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The decline in postural balance has a negative impact on the performance of functional tasks in individuals with Parkinson's Disease
Luna, Natália Mariana Silva; Bobbio, Tatiana Godoy; Graaf, Myriam de; Greve, Júlia Maria DAndrea; Ernandes, Rita de Cássia; Dias, Aluane Silva; Lino, Matheus Henrique dos Santos; Soares-Junior, Jose Maria; Baracat, Edmund Chada; Mochizuki, Luis; Brech, Guilherme Carlos; Alonso, Angelica Castilho.
Afiliación
  • Luna, Natália Mariana Silva; Universidade São Judas Tadeu. São Paulo. BR
  • Bobbio, Tatiana Godoy; University of St. Augustine for Health Sciences. Miami. US
  • Graaf, Myriam de; University of Münster. Movement Science. Münster. DE
  • Greve, Júlia Maria DAndrea; Universidade São Judas Tadeu. São Paulo. BR
  • Ernandes, Rita de Cássia; Universidade São Judas Tadeu. São Paulo. BR
  • Dias, Aluane Silva; Universidade São Judas Tadeu. São Paulo. BR
  • Lino, Matheus Henrique dos Santos; Universidade São Judas Tadeu. São Paulo. BR
  • Soares-Junior, Jose Maria; Universidade de São Paulo. Faculdade de Medicina. Department of Obstetrics and Gynecology, Hospital das Clínicas. São Paulo. BR
  • Baracat, Edmund Chada; Universidade de São Paulo. Faculdade de Medicina. Department of Obstetrics and Gynecology, Hospital das Clínicas. São Paulo. BR
  • Mochizuki, Luis; Universidade de São Paulo. Faculdade de Medicina. Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology. São Paulo. BR
  • Brech, Guilherme Carlos; Universidade São Judas Tadeu. São Paulo. BR
  • Alonso, Angelica Castilho; Universidade São Judas Tadeu. São Paulo. BR
Clinics ; 79: 100382, 2024. tab
Article en En | LILACS-Express | LILACS | ID: biblio-1564336
Biblioteca responsable: BR1.1
ABSTRACT
Abstract Introduction An accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP. Methods 20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest. Results Four outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01). Conclusion This study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information.
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Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil / Alemania / Estados Unidos Pais de publicación: Brasil

Texto completo: 1 Colección: 01-internacional Base de datos: LILACS Idioma: En Revista: Clinics Asunto de la revista: MEDICINA Año: 2024 Tipo del documento: Article País de afiliación: Brasil / Alemania / Estados Unidos Pais de publicación: Brasil