The forward flexed posture is associated with functional independence, mobility and quality of life in people with Parkinson’s disease?
DOI:
https://doi.org/10.33233/fb.v23i4.5162Keywords:
Parkinson`s disease, forward flexed posture, mobility, muscle strength, quality of lifeAbstract
Aim: To evaluate whether the forward flexed posture (FFP) is associated with functional independence, mobility and quality of life in patients with Parkinson’s Disease (PD). Methods: A cross-sectional and comparative study in Brasilia/DF. To evaluate FFP, the occiput-to-wall test (OWT) was used and this was compared with measures of muscle strength (handgrip, dorsal extensors and lower limbs), mobility and quality of life to verify associations between them. It was also verified if the correlations between stage of the disease, measured by the Hoehn and Yahr (HY) scale and time of diagnosis. Results: Strong correlations were observed between OWR and HY, time of diagnosis and quality of life, and moderate correlations between markers of muscular strength and mobility in individuals with PD. Conclusion: The FFP measured by OWT is significantly correlated with severity stages, time of diagnosis and quality of life and moderately correlated with muscle strength and reduced mobility in patients with Parkinson's disease and represents a simple and low cost measure for clinical practice.
References
Decullier E, Couris CM, Beauchet O, Zamora A, Annweiler C, Molina DP, et al. Falls’ and fallers’ profiles. J Nutr Heal Aging 2010;14:602-08. doi: 10.1007/s12603-010-0130-x
Hubble RP, Silburn PA, Naughton GA, Cole MH. Assessing stability in mild and moderate Parkinson’s disease: Can clinical measures provide insight? Gait Posture 2016;49:7-13. doi: 10.1016/j.gaitpost.2016.06.002
Pang MYC, Mak MKY. Trunk muscle strength, but not trunk rigidity, is independently associated with bone mineral density of the lumbar spine in patients with Parkinson’s disease. Mov Disord 2009;24(8):1176-1182. doi: 10.1002/mds.22531
Kashihara K, Imamura T. Clinical correlates of anterior and lateral flexion of the thoracolumbar spine and dropped head in patients with Parkinson’s disease. Parkinsonism Relat Disord 2012;18(3):290-3. doi: 10.1016/j.parkreldis.2011.11.012
Guimarães MPA, Severino VCB, Pinheiro HA. Correlação entre funcionalidade e gravidade da doença de Parkinson em idosos. Revista Geriatria & Gerontologia [Internet] 2013 [cited 2022 Jul 4];(61):1-5. Available from: https://cdn.publisher.gn1.link/ggaging.com/pdf/v7n3a08.pdf
Nair P, Bohannon RW, Devaney L, Maloney C, Romano A. Reliability and validity of nonradiologic measures of forward flexed posture in Parkinson disease. Arch Phys Med Rehabil 2017;98(3):508-16. doi: 10.1016/j.apmr.2016.06.008
Heuft-Dorenbosch L, Vosse D, Landewé R, Spoorenberg A, Dougados M, Mielants H, et al. Measurement of spinal mobility in ankylosing spondylitis: comparison of occiput-to-wall and tragus-to-wall distance. J Rheumatol [Internet] 2004 [cited 2022 Jul 4];31(9):1779-84. Available from: https://pubmed.ncbi.nlm.nih.gov/15338500/
Cromwell R, Schurter J, Shelton S, Vora S. Head stabilization strategies in the sagittal plane during locomotor tasks. Physiother Res Int 2004;9:33-42. doi: 10.1002/pri.298
Nair P, W. Bohannon R, Devaney L, Livingston J. Measurement of anteriorly flexed trunk posture in Parkinson’s disease (PD): a systematic review. Phys Ther Rev 2015;20(4):225-32. doi: 10.1179/1743288X15Y.0000000022
Morley D, Selai C, Thompson A. The self-report Barthel Index: preliminary validation in people with Parkinson’s disease. Eur J Neurol 2012;19(6):927-29. doi: 10.1111/j.1468-1331.2011.03592.x
Silva BA, Faria CDCM, Santos MP, Swarowsky A. Assessing Timed Up and Go in Parkinson’s disease: Reliability and validity of Timed Up and Go Assessment of biomechanical strategies. J Rehabil Med 2017;49(9):723-31. doi: 10.2340/16501977-2254
Zampieri C, Salarian A, Carlson-Kuhta P, Aminian K, Nutt JG, Horak FB. The instrumented timed up and go test: potential outcome measure for disease modifying therapies in Parkinson’s disease. J Neurol Neurosurg Psychiatry 2010;81(2):171-6. doi: 10.1136/jnnp.2009.173740
