Parkinson's Disease, Disturbance; Balance, Labyrinth, Other Falls
Conditions
Keywords
Stabilometric Platform, Postural instability
Brief summary
Objective: To analyze different parameters in patients with Parkinson's Disease (PD) obtained through the use of a stabilometric platform and compare them with those of a control population. To interpret the data in order to find some postural instability indicators that can become useful to build a rehabilitation strategy for balance disorders in PD.
Detailed description
Background: Posture and balance are the foundation on wich upright stance and walking are executed. Postural instability is the impairment in balance that compromises the ability to maintain or change posture such as standing and walking. It is considered to be one of the cardinal features of PD. In such patients it is present even at diagnosis and worsens with disease progression. It correlates with falls representing a major source of disability and reduced QoL in PD. In this course, the study of balance is important to identify patients who can benefit from specific rehabilitative treatment. Objective: To analyze different parameters in patients with PD obtained through the use of a stabilometric platform and compare them with those of a control population. To interpret the data in order to find some postural instability indicators that can become useful to build a rehabilitation strategy for balance disorders in PD.
Interventions
Stabilometric platform is a device used for assessment and training of balance basing on ground reaction force evaluation in static conditions.
Sponsors
Ospedale Generale Di Zona Moriggia-Pelascini
Study design
Observational model
CASE_CONTROL
Time perspective
CROSS_SECTIONAL
Eligibility
Sex/Gender
ALL
Age
58 Years to 74 Years
Healthy volunteers
Yes
Inclusion criteria
* PD according to Gelb et al., in Hoehn-Yahr stage 3, with the ability to walk without any assistance, who had fallen in the last year at least 2 times, with mini-mental state examination score ≥26. * Healthy volunteers
Exclusion criteria
* atypical parkinsonism * patients with cerebro-vascular disorders or other neurological conditions including cognitive impairment. * patients with relevant comorbidity or vestibular/visual dysfunctions limiting locomotion or balance.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Trunk sway | One week | With respect to the average centre of gravity the Standard Deviation of trunk sway (total, in Antero-Posterior and in Medio-Lateral direction) were calculated. In this way it was possible to obtain a statokinesigram, that is the layout of a line connecting the successive positions of the center of pressure during the recording, and the area of the ellipse containing 90% of the sampled positions of the center of pressure. These measurements were obtained with open eyes (OE), and while the patient performing a cognitive task (counting). |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| BBS | One week | Berg Balance Scale |
Countries
Italy
Contacts
Primary ContactGiuseppe Frazzitta, MD
Outcome results
None listed