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Luna NMS, Bobbio TG, de Graaf M, Greve JMD, Ernandes RDC, Dias AS, Lino MHDS, Soares-Junior JM, Baracat EC, Mochizuki L, Brech GC, Alonso AC. The decline in postural balance has a negative impact on the performance of functional tasks in individuals with Parkinson's Disease. Clinics (Sao Paulo) 2024; 79:100382. [PMID: 38759438 PMCID: PMC11126765 DOI: 10.1016/j.clinsp.2024.100382] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/19/2023] [Revised: 01/26/2024] [Accepted: 04/20/2024] [Indexed: 05/19/2024] Open
Abstract
INTRODUCTION An accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP. METHODS 20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest. RESULTS Four outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score: STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01). CONCLUSION This study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information.
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Affiliation(s)
- Natália Mariana Silva Luna
- Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Tatiana Godoy Bobbio
- University of St. Augustine for Health Sciences, Miami Campus, Miami, United States of America
| | - Myriam de Graaf
- Movement Science, University of Münster, Münster, Germany; Otto Creutzfeldt Center for Cognitive and Behavioral Neuroscience, University of Münster, Münster, Germany
| | | | - Rita de Cássia Ernandes
- Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil
| | - Aluane Silva Dias
- Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil
| | | | - Jose Maria Soares-Junior
- Discipline of Gynecology, Department of Obstetrics and Gynecology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Edmund Chada Baracat
- Discipline of Gynecology, Department of Obstetrics and Gynecology, Hospital das Clínicas, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
| | - Luis Mochizuki
- Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil; School of Arts, Sciences and Humanities, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Guilherme Carlos Brech
- Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
| | - Angelica Castilho Alonso
- Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil
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Rahal MA, Alonso AC, Andrusaitis FR, Rodrigues TS, Speciali DS, Greve JMDA, Leme LEG. Analysis of static and dynamic balance in healthy elderly practitioners of Tai Chi Chuan versus ballroom dancing. Clinics (Sao Paulo) 2015; 70:157-61. [PMID: 26017644 PMCID: PMC4449465 DOI: 10.6061/clinics/2015(03)01] [Citation(s) in RCA: 26] [Impact Index Per Article: 2.9] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/04/2014] [Accepted: 12/08/2014] [Indexed: 11/18/2022] Open
Abstract
OBJECTIVE To determine whether Tai Chi Chuan or ballroom dancing promotes better performance with respect to postural balance, gait, and postural transfer among elderly people. METHODS We evaluated 76 elderly individuals who were divided into two groups: the Tai Chi Chuan Group and the Dance Group. The subjects were tested using the NeuroCom Balance Master¯ force platform system with the following protocols: static balance tests (the Modified Clinical Tests of Sensory Interaction on Balance and Unilateral Stance) and dynamic balance tests (the Walk Across Test and Sit-to-stand Transfer Test). RESULTS In the Modified Clinical Test of Sensory Interaction on Balance, the Tai Chi Chuan Group presented a lower sway velocity on a firm surface with open and closed eyes, as well as on a foam surface with closed eyes. In the Modified Clinical Test of Sensory Interaction on Unilateral Stance, the Tai Chi Chuan Group presented a lower sway velocity with open eyes, whereas the Dance Group presented a lower sway velocity with closed eyes. In the Walk Across Test, the Tai Chi Chuan Group presented faster walking speeds than those of the Dance Group. In the Sit-to-stand Transfer Test, the Tai Chi Chuan Group presented shorter transfer times from the sitting to the standing position, with less sway in the final standing position. CONCLUSION The elderly individuals who practiced Tai Chi Chuan had better bilateral balance with eyes open on both types of surfaces compared with the Dance Group. The Dance Group had better unilateral postural balance with eyes closed. The Tai Chi Chuan Group had faster walking speeds, shorter transfer times, and better postural balance in the final standing position during the Sit-to-stand Test.
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Affiliation(s)
- Miguel Antônio Rahal
- Instituto de Ortopedia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Angélica Castilho Alonso
- Movement Studies Laboratory, Instituto de Ortopedia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Felix Ricardo Andrusaitis
- Movement Studies Laboratory, Instituto de Ortopedia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Thuam Silva Rodrigues
- Movement Studies Laboratory, Instituto de Ortopedia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
| | - Danielli Souza Speciali
- Movement Studies Laboratory, Instituto de Ortopedia, Faculdade de Medicina, Universidade de São Paulo, São Paulo, SP, Brazil
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