The Journal of Korean Physical Therapy

The Korean Society of Physical Therapy (대한물리치료학회)
권호 표지
DOI QR코드

DOI QR Code

Effects of Sagittal Spinopelvic Alignment on Motor Symptom and Respiratory Function in Mild to Moderate Parkinson's disease

  • Kang, DongYeon (Department of Health Care and science, College of Health Science, Dong-A University) ;
  • Cheon, SangMyung (Parkinson's Disease Center, Dong-A University Hospital) ;
  • Son, MinJi (Graduate School of medical, Dong-A University) ;
  • Sung, HyeRyun (Parkinson's Disease Center, Dong-A University Hospital) ;
  • Lee, HyeYoung (Department of Physical Therapy, Keimyung University Dongsan Medical Center)
  • Received : 2019.03.25
  • Accepted : 2019.04.29
  • Published : 2019.04.30
Download PDF
⟨ Previous Next ⟩

Abstract

Purpose: This study examined the effects of sagittal spinopelvic alignment on the clinical parameters, motor symptoms, and respiratory function in patients with mild to moderate Parkinson's disease (PD). Methods: This study was a prospective assessment of treated patients (n=28, Hoehn and Yahr (H&Y) stage 2-3) in a PD center. Twenty-eight subjects ($68.5{\pm}5.7yrs$) participated in this study. The clinical and demographic parameters, including age, sex, symptoms duration, treatment duration, and H&Y stage, were collected. Kinematic analysis was conducted in the upright standing posture with a motion capture system. A pulmonary function test (PFT) was performed in the sitting position using a spirometer. The motor symptoms were assessed on part III of the movement disorder society sponsored version of the unified Parkinson's disease rating scale (MDS-UPDRS). SPSS 18.0 was used to analyze the collected data. Results: The exceeding 12 degrees group of the lower trunk showed significantly higher on the clinical parameters than the below 12 degrees group. In addition, the exceeding 12 degrees group of the lower trunk showed a significantly lower forced expiratory volume at one second (FEV1) / forced vital capacity (FVC) (%) and 25-75% forced mid-expiratory flow (FEF) (L/s) than in the below group. On the other hand, there was no difference in the upper trunk and the cervical pelvis between the groups. Conclusion: These findings suggest that the sagittal balance in the lower trunk is related to the clinical parameters and respiratory function, but not the motor symptoms in patients with mild to moderate PD.