Villafañe JH, Valdes K, Buraschi R, Martinelli M, Bissolotti L, Negrini S. Reliability of the handgrip strength test in elderly subjects with Parkinson disease. Hand 2016;11(1):54-8. Available from: https:// doi.org/10.1177/1558944715614852
Eichinger FLF, Soares AV, Carvalho JM, Da Silva Gevaerd M, Domenech SC, Borges NG. Dinamometria lombar: Um teste funcional para o tronco. Rev Bras Med Trab 2016;14(2):120-6. doi: 10.5327/Z1679-443520162415
Duncan RP, Leddy AL, Earhart GM. Five times sit-to-stand test performance in Parkinson’s disease. Arch Phys Med Rehabil [Internet]. 2011 [cited 2022 Jul 4];92(9):1431-6. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3250986/
Tanji H, Gruber‐Baldini AL, Anderson KE, et al. A comparative study of physical performance measures in Parkinson’s disease. Mov Disord 2008;23(13):1897-905. doi: 10.1002/mds.22266
Fritz S, Lusardi M. Walking speed : the sixth vital sign. J Aging Phys Act [Internet] 2015 [cited 2022 Jul 4];32(1):3-6. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4254896/
Tan LCS, Luo N, Nazri M, Li SC, Thumboo J. Validity and reliability of the PDQ-39 and the PDQ-8 in English-speaking Parkinson’s disease patients in Singapore. Parkinsonism Relat Disord 2004;10(8):493-99. doi: 10.1016/j.parkreldis.2004.05.007
Benatru I, Vaugoyeau M, Azulay J. Postural disorders in Parkinson’s disease. Neurophysiol Clin 2008;38:459-465. doi: 10.1016/j.neucli.2008.07.006
De Sèze M, Falgairolle M, Viel S, Assaiante C, Cazalets JR. Sequential activation of axial muscles during different forms of rhythmic behavior in man. Exp Brain Res 2008;185(2):237-47. doi: 10.1007/s00221-007-1146-2
Antonelli-Incalzi R, Pedone C, Cesari M, Di Iorio A, S B, Ferrucci L. Relationship between the occiput-wall distance and physical performance in the elderly: A cross sectional study. Aging Clin Exp Res 2007;19(3):207-12. doi: 10.1007/BF03324691
Grossman GE, Leigh RJ, Abel LA, Lanska DJ, Thurston SE. Frequency and velocity of rotational head perturbations during locomotion. Exp Brain Res 1988;70:470-6. doi: 10.1016/S0300-8932(09)70025-9
Prince F, Winter D, Stergiou P, Walt S. Anticipatory control of upper body balance during human locomotion. Gait Posture 1994;2(1):19-25. doi: 10.1016/0966-6362(94)90013-2
Almeida LRS, Paul SS, Valenca GT. Recurrent falls in people with Parkinson’s disease. In: Diagnosis and Management in Parkinson’s Disease. Elsevier; 2020. p.157-83. Available from: https://www.elsevier.com/books/diagnosis-and-management-in-parkinsons-disease/martin/978-0-12-815946-0
Capato TTC, Domingos JMM, Almeida LRS. Versão em Português da Diretriz Europeia de Fisioterapia para a Doença de Parkinson. 2014. [Internet]. [cited 2022 Jul 4]. Available from: https://www.parkinsonnet.nl/app/uploads/sites/3/2019/11/diretriz_dp_brasil_versao_final_publicada.pdf
Cano-de-la-Cuerda R, Pérez-de-Heredia M, Miangolarra-Page JC, Muñoz-Hellín E, Fernández-de-Las-Peñas C. Is there muscular weakness in Parkinson’s disease? Am J Phys Med Rehabil 2010;89(1):70-6. doi: 10.1097/PHM.0b013e3181a9ed9b.
Corcos DM, Chen C, Quinn NP, McAuley J, Rothwell JC. Strength in Parkinson’s disease: Relationshp to rate of force generation and clinical status. Ann Neurol 1996;39(1):79-88. doi: 10.1002/ana.410390112
Jones GR, Roland KP, Neubauer NA, Jakobi JM. Handgrip strength related to long-term electromyography: application for assessing functional decline in Parkinson disease. Arch Phys Med Rehabil 2017;98(2):347-52. doi: 10.1016/j.apmr.2016.09.133
Forsyth AL, Paul SS, Allen NE, Sherrington C, Fung VSC, Canning CG. Flexed truncal posture in Parkinson disease: measurement reliability and relationship with physical and cognitive impairments, mobility, and balance. J Neurol Phys Ther 2017;41(2):107-13. doi: 10.1097/NPT.0000000000000171
Mikami K, Shiraishi M, Kamo T. Effect of abnormal posture on quality of life in patients with Parkinson’s disease. Adv Park Dis 2016;5(2):7-14. doi: 10.4236/apd.2016.52002
Van Uem JMT, Walgaard S, Ainsworth E, Hasmann SE, Heger T, Nussbaum S, et al. Quantitative timed-up-and-go parameters in relation to cognitive parameters and health-related quality of life in mild-to-moderate Parkinson’s disease. PLoS One 2016;11(4):e0151997. doi: 10.1371/journal.pone.0151997
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