Impaired trunk stability in individuals at high risk for Parkinson's disease.

<h4>Background</h4>The search for disease-modifying treatments for Parkinson's disease advances, however necessary markers for early detection of the disease are still lacking. There is compelling evidence that changes of postural stability occur at very early clinical stages of Par...

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Autores principales: Walter Maetzler, Martina Mancini, Inga Liepelt-Scarfone, Katharina Müller, Clemens Becker, Rob C van Lummel, Erik Ainsworth, Markus Hobert, Johannes Streffer, Daniela Berg, Lorenzo Chiari
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Publicado: Public Library of Science (PLoS) 2012
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spelling oai:doaj.org-article:6fa0f16d18af40ada231d8166f3a4f792021-11-18T07:24:27ZImpaired trunk stability in individuals at high risk for Parkinson's disease.1932-620310.1371/journal.pone.0032240https://doaj.org/article/6fa0f16d18af40ada231d8166f3a4f792012-01-01T00:00:00Zhttps://www.ncbi.nlm.nih.gov/pmc/articles/pmid/22457713/?tool=EBIhttps://doaj.org/toc/1932-6203<h4>Background</h4>The search for disease-modifying treatments for Parkinson's disease advances, however necessary markers for early detection of the disease are still lacking. There is compelling evidence that changes of postural stability occur at very early clinical stages of Parkinson's disease, making it tempting to speculate that changes in sway performance may even occur at a prodromal stage, and may have the potential to serve as a prodromal marker for the disease.<h4>Methodology/principal findings</h4>Balance performance was tested in 20 individuals with an increased risk of Parkinson's disease, 12 Parkinson's disease patients and 14 controls using a cross-sectional approach. All individuals were 50 years or older. Investigated groups were similar with respect to age, gender, and height. An accelerometer at the centre of mass at the lower spine quantified sway during quiet semitandem stance with eyes open and closed, as well as with and without foam. With increasing task difficulty, individuals with an increased risk of Parkinson's disease showed an increased variability of trunk acceleration and a decrease of smoothness of sway, compared to both other groups. These differences reached significance in the most challenging condition, i.e. the eyes closed with foam condition.<h4>Conclusions/significance</h4>Individuals with an increased risk of Parkinson's disease have subtle signs of a balance deficit under most challenging conditions. This preliminary finding should motivate further studies on sway performance in individuals with an increased risk of Parkinson's disease, to evaluate the potential of this symptom to serve as a biological marker for prodromal Parkinson's disease.Walter MaetzlerMartina ManciniInga Liepelt-ScarfoneKatharina MüllerClemens BeckerRob C van LummelErik AinsworthMarkus HobertJohannes StrefferDaniela BergLorenzo ChiariPublic Library of Science (PLoS)articleMedicineRScienceQENPLoS ONE, Vol 7, Iss 3, p e32240 (2012)
institution DOAJ
collection DOAJ
language EN
topic Medicine
R
Science
Q
spellingShingle Medicine
R
Science
Q
Walter Maetzler
Martina Mancini
Inga Liepelt-Scarfone
Katharina Müller
Clemens Becker
Rob C van Lummel
Erik Ainsworth
Markus Hobert
Johannes Streffer
Daniela Berg
Lorenzo Chiari
Impaired trunk stability in individuals at high risk for Parkinson's disease.
description <h4>Background</h4>The search for disease-modifying treatments for Parkinson's disease advances, however necessary markers for early detection of the disease are still lacking. There is compelling evidence that changes of postural stability occur at very early clinical stages of Parkinson's disease, making it tempting to speculate that changes in sway performance may even occur at a prodromal stage, and may have the potential to serve as a prodromal marker for the disease.<h4>Methodology/principal findings</h4>Balance performance was tested in 20 individuals with an increased risk of Parkinson's disease, 12 Parkinson's disease patients and 14 controls using a cross-sectional approach. All individuals were 50 years or older. Investigated groups were similar with respect to age, gender, and height. An accelerometer at the centre of mass at the lower spine quantified sway during quiet semitandem stance with eyes open and closed, as well as with and without foam. With increasing task difficulty, individuals with an increased risk of Parkinson's disease showed an increased variability of trunk acceleration and a decrease of smoothness of sway, compared to both other groups. These differences reached significance in the most challenging condition, i.e. the eyes closed with foam condition.<h4>Conclusions/significance</h4>Individuals with an increased risk of Parkinson's disease have subtle signs of a balance deficit under most challenging conditions. This preliminary finding should motivate further studies on sway performance in individuals with an increased risk of Parkinson's disease, to evaluate the potential of this symptom to serve as a biological marker for prodromal Parkinson's disease.
format article
author Walter Maetzler
Martina Mancini
Inga Liepelt-Scarfone
Katharina Müller
Clemens Becker
Rob C van Lummel
Erik Ainsworth
Markus Hobert
Johannes Streffer