Postural instability and falls are more frequent in Parkinson’s disease patients with worse trunk mobility

Nathalie Ribeiro Artigas; Clarissa Franco; Paula Leão; Carlos R. M. Rieder

doi:10.1590/0004-282X20160074

Arquivos de Neuro-Psiquiatria, Table of Contents

CC BY-NC-ND 4.0 · Arq Neuropsiquiatr 2016; 74(07): 519-523
DOI: 10.1590/0004-282X20160074

ARTICLES

Postural instability and falls are more frequent in Parkinson’s disease patients with worse trunk mobility

Instabilidade postural e quedas são mais frequentes em pacientes com doença de Parkinson com pior mobilidade de tronco

Nathalie Ribeiro Artigas

¹Universidade Federal do Rio Grande do Sul, Programa de Pós-graduação em Ciências Médicas, Porto Alegre RS, Brasil;

,

Clarissa Franco

¹Universidade Federal do Rio Grande do Sul, Programa de Pós-graduação em Ciências Médicas, Porto Alegre RS, Brasil;

,

Paula Leão

²Centro Universitário Metodista do IPA, Porto Alegre RS, Brasil;

,

Carlos R. M. Rieder

³Universidade Federal de Ciências da Saúde de Porto Alegre, Departamento de Clínica Médica, Neurologia, Porto Alegre RS, Brasil.

› Author Affiliations

Abstract

ABSTRACT

Postural instability and axial rigidity are frequent symptoms of the Parkinson’s disease (PD).

Objective Correlate the occurrence of falls and the activity of rolling over in bed with performance on the Trunk Mobility Scale (TMS) in patients with PD, and determine whether this instrument score can predict the risk of falls.

Method This is a cross-sectional study. Assessed patients reported the frequency of falls in the previous year and whether they had difficulties rolling over in bed. Then, the following scales were applied: TMS, Hoehn and Yahr, Unified Parkinson’s Disease Rating Scale-III and Schwab and England Activities of Daily Living.

Results Eighty-five patients were analyzed. Patients with a history of falling showed worse performance in the TMS (p < 0.01). There is a significant correlation between TMS and the activity of rolling over in bed (p < 0.01).

Conclusion PD fallers present worse scores in TMS, and there is a significant correlation between difficulty rolling over in bed and TMS score.

RESUMO

A instabilidade postural e a rigidez axial são sintomas frequentes da doença de Parkinson (DP).

Objetivo Correlacionar a ocorrência de quedas e a atividade de rolar na cama com o desempenho na Escala de Mobilidade de Tronco (TMS) entre os pacientes com DP e verificar se esse instrumento pode prever o risco de quedas.

Metodo Trata-se de um estudo transversal onde os pacientes avaliados relataram a frequência de quedas no ano anterior e as suas dificuldades para rolar na cama. Em seguida as seguintes escalas foram aplicadas: TMS, Hoehn and Yahr, Escala Unificada da Doença de Parkinson-III e Escala Schwab e England.

Resultados 85 pacientes foram avaliados. Os pacientes que possuíam histórico de quedas apresentaram pior desempenho no TMS (p < 0,01). Há uma correlação significativa entre a TMS e a atividade de rolar na cama (p < 0,01).

Conclusão Pacientes que relataram quedas apresentam pior pontuação no TMS e há uma correlação significativa entre a dificuldade de rolar na cama e o TMS.

Parkinson disease - accidental falls - mobility limitation - postural balance

doença de Parkinson - acidentes por quedas - limitação de mobilidade - equilíbrio postural

Full Text

References

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