Axial rigidity and quality of life in patients with Parkinson’s disease: a preliminary study

Cano‐de‐la‐Cuerda, Roberto; Vela-Desojo, Lydia; Miangolarra‐Page, Juan Carlos; Macías-Macías, Yolanda; Muñoz-Hellín, Elena

doi:10.1007/s11136-010-9818-y

Cited by 39 publications

(19 citation statements)

References 18 publications

(14 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Axial impairments related to gait disorders, postural instability [49] and the rigidity of the trunk [15,18,24] have been reported to be strongly associated with disability and poor HRQoL [18] in patients with mild to moderate PD. Moreover, axial motor features of PD have been found significantly correlated with physical inactivity, decreased ability to perform ADLs and increased ADLs dependency [50].…”

Section: Axial Impairments and Health Related Quality Of Lifementioning

confidence: 99%

“…For example, technological methods have been developed to measure muscle tone in PD [22]. In previous studies, several authors have used technological evaluations with isokinetic dynamometers to examine trunk rigidity in PD subjects, thanks to the mobilization of the trunk at desired speeds throughout the available ROM, recording the information relative to the offered resistance as an objective measure of rigidity [15,18,23,24]. Other technologies like inertial sensors and biomechanical and neurophysiological muscle measurements have been described [25], but all these evaluations techniques are rarely available in daily clinical practice since equipment is expensive, and its use is time consuming and requires complex data analysis.…”

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Cano‐de‐la‐Cuerda

Vela-Desojo

Moreno-Verdú

et al. 2020

Sensors

Self Cite

View full text Add to dashboard Cite

Background: People with Parkinson’s disease (PD) present deficits of the active range of motion (ROM), prominently in their trunk. However, if these deficits are associated with axial rigidity, the functional mobility or health related quality of life (HRQoL), remains unknown. The aim of this paper is to study the relationship between axial ROM and axial rigidity, the functional mobility and HRQoL in patients with mild to moderate PD. Methods: An exploratory study was conducted. Non-probabilistic sampling of consecutive cases was used. Active trunk ROM was assessed by a universal goniometer. A Biodex System isokinetic dynamometer was used to measure the rigidity of the trunk. Functional mobility was determined by the Get Up and Go (GUG) test, and HRQoL was assessed with the PDQ-39 and EuroQol-5D questionnaires. Results: Thirty-six mild to moderate patients with PD were evaluated. Significant correlations were observed between trunk extensors rigidity and trunk flexion and extension ROM. Significant correlations were observed between trunk flexion, extension and rotation ROM and GUG. Moreover, significant correlations were observed between trunk ROM for flexion, extension and rotations (both sides) and PDQ-39 total score. However, these correlations were considered poor. Conclusions: Trunk ROM for flexion and extension movements, measured by a universal goniometer, were correlated with axial extensors rigidity, evaluated by a technological device at 30°/s and 45°/s, and functional mobility. Moreover, trunk ROM for trunk flexion, extension and rotations were correlated with HRQoL in patients with mild to moderate PD.

show abstract

Section: Axial Impairments and Health Related Quality Of Lifementioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Cano‐de‐la‐Cuerda

Vela-Desojo

Moreno-Verdú

et al. 2020

Sensors

Self Cite

View full text Add to dashboard Cite

show abstract

“…Parkinson's disease (PD) is a neurodegenerative disorder that predominately affects dopamine-producing neurons in the substantia nigra [1]. Typical PD motor symptoms include resting tremor, which mainly occurs at rest and is described as a pill-rolling tremor in the hands.…”

Section: Introductionmentioning

confidence: 99%

The Impact of a Novel Immersive Virtual Reality Technology Associated with Serious Games in Parkinson’s Disease Patients on Upper Limb Rehabilitation: A Mixed Methods Intervention Study

Sánchez-Herrera-Baeza

Cano‐de‐la‐Cuerda

Oña

et al. 2020

Sensors

Self Cite

View full text Add to dashboard Cite

Background: Parkinson’s disease is a neurodegenerative disorder that causes impaired motor functions. Virtual reality technology may be recommended to optimize motor learning in a safe environment. The objective of this paper was to evaluate the effects of a novel immersive virtual reality technology used for serious games (Oculus Rift 2 plus leap motion controller—OR2-LMC) for upper limb outcomes (muscle strength, coordination, speed of movements, fine and gross dexterity). Another objective was to obtain qualitative data for participants’ experiences related to the intervention. Methods: A mixed methods intervention (embedded) study was used, with a qualitative design after a technology intervention (quantitative design). The intervention and qualitative design followed international guidelines and were integrated into the method and reporting subheadings. Results: Significant improvements were observed in strength (p = 0.028), fine (p = 0.026 to 0.028) and gross coordination dexterity, and speed movements (p = 0.039) in the affected side, with excellent compliance (100%) and a high level of satisfaction (3.66 ± 0.18 points out of the maximum of 4). No adverse side effects were observed. Qualitative findings described patients’ perspectives regarding OR2-LMC treatment, facilitators and barriers for adherence, OR2-LMC applications, and treatment improvements. Conclusions: The intervention showed positive results for the upper limbs, with elements of discordance, expansion, and confirmation between qualitative and quantitative results.

show abstract

“…Rigidity (resistance to passive movement) is one of the cardinal symptoms of PD and can be evident across axial, proximal, and distal body segments. Although largely neural rather than peripheral in its generation ( 16 ), the rigidity associated with PD elicits a significant mechanical constraint that associates with impaired gait quality ( 17 ), turning ( 18 ), standing postural sway ( 19 ), and diminished quality of life ( 20 ). Direct measurement of axial rigidity by slow, passive trunk or hip rotation in stance demonstrates an increased rigidity with PD that correlates with clinical symptom scores ( 21 ) and with difficulty walking or rolling over ( 18 ).…”

Section: Mechanical Constraint Of Rigiditymentioning

confidence: 99%

What If Low Back Pain Is the Most Prevalent Parkinsonism in the World?

2018

View full text Add to dashboard Cite

Low back pain (LBP) has a point prevalence of nearly 10% and ranks highest in global disease burden for years lived with disability; Parkinson’s disease (PD) ranks in the top 100 most disabling health conditions for years lost and years lived with disability (1). Recent evidence suggests that people with chronic, recurrent LBP exhibit many postural impairments reminiscent of a neurological postural disorder such as PD. We compare and contrast postural impairments associated with LBP and PD in order to inform treatment strategies for both conditions. The literature suggests that both LBP and PD associate with impaired proprioceptive function, sensory orientation during standing balance, anticipatory postural adjustments, automatic postural responses, and striatal-cortical function. Although postural impairments are similar in nature for LBP and PD, the postural impairments with LBP appear more specific to the trunk than for PD. Likewise, although both health conditions associate with altered striatal-cortical function, the nature of the altered neural structure or function differ for PD and LBP. Due to the high prevalence of LBP associated with PD, focused treatment of LBP in people with PD may render benefit to their postural impairments and disabilities. In addition, LBP would likely benefit from being considered more than just a musculoskeletal injury; as such, clinicians should consider including approaches that address impairments of postural motor control.

show abstract

Axial rigidity and quality of life in patients with Parkinson’s disease: a preliminary study

Cited by 39 publications

References 18 publications

Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

Trunk Range of Motion Is Related to Axial Rigidity, Functional Mobility and Quality of Life in Parkinson’s Disease: An Exploratory Study

The Impact of a Novel Immersive Virtual Reality Technology Associated with Serious Games in Parkinson’s Disease Patients on Upper Limb Rehabilitation: A Mixed Methods Intervention Study

What If Low Back Pain Is the Most Prevalent Parkinsonism in the World?

Contact Info

Product

Resources

About