Do clinical scales of balance reflect turning abnormalities in people with Parkinson's disease?

Journal of Neurologic Physical Therapy : JNPT
Laurie A KingFay B Horak

Abstract

It is well known that people with Parkinson's disease (PD) have significant difficulty turning, and that such difficulty is related to freezing episodes and falls. However, it is unclear how clinicians should evaluate turning. The purpose of this exploratory study was to determine whether the common clinical assessment instruments reflect turning deficits in persons with PD compared with an instrumented measure. Forty-six participants with PD (23 with mild PD, and 23 with severe PD), and 40 healthy controls were assessed using the Berg Balance Scale (Berg), Tinetti Mobility Test (Tinetti), Activities-Specific Balance Confidence Scale, and the new instrumented Timed Up & Go test using wearable inertial sensors. Turns during the instrumented Timed Up & Go test showed significant differences among groups (χ2 = 43.6, P < 0.0001). Specifically, controls and mild PD (P < 0.001) and controls and severe PD (P < 0.00001). The number of steps (χ2 = 32.1; P < 0.0001) and peak speed (χ2 = 31.9; P < 0.0001) during turning were significantly different among all groups. Clinical scales were less likely to detect these differences. Of the clinical scales, the Berg was best able to detect differences between control and mild PD groups. Correlat...Continue Reading

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Citations

Jan 1, 2014·Sensors·Mahmoud El-GoharyLorenzo Chiari
Jul 24, 2013·Disability and Rehabilitation·Mon S BryantElizabeth J Protas
Aug 27, 2015·Journal of Neurologic Physical Therapy : JNPT·Laurie A KingFay B Horak
Apr 21, 2016·Journal of Neuroengineering and Rehabilitation·Sabato MelloneLorenzo Chiari
Nov 2, 2016·Journal of Physical Therapy Science·Adrianna BorowiczMariola Pawlaczyk
Apr 30, 2013·Prosthetics and Orthotics International·Prasath JayakaranS John Sullivan
Oct 18, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Gammon M Earhart
Oct 18, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Fay B Horak, Martina Mancini
Oct 18, 2013·Movement Disorders : Official Journal of the Movement Disorder Society·Nicolien M van der Kolk, Laurie A King
Sep 28, 2015·NeuroRehabilitation·Martina ManciniFay B Horak
Dec 17, 2014·Physical Therapy·Fay HorakMartina Mancini
Dec 14, 2019·Journal of Neurologic Physical Therapy : JNPT·Morgane PrimeMadeleine E Hackney
Feb 26, 2020·International Journal of Rehabilitation Research. Internationale Zeitschrift Für Rehabilitationsforschung. Revue Internationale De Recherches De Réadaptation·Carolina Bustamante-ContrerasClaudia Martínez-Carrasco
Apr 11, 2018·Frontiers in Aging Neuroscience·Linda HaertnerWalter Maetzler
Jul 18, 2017·Frontiers in Aging Neuroscience·Jennifer SartorWalter Maetzler
Sep 8, 2017·Frontiers in Bioengineering and Biotechnology·Karina LebelPatrick Boissy
Feb 27, 2016·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Martina ManciniFay B Horak
Nov 16, 2018·Frontiers in Neurology·Karolina KrzysztońJan Kochanowski
Dec 5, 2018·Journal of the Neurological Sciences·M B AdamsonM S Jog

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