Risk of falls using the Biodex Balance System in non-faller patients with Parkinson Disease

Autor(es)

Ramos, Guilherme Silva ^{[1, 2]} ; Silva-Batista, Carla ^{[1, 3]} ; Palma, Bartira Pereira ^[1] ; Ugrinowitsch, Carlos ^[1] ; da Cunha, Telma Fatima ^{[1, 2]}

Afiliação do(s) autor(es)

^[1] Univ Sao Paulo, Sch Phys Educ & Sport, Sao Paulo - Brazil

^[2] Univ Paulista, Sao Paulo - Brazil

^[3] Univ Sao Paulo, Sch Arts Sci & Humanities, Exercise Neurosci Res Grp, Sao Paulo - Brazil

• Tipo de documento: Artigo Científico
• Fonte: SOMATOSENSORY AND MOTOR RESEARCH; DEC 2021.
• Citações Web of Science: 0

Resumo

Purpose Biodex Balance System (BBS) is a low-cost platform used to assess balance in different populations. However, no study has used this tool to evaluate the risk of falls related to balance changes in non-faller individuals with Parkinson Disease (PD). Objective The aim of this study was to determine the changes in the balance in non-faller individuals with mild to moderate PD compared to healthy elders. Methods Forty-six PD patients at stages 2 and 3 were assessed in the `on' state (fully medicated) as well as 31 age-matched healthy controls. They were submitted to the fall risk protocol of BBS and performed three 20-s trials and a 60-s rest interval between the trials. Results Non-faller PD patients had an increased instability when compared to the healthy controls in the anteroposterior (controls: 1.54 +/- 1.00 vs. PD patients: 2.91 +/- 0.93) and mediolateral directions (controls: 1.21 +/- 0.57 vs. PD patients: 1.42 +/- 0.46), resulting in a great overall instability in the PD patients (controls: 1.28 +/- 0.61 vs. PD patients: 4.09 +/- 1.22). A significant correlation between overall instability and UPDRS-III (motor symptoms) in individuals with PD was observed. Conclusion BBS was able to identify the risk of falls in non-fallers, showing that PD patients have a greater risk of falls in unstable conditions than age-matched healthy elders, mainly due to the large sway in the anteroposterior direction. Furthermore, the severity of motor symptoms was related to overall instability which can increase the risk of falls in PD patients. (AU)

• Processo FAPESP: 16/13115-9 - Efeitos do treinamento de força com instabilidade sobre os desfechos clínicos, mecanismos espinhais e métricas cerebrais de indivíduos com bloqueio da marcha na doença de Parkinson
• Beneficiário: Carla da Silva Batista
• Modalidade de apoio: Bolsas no Brasil - Pós-Doutorado
• Processo FAPESP: 13/04970-4 - Influência dos treinamentos funcional e de força nas adaptações neuromusculares, funcionalidade e qualidade de vida em indivíduos com Doença de Parkinson
• Beneficiário: Carla da Silva Batista
• Modalidade de apoio: Bolsas no Brasil - Doutorado Direto