Strategies for Maintaining Balance in Patients with Parkinson’s Disease
Introduction. The relevance of studying balance impairment in patients with Parkinson’s disease (PD) lies in the need to prevent falls and injuries while enabling patients to maintain maximum independence and mobility. Promising advances in posture and gait screening using digital image processing r...
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| Main Authors: | , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Research Center of Neurology
2025-06-01
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| Series: | Анналы клинической и экспериментальной неврологии |
| Subjects: | |
| Online Access: | https://annaly-nevrologii.com/pathID/article/viewFile/1292/pdf |
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| Summary: | Introduction. The relevance of studying balance impairment in patients with Parkinson’s disease (PD) lies in the need to prevent falls and injuries while enabling patients to maintain maximum independence and mobility. Promising advances in posture and gait screening using digital image processing require a thorough understanding of fundamental balance maintenance strategies.
The study was aimed at investigating balance maintenance strategies during PD “on” and “off” periods using classical and integral stabilometric parameters.
Materials and methods. The study included 27 PD patients with the median of 61 years. The mean total daily levodopa equivalent dose was 889.71 mg. All patients underwent clinical balance assessment using the Berg Balance Scale and stabilometric platform testing during “on” and “off” periods.
Results. Berg Balance Scale scores revealed mild balance impairments in PD patients, with greater severity during the “off” period (p 0.05). Classical Romberg test parameters during the “on” period demonstrated deteriorated balance function and increased reliance on visual strategies for balance maintenance. Analysis of vector integral parameters during the “off” period showed a significant increase in angular velocity and coefficient of abrupt direction changes (p 0.05). Stabilometry data indicate balance impairments in both PD “on” and “off” states, accompanied by different compensatory strategies.
Conclusion. Despite clinical assessments suggesting only mild balance impairments and low fall risk in PD patients, stabilometric parameters revealed more significant static balance disorders contributing to fall risk. Notably, the diagnostic value of classical stabilometric parameters decreases during the “off” period, while vector parameters characterizing balance maintenance strategies gain importance. We propose that these integral parameters can effectively assess balance quality and fundamental compensatory strategies in PD patients undergoing treatment. The findings are valuable for developing digitalized balance analysis technologies incorporating artificial intelligence. |
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| ISSN: | 2075-5473 2409-2533 |