1
|
Dallaire M, Houde-Thibeault A, Bouchard-Tremblay J, Wotto EA, Côté S, Santos Oliveira C, Ngomo S, da Silva RA. Impact of frailty and sex-related differences on postural control and gait in older adults with Parkinson's Disease. Exp Gerontol 2024; 186:112360. [PMID: 38215954 DOI: 10.1016/j.exger.2024.112360] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/08/2023] [Revised: 12/18/2023] [Accepted: 01/07/2024] [Indexed: 01/14/2024]
Abstract
BACKGROUND Parkinson's Disease (PD), a neurodegenerative condition, affects normal aging and leads to reduced motor abilities. In addition, frailty syndrome can increase vulnerability and risks of undesirable effects such as disease progression, falls, disability, and premature death among individuals with PD. AIMS To assess the impact of frailty on balance and gait parameters in older with PD and to determine if sex mediates these measures. METHODS Twenty-seven (27) participants (n = 18 men; n = 10 frail) performed 4 balance tasks on a force platform (eyes opened/closed in bipodal/semi-tandem position) while linear center of pressure (COP) parameters were calculated. Participants also performed two different speed walks on a gait analysis system to assess gait parameters. RESULTS Significant differences between the frail and non-frail group were observed on postural control (mainly for area of COP p = 0.013/d = 0.47/70 %; sway velocity p = 0.048/d = 0.41/23 %) where frail reported poor balance. No significant sex differences were reported for postural control. Gait analysis was comparable between frail and non-frail, while significant differences between men and women were observed for step length (p = 0.002, d = 0.71), step width (p = 0.001, d = 0.75) and base of support (p = 0.012, d = 0.64) variables. CONCLUSION Frail Parkinson's individuals present poorer postural control than non-frail individuals, but comparable gait parameters. Men and women are comparable on postural control but show different gait parameters. These results may have implications in clinical decision-making in rehabilitation for frailty in older adults, men and women with Parkinson's disease when balance and gait are of concern.
Collapse
Affiliation(s)
- Mathieu Dallaire
- Programme de maîtrise en sciences cliniques et biomédicales, Département des Sciences de la Santé de l'Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada; Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada
| | - Alexandra Houde-Thibeault
- Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada
| | - Jérôme Bouchard-Tremblay
- Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada
| | - Enafa Anais Wotto
- Programme de maîtrise en sciences cliniques et biomédicales, Département des Sciences de la Santé de l'Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada; Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada
| | - Sharlène Côté
- Centre intégré de santé et services sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services at La Baie Hospital, Saguenay, Quebec G7H 7K9, Canada
| | - Claudia Santos Oliveira
- Human Movement and Rehabilitation, Universidade Evangélica de Goiás, Anapolis 75083-515, Brazil
| | - Suzy Ngomo
- Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada; Département des Sciences de la Santé l'Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada
| | - Rubens A da Silva
- Laboratoire de recherche BioNR, Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada; Centre intégré de santé et services sociaux du Saguenay-Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics Services at La Baie Hospital, Saguenay, Quebec G7H 7K9, Canada; Human Movement and Rehabilitation, Universidade Evangélica de Goiás, Anapolis 75083-515, Brazil; Département des Sciences de la Santé l'Université du Québec à Chicoutimi (UQAC), Saguenay, Quebec G7H 2B1, Canada.
| |
Collapse
|