Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program
Balance dysfunction (BD) in Parkinson’s disease (PD) is a disabling symptom, difficult to treat and predisposing to falls. The dopaminergic drugs or deep brain stimulation does not always provide significant improvements of BD and rehabilitative approaches have also failed to restore this condition....
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| Format: | Article |
| Language: | English |
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Wiley
2015-01-01
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| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2015/520128 |
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| author | Davide Ferrazzoli Alfonso Fasano Roberto Maestri Rossana Bera Grazia Palamara Maria Felice Ghilardi Gianni Pezzoli Giuseppe Frazzitta |
| author_facet | Davide Ferrazzoli Alfonso Fasano Roberto Maestri Rossana Bera Grazia Palamara Maria Felice Ghilardi Gianni Pezzoli Giuseppe Frazzitta |
| author_sort | Davide Ferrazzoli |
| collection | DOAJ |
| description | Balance dysfunction (BD) in Parkinson’s disease (PD) is a disabling symptom, difficult to treat and predisposing to falls. The dopaminergic drugs or deep brain stimulation does not always provide significant improvements of BD and rehabilitative approaches have also failed to restore this condition. In this study, we investigated the suitability of quantitative posturographic indicators to early identify patients that could develop disabling BD. Parkinsonian patients not complaining of a subjective BD and controls were tested using a posturographic platform (PP) with open eyes (OE) and performing a simple cognitive task [counting (OEC)]. We found that patients show higher values of total standard deviation (SD) of body sway and along the medio-lateral (ML) axis during OE condition. Furthermore, total and ML SD of body sway during OE condition and total SD of body sway with OEC were higher than controls also in a subgroup of patients with normal Berg Balance Scale. We conclude that BD in Parkinsonian patients can be discovered before its appearance using a PP and that these data may allow developing specific rehabilitative treatment to prevent or delay their onset. |
| format | Article |
| id | doaj-art-2869b9f014c042e0a6cb322f06b770a2 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2015-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-2869b9f014c042e0a6cb322f06b770a22025-02-03T01:09:25ZengWileyParkinson's Disease2090-80832042-00802015-01-01201510.1155/2015/520128520128Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation ProgramDavide Ferrazzoli0Alfonso Fasano1Roberto Maestri2Rossana Bera3Grazia Palamara4Maria Felice Ghilardi5Gianni Pezzoli6Giuseppe Frazzitta7Department of Parkinson Disease and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, ItalyMorton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Division of Neurology, Toronto Western Hospital, UHN, University of Toronto, Toronto, ON, CanadaDepartment of Biomedical Engineering, Scientific Institute of Montescano, S. Maugeri Foundation, IRCCS, Montescano, ItalyDepartment of Parkinson Disease and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, ItalyDepartment of Parkinson Disease and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, ItalyDepartment of Physiology, Pharmacology & Neuroscience, CUNY Medical School, New York, NY 10031, USAParkinson Institute, Istituti Clinici di Perfezionamento, Milano, ItalyDepartment of Parkinson Disease and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, ItalyBalance dysfunction (BD) in Parkinson’s disease (PD) is a disabling symptom, difficult to treat and predisposing to falls. The dopaminergic drugs or deep brain stimulation does not always provide significant improvements of BD and rehabilitative approaches have also failed to restore this condition. In this study, we investigated the suitability of quantitative posturographic indicators to early identify patients that could develop disabling BD. Parkinsonian patients not complaining of a subjective BD and controls were tested using a posturographic platform (PP) with open eyes (OE) and performing a simple cognitive task [counting (OEC)]. We found that patients show higher values of total standard deviation (SD) of body sway and along the medio-lateral (ML) axis during OE condition. Furthermore, total and ML SD of body sway during OE condition and total SD of body sway with OEC were higher than controls also in a subgroup of patients with normal Berg Balance Scale. We conclude that BD in Parkinsonian patients can be discovered before its appearance using a PP and that these data may allow developing specific rehabilitative treatment to prevent or delay their onset.http://dx.doi.org/10.1155/2015/520128 |
| spellingShingle | Davide Ferrazzoli Alfonso Fasano Roberto Maestri Rossana Bera Grazia Palamara Maria Felice Ghilardi Gianni Pezzoli Giuseppe Frazzitta Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program Parkinson's Disease |
| title | Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program |
| title_full | Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program |
| title_fullStr | Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program |
| title_full_unstemmed | Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program |
| title_short | Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program |
| title_sort | balance dysfunction in parkinson s disease the role of posturography in developing a rehabilitation program |
| url | http://dx.doi.org/10.1155/2015/520128 |
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