Table of Contents Author Guidelines Submit a Manuscript
Parkinson’s Disease
Volume 2015, Article ID 520128, 10 pages
http://dx.doi.org/10.1155/2015/520128
Research Article

Balance Dysfunction in Parkinson’s Disease: The Role of Posturography in Developing a Rehabilitation Program

1Department of Parkinson Disease and Brain Injury Rehabilitation, “Moriggia-Pelascini” Hospital, Gravedona ed Uniti, Italy
2Morton and Gloria Shulman Movement Disorders Clinic and the Edmond J. Safra Program in Parkinson’s Disease, Division of Neurology, Toronto Western Hospital, UHN, University of Toronto, Toronto, ON, Canada
3Department of Biomedical Engineering, Scientific Institute of Montescano, S. Maugeri Foundation, IRCCS, Montescano, Italy
4Department of Physiology, Pharmacology & Neuroscience, CUNY Medical School, New York, NY 10031, USA
5Parkinson Institute, Istituti Clinici di Perfezionamento, Milano, Italy
6Fondazione Europea Ricerca Biomedica (FERB), “S.Isidoro” Hospital, Trescore Balneario, Italy

Received 12 February 2015; Revised 20 April 2015; Accepted 23 April 2015

Academic Editor: Talia Herman

Copyright © 2015 Davide Ferrazzoli et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Linked References

  1. N. Smania, E. Corato, M. Tinazzi et al., “Effect of balance training on postural instability in patients with idiopathic Parkinson's disease,” Neurorehabilitation and Neural Repair, vol. 24, no. 9, pp. 826–834, 2010. View at Publisher · View at Google Scholar · View at Scopus
  2. R. Marchese, M. Bove, and G. Abbruzzese, “Effect of cognitive and motor tasks on postural stability in Parkinson's disease: a posturographic study,” Movement Disorders, vol. 18, no. 6, pp. 652–658, 2003. View at Publisher · View at Google Scholar · View at Scopus
  3. S. D. Kim, N. E. Allen, C. G. Canning, and V. S. C. Fung, “Postural instability in patients with Parkinson's disease. Epidemiology, pathophysiology and management,” CNS Drugs, vol. 27, no. 2, pp. 97–112, 2013. View at Publisher · View at Google Scholar · View at Scopus
  4. L. Rocchi, L. Chiari, and F. B. Horak, “Effects of deep brain stimulation and levodopa on postural sway in Parkinson's disease,” Journal of Neurology Neurosurgery and Psychiatry, vol. 73, no. 3, pp. 267–274, 2002. View at Publisher · View at Google Scholar · View at Scopus
  5. A. L. Adkin, J. S. Frank, and M. S. Jog, “Fear of falling and postural control in Parkinson's disease,” Movement Disorders, vol. 18, no. 5, pp. 496–502, 2003. View at Publisher · View at Google Scholar · View at Scopus
  6. M. M. Hoehn and M. D. Yahr, “Parkinsonism: onset, progression, and mortality. 1967,” Neurology, vol. 57, no. 10, pp. S11–S26, 2001. View at Google Scholar · View at Scopus
  7. B. Schoneburg, M. Mancini, F. Horak, and J. G. Nutt, “Framework for understanding balance dysfunction in Parkinson's disease,” Movement Disorders, vol. 28, no. 11, pp. 1474–1482, 2013. View at Publisher · View at Google Scholar · View at Scopus
  8. A. Burleigh, F. Horak, J. Nutt, and J. Frank, “Levodopa reduces muscle tone and lower extremity tremor in Parkinson's disease,” Canadian Journal of Neurological Sciences, vol. 22, no. 4, pp. 280–285, 1995. View at Google Scholar · View at Scopus
  9. N. E. Allen, C. Sherrington, S. S. Paul, and C. G. Canning, “Balance and falls in Parkinson's disease: a meta-analysis of the effect of exercise and motor training,” Movement Disorders, vol. 26, no. 9, pp. 1605–1615, 2011. View at Publisher · View at Google Scholar · View at Scopus