Keywords

References

  1. Kang DY, Cheon SM, Lee KS et al, Correlations amang respiratoty function, UPDRS and senior fitness in parkinson's disease patients. J Kor Phys Ther. 2014;26(2):48-55.
  2. Bang DH, Noh HJ. Effects of aerobic exercise on disease severity and walking ability in patients with parkinson's disease. J Kor Phys Ther. 2016;28(4):227-31. https://doi.org/10.18857/jkpt.2016.28.4.227
  3. Song HS, Kim JY. Clinical feasibility of mental practice for gait ability improvement of parkinson disease patients: ABA single subject design. J Kor Phys Ther. 2014;26(6):398-402.
  4. Lee DK, Kim EK, Kim YN et al, Effects of a Virtual Reality Training Program on Balance and Lower Muscular Strength of Parkinson's Disease Patients. J Kor Phys Ther. 2013;25(2):96-102.
  5. Capecci M, Serpicelli C, Fiorentini L et al, Postural rehabilitation and Kinesio taping for axial postural disorders in Parkinson's disease. Arch Phys Med Rehabil. 2014;95(6):1067-75. https://doi.org/10.1016/j.apmr.2014.01.020
  6. Doherty KM, van de Warrenburg BP, Peralta MC et al, Postural deformitiesin Parkinson's disease.Lancet Neurol. 2011;10(6):538-49. https://doi.org/10.1016/S1474-4422(11)70067-9
  7. Khlebtovsky A, Djaldetti R, Rodity et al, Progression of postural changes in Parkinson's disease: quantitative assessment. J Neurol. 2017; 264(4):675-683. https://doi.org/10.1007/s00415-017-8402-6
  8. Benninger F, Khlebtovsky A, Roditi Y et al, Beneficial effect of levodopa therapy on stooped posture in Parkinson's disease. Gait Posture. 2015; 42(3):263-8. https://doi.org/10.1016/j.gaitpost.2015.05.015
  9. Nair P, Bohannon RW, Devaney L et al, Reliability and validity of nonradiologic measures of forward flexed posture in parkinson disease. Arch Phys Med Rehabil. 2017;98(3):508-16. https://doi.org/10.1016/j.apmr.2016.06.008
  10. Bissolotti L, Gobbo M, Villafane JH et al, Spinopelvic balance: new biomechanical insights with clinical implications for parkinson's disease. Eur Spine J. 2014;23(3):576-83. https://doi.org/10.1007/s00586-013-3068-y
  11. WilczyNski J, Pedrycz A, Mucha D et al, Body posture, postural stability, and metabolic age in patients with parkinson's disease. Biomed Res Int. 2017;2017:1-9. https://doi.org/10.1155/2017/3975417
  12. Mikami K, Shiraishi M, Kawasaki T et al, Forward flexion of trunkin Parkinson's disease patients is affected by subjective vertical position. PLoS One. 2017;12(7):1-9.
  13. Bissolotti L, Berjano P, Zuccher P et al, Sagittal balance is correlated with parkinson's disease clinical parameters: an overview of spinopelvic alignment on 175 consecutive cases. Eur Spine J. 2017;26(4):471-8. https://doi.org/10.1007/s00586-017-5052-4
  14. Forsyth AL, Paul SS, Allen NE et al, Flexed truncal posturein parkinson disease: measurement reliability and relationship with physical and cognitive impairments, mobility, and balance. J Neurol Phys Ther. 2017; 41(2):107-13. https://doi.org/10.1097/NPT.0000000000000171
  15. Capecci M, Serpicelli C, Fiorentini L et al, Postural rehabilitation and kinesio taping for axial postural disorders in parkinson's disease. Arch Phys Med Rehabil. 2014;95(6):1067-75. https://doi.org/10.1016/j.apmr.2014.01.020
  16. Lorbergs AL, O'Connor GT, Zhou Y et al, Severity of kyphosisand declinein lung function: The framingham study. J Gerontol A Biol Sci Med Sci. 2017;72(5):689-94.
  17. Kang JI, Jeong DK, Choi H. Correlation between pulmonary functions and respiratory muscle activity in patients with forward head posture. J Phys Ther Sci. 2018;30(1):132-5. https://doi.org/10.1589/jpts.30.132
  18. Kim MS, Cha YJ, Choi JD. Correlation between forward head posture, respiratory functions, and respiratory accessory muscles in young adults. J Back Musculoskelet Rehabil. 2017;30(4):711-5. https://doi.org/10.3233/BMR-140253
  19. Marinelli P, Colosimo C, Ferrazza AM et al, Effect of camptocormia on lung volumes in Parkinson's disease. Respir Physiol Neurobiol. 2013; 187(2):164-6. https://doi.org/10.1016/j.resp.2013.03.008
  20. Monteiro L, Souza-Machado A, Valderramas S et al, The effect of levodopa on pulmonary function in Parkinson's disease: a systematic review and meta-analysis. Clin Ther. 2012;34(5):1049-55. https://doi.org/10.1016/j.clinthera.2012.03.001
  21. Goetz CG, Tilley BC, Shaftman SR et al. Movement disorder-society-sponsored revision of the unified parkinson's disease rating scale (MDS-UPDRS): scale presentation and clinimetric testing results. movement disorders. 2008;23(15):2120-70.
  22. Akram S, Frank JS, Jog M. Parkinson's disease and segmental coordination during turning: I. Standing turns. Can J Neurol Sci. 2013;40(4):512-9. https://doi.org/10.1017/S0317167100014591
  23. Kim Y, Cheon SM, Youm C et al, Depression and posture in patients with Parkinson's disease. Gait Posture. 2018;61:81-5. https://doi.org/10.1016/j.gaitpost.2017.12.026
  24. Margraf NG, Wrede A, Deuschl G et al, Pathophysiological concepts and treatment of camptocormia. J Parkinsons Dis. 2016;166(3):485-501. https://doi.org/10.3233/JPD-160836
  25. Galazky I, Caspari C, Heinze HJ et al, The prevalenceof chroniclow back painand lumbar deformitiesin patients with Parkinson's disease: implications on spinal surgery. Eur Spine J. 2018;27(11):2847-2853. https://doi.org/10.1007/s00586-018-5748-0
  26. Boonstra TA, van Vugt JP, van der Kooij et al, Balance asymmetry in parkinson's disease and its contribution to freezing of gait. PLoS One. 2014;9(7):1-12.
  27. Khallaf ME, Fayed EE. Early postural changes in individuals with idiopathic parkinson's disease. Parkinsons Dis. 2015;2015:1-6. https://doi.org/10.1155/2015/369454

Cited by

  1. The Effect of Coordinative Locomotor Training Using Elastic Bands on the Flexibility and Body Alignment of Elementary School Right-Handed Baseball Players vol.33, pp.5, 2019, https://doi.org/10.18857/jkpt.2021.33.5.217