signifi cant correlation between the level of severity of movement disorders (according to UPRDS ONpart III) and the parameters defi ning motor skills in the DGI (R= -0.49, p<0.001), the TUG test evaluating mobility (R=0.4,p<0.01), and static and dynamic balance disorder using BBS (R=-0.44, p<0.004). The level of cognitive functioning had significant impact on the mobility and stability of patients, and the occurrence of depressive disorder did not affect the deteriorationof basic postural reactions in the group of patients with PD.Cite this article as: Czechowicz B., Siuda J., Bednar M., Nowakowska I., Rudzińska-Bar M. Assessment of the correlation between gait and balance disorders, and the severity of motor symptoms in Parkinson’s disease, depression and cognitive impairment. Med Rehabil 2016; 20(2): 13-19.