  10. C. L. Tomlinson, S. Patel, C. Meek et al., “Physiotherapy versus placebo or no intervention in Parkinson's disease,” Cochrane Database of Systematic Reviews, vol. 8, Article ID CD002817, 2012. View at Publisher · View at Google Scholar
  11. A. Nieuwboer, G. Kwakkel, L. Rochester et al., “Cueing training in the home improves gait-related mobility in Parkinson's disease: the RESCUE trial,” Journal of Neurology, Neurosurgery and Psychiatry, vol. 78, no. 2, pp. 134–140, 2007. View at Publisher · View at Google Scholar · View at Scopus
  12. B. D. Cakit, M. Saracoglu, H. Genc, H. R. Erdem, and L. Inan, “The effects of incremental speed-dependent treadmill training on postural instability and fear of falling in Parkinson's disease,” Clinical Rehabilitation, vol. 21, no. 8, pp. 698–705, 2007. View at Publisher · View at Google Scholar · View at Scopus
  13. D. M. Corcos, J. A. Robichaud, F. J. David et al., “A two-year randomized controlled trial of progressive resistance exercise for Parkinson's disease,” Movement Disorders, vol. 28, no. 9, pp. 1230–1240, 2013. View at Publisher · View at Google Scholar · View at Scopus
  14. D. Volpe, M. G. Giantin, R. Maestri, and G. Frazzitta, “Comparing the effects of hydrotherapy and land-based therapy on balance in patients with Parkinson's disease: a randomized controlled pilot study,” Clinical Rehabilitation, vol. 28, no. 12, pp. 1210–1217, 2014. View at Publisher · View at Google Scholar
  15. M. E. Hackney and G. M. Earhart, “Effects of dance on gait and balance in Parkinsons disease: a comparison of partnered and nonpartnered dance movement,” Neurorehabilitation and Neural Repair, vol. 24, no. 4, pp. 384–392, 2010. View at Publisher · View at Google Scholar · View at Scopus
  16. M. E. Morris, R. Iansek, and B. Kirkwood, “A randomized controlled trial of movement strategies compared with exercise for people with Parkinson's disease,” Movement Disorders, vol. 24, no. 1, pp. 64–71, 2009. View at Publisher · View at Google Scholar · View at Scopus
  17. M. Mancini, F. B. Horak, C. Zampieri, P. Carlson-Kuhta, J. G. Nutt, and L. Chiari, “Trunk accelerometry reveals postural instability in untreated Parkinson's disease,” Parkinsonism and Related Disorders, vol. 17, no. 7, pp. 557–562, 2011. View at Publisher · View at Google Scholar · View at Scopus
  18. A. Nardone and M. Schieppati, “Balance in Parkinson's disease under static and dynamic conditions,” Movement Disorders, vol. 21, no. 9, pp. 1515–1520, 2006. View at Publisher · View at Google Scholar · View at Scopus
  19. A. J. Hughes, S. E. Daniel, L. Kilford, and A. J. Lees, “Accuracy of clinical diagnosis of idiopathic Parkinson's disease: a clinico-pathological study of 100 cases,” Journal of Neurology Neurosurgery and Psychiatry, vol. 55, no. 3, pp. 181–184, 1992. View at Publisher · View at Google Scholar · View at Scopus
  20. F. A. Langley and S. F. H. Mackintosh, “Functional balance assessment of older community dwelling adults: a systematic review of the literature,” The Internet Journal of Allied Health Sciences, vol. 5, no. 4, pp. 1–11, 2007. View at Google Scholar
  21. K. Berg, S. Wood-Dauphinee, and J. I. Williams, “The balance scale: reliability assessment with elderly residents and patients with an acute stroke,” Scandinavian Journal of Rehabilitation Medicine, vol. 27, no. 1, pp. 27–36, 1995. View at Google Scholar · View at Scopus
  22. J. Jancová and V. Tosnerová, “Use of stabilometric platform and evaluation of methods for further measurements—a pilot study,” Acta Medica (Hradec Kralove), vol. 50, no. 2, pp. 139–143, 2007. View at Google Scholar · View at Scopus
  23. A. Frenklach, S. Louie, M. M. Koop, and H. M. Bronte-Stewart, “Excessive postural sway and the risk of falls at different stages of parkinson's disease,” Movement Disorders, vol. 24, no. 3, pp. 377–385, 2009. View at Publisher · View at Google Scholar · View at Scopus
  24. A. Charlett, C. Weller, A. G. Purkiss, S. M. Dobbs, and R. J. Dobbs, “Breadth of base whilst walking: effect of ageing and parkinsonism,” Age and Ageing, vol. 27, no. 1, pp. 49–54, 1998. View at Publisher · View at Google Scholar · View at Scopus
  25. M. G. Carpenter, J. H. J. Allum, F. Honegger, A. L. Adkin, and B. R. Bloem, “Postural abnormalities to multidirectional stance perturbations in Parkinson's disease,” Journal of Neurology, Neurosurgery and Psychiatry, vol. 75, no. 9, pp. 1245–1254, 2004. View at Publisher · View at Google Scholar · View at Scopus
  26. M. B. Aerts, W. F. Abdo, and B. R. Bloem, “The ‘bicycle sign’ for atypical parkinsonism,” The Lancet, vol. 377, no. 9760, pp. 125–126, 2011. View at Publisher · View at Google Scholar · View at Scopus
  27. J. Nonnekes, M. B. Aerts, W. F. Abdo, and B. R. Bloem, “Medio-lateral balance impairment differentiates between Parkinson's disease and atypical parkinsonism,” Journal of Parkinson's Disease, vol. 4, pp. 567–569, 2014. View at Google Scholar
  28. G. K. Kerr, C. J. Worringham, M. H. Cole, P. F. Lacherez, J. M. Wood, and P. A. Silburn, “Predictors of future falls in Parkinson's disease,” Neurology, vol. 75, no. 2, pp. 116–124, 2010. View at Publisher · View at Google Scholar · View at Scopus
  29. S. L. Mitchell, J. J. Collins, C. J. De Luca, A. Burrows, and L. A. Lipsitz, “Open-loop and closed-loop postural control mechanisms in Parkinson's disease: increased mediolateral activity during quiet standing,” Neuroscience Letters, vol. 197, no. 2, pp. 133–136, 1995. View at Publisher · View at Google Scholar · View at Scopus
  30. S. M. O'Connor and A. D. Kuo, “Direction-dependent control of balance during walking and standing,” Journal of Neurophysiology, vol. 102, no. 3, pp. 1411–1419, 2009. View at Publisher · View at Google Scholar · View at Scopus
  31. D. A. Winter, F. Prince, J. S. Frank, C. Powell, and K. F. Zabjek, “Unified theory regarding A/P and M/L balance in quiet stance,” Journal of Neurophysiology, vol. 75, no. 6, pp. 2334–2343, 1996. View at Google Scholar · View at Scopus
  32. V. Dietz, W. Berger, and G. A. Horstmann, “Posture in Parkinson's disease: impairment of reflexes and programming,” Annals of Neurology, vol. 24, no. 5, pp. 660–669, 1988. View at Publisher · View at Google Scholar · View at Scopus
  33. M. Morris, R. Iansek, F. Smithson, and F. Huxham, “Postural instability in Parkinson's disease: a comparison with and without a concurrent task,” Gait and Posture, vol. 12, no. 3, pp. 205–216, 2000. View at Publisher · View at Google Scholar · View at Scopus
  34. M. Woollacott and A. Shumway-Cook, “Attention and the control of posture and gait: a review of an emerging area of research,” Gait and Posture, vol. 16, no. 1, pp. 1–14, 2002. View at Publisher · View at Google Scholar · View at Scopus
  35. M. R. C. van den Heuvel, E. E. H. Van Wegen, C. J. T. de Goede et al., “The effects of augmented visual feedback during balance training in Parkinson's disease: study design of a randomized clinical trial,” BMC Neurology, vol. 13, article 137, 2013. View at Publisher · View at Google Scholar · View at Scopus
  36. H. van der Kooij, E. H. F. van Asseldonk, J. Geelen, J. P. P. van Vugt, and B. R. Bloem, “Detecting asymmetries in balance control with system identification: first experimental results from Parkinson patients,” Journal of Neural Transmission, vol. 114, no. 10, pp. 1333–1337, 2007. View at Publisher · View at Google Scholar · View at Scopus
  37. M. Plotnik and J. M. Hausdorff, “The role of gait rhythmicity and bilateral coordination of stepping in the pathophysiology of freezing of gait in Parkinson's disease,” Movement Disorders, vol. 23, supplement 2, pp. S444–S450, 2008. View at Publisher · View at Google Scholar · View at Scopus
  38. P. V. Tsaklis, W. J. A. Grooten, and E. Franzén, “Effects of weight-shift training on balance control and weight distribution in chronic stroke: a pilot study,” Topics in Stroke Rehabilitation, vol. 19, no. 1, pp. 23–31, 2012. View at Publisher · View at Google Scholar · View at Scopus
  39. T. A. Boonstra, J. P. van Vugt, H. van der Kooij, B. R. Bloem, and N. M. Maurits, “Balance asymmetry in Parkinson's disease and its contribution to freezing of gait,” PLoS ONE, vol. 9, no. 7, Article ID e102493, 2014. View at Publisher · View at Google Scholar
  40. A. J. Y. Lee, W.-H. Lin, and C. H. Huang, “Impaired proprioception and poor static postural control in subjects with functional instability of the ankle,” Journal of Exercise Science & Fitness, vol. 4, no. 2, pp. 117–125, 2006. View at Google Scholar · View at Scopus
  41. E. M. Bekkers, K. Dockx, E. Heremans et al., “The contribution of proprioceptive information to postural control in elderly and patients with Parkinson's disease with a history of falls,” Frontiers in Human Neuroscience, vol. 8, article 939, 2014. View at Publisher · View at Google Scholar
  42. R. K. Y. Chong, F. B. Horak, and M. H. Woollacott, “Parkinson's disease impairs the ability to change set quickly,” Journal of the Neurological Sciences, vol. 175, no. 1, pp. 57–70, 2000. View at Publisher · View at Google Scholar · View at Scopus
  43. F. B. Horak, D. Dimitrova, and J. G. Nutt, “Direction-specific postural instability in subjects with Parkinson's disease,” Experimental Neurology, vol. 193, no. 2, pp. 504–521, 2005. View at Publisher · View at Google Scholar · View at Scopus
  44. M. Mancini, P. Carlson-Kuhta, C. Zampieri, J. G. Nutt, L. Chiari, and F. B. Horak, “Postural sway as a marker of progression in Parkinson's disease: a pilot longitudinal study,” Gait and Posture, vol. 36, no. 3, pp. 471–476, 2012. View at Publisher · View at Google Scholar · View at Scopus
  45. S. Rinalduzzi, C. Trompetto, L. Marinelli et al., “Balance dysfunction in Parkinson's disease,” BioMed Research International, vol. 2015, Article ID 434683, 10 pages, 2015. View at Publisher · View at Google Scholar
  46. P. Gatev, S. Thomas, T. Kepple, and M. Hallett, “Feedforward ankle strategy of balance during quiet stance in adults,” The Journal of Physiology, vol. 514, no. 3, pp. 915–928, 1999. View at Publisher · View at Google Scholar · View at Scopus
  47. M. Švehlík, E. B. Zwick, G. Steinwender et al., “Gait analysis in patients with Parkinson's disease off dopaminergic therapy,” Archives of Physical Medicine and Rehabilitation, vol. 90, no. 11, pp. 1880–1886, 2009. View at Publisher · View at Google Scholar · View at Scopus
  48. G. Ryckewaert, M. Luyat, M. Rambour et al., “Self-perceived and actual ability in the functional reach test in patients with Parkinson’s disease,” Neuroscience Letters, vol. 589, pp. 181–184, 2015. View at Publisher · View at Google Scholar
  49. B. R. Bloem, Y. A. M. Grimbergen, J. G. van Dijk, and M. Munneke, “The ‘posture second’ strategy: a review of wrong priorities in Parkinson's disease,” Journal of the Neurological Sciences, vol. 248, no. 1-2, pp. 196–204, 2006. View at Publisher · View at Google Scholar · View at Scopus