Spinal Movement and Performance of a Standing Reach Task in Participants With and Without Parkinson Disease

Author:

Schenkman Margaret L12,Clark Kevin32,Xie Tony42,Kuchibhatla Maggie52,Shinberg Mindi6,Ray Laurie7

Affiliation:

1. ML Schenkman, PT, PhD, is Professor, Physical Therapy Program, Department of Rehabilitation Medicine, University of Colorado Health Sciences Center, 4200 E Ninth Ave, C244, Denver, CO (USA).

2. Dr Schenkman, Mr Clark, Dr Xie, and Dr Kuchibhatla provided concept/research design, writing, and data analysis. Ms Shinberg and Ms Ray provided data collection and recruited subjects. Dr Schenkman, Ms Shinberg, and Ms Ray provided project management. Ms Shinberg provided technical direction for data collection and reduction. Dr Schenkman provided fund procurement, facilities/equipment, and insti

3. K Clark, PT, MS, is a graduate student in the Department of Biostatistics, School of Public Health, University of North Carolina, Chapel Hill, NC. He was a graduate student in the Physical Therapy Program, Duke University, when this work was carried out

4. T Xie, PT, PhD, is Financial Consultant, MONY Group, Raleigh, NC. He was a graduate student in the Physical Therapy Program, Duke University, when this work was carried out

5. M Kuchibhatla, PhD, is Assistant Research Professor, Department of Bioinformatics and Biostatistics and Center for the Study of Aging and Human Development, Duke University Medical Center, Durham, NC

6. M Shinberg, PT, MS, is Physical Therapist, Shriner's Hospital for Children, Philadelphia, Pa. She was Engineer, Motion Analysis Laboratory, Duke Center on Aging, at the time this work was completed

7. L Ray, PT, MS, is Physical Therapist, Department of Physical Therapy, Duke University Medical Center

Abstract

Abstract Background and Purpose. Evidence suggests that individuals with early and mid-stage Parkinson disease (PD) have diminished range of motion (ROM). Spinal ROM influences the ability to function. In this investigation, the authors examined available spinal ROM, segmental excursions (the ROM used) during reaching, and their relationships in community-dwelling adults with and without PD. Subjects. The subjects were 16 volunteers with PD (modified Hoehn and Yahr stages 1.5–3) and 32 participants without PD who were matched for age, body mass index, and sex. Methods. Range of motion of the extremities was measured using a goniometer, and ROM of the spine was measured using the functional axial rotation (FAR) test, a measure of unrestricted cervico-thoracic-lumbar rotation in the seated position. Motion during reaching was determined using 3-dimensional motion analysis. Group differences were determined using multivariable analysis of variance followed by analysis of variance. Contributions to total reaching distance of segmental excursions (eg, thoracic rotation, thoracic lateral flexion) were determined using forward stepwise regression. Results. Subjects with PD as compared with subjects without PD had less ROM (FAR of 98.2° versus 110.3°, shoulder flexion of 151.9° versus 160.1°) and less forward reaching (29.5 cm versus 34.0 cm). Lateral trunk flexion and total rotation relative to the ground contributed to reaching, with the regression model explaining 36% of the variance. Discussion and Conclusion. These results contribute to the growing body of evidence demonstrating that spinal ROM is impaired early in PD.

Publisher

Oxford University Press (OUP)

Subject

Physical Therapy, Sports Therapy and Rehabilitation

Reference20 articles.

1. Clinical and neurobiological aspects of Parkinson's disease;Stacy,1992

2. A model for multi-system evaluation and treatment of individuals with Parkinson's disease;Schenkman;Phys Ther,1989

3. The relationship of neurological and mechanical factors in balance control;Schenkman,1990

4. Relationships between mobility of the axial structures and physical performance;Schenkman;Phys Ther,1996

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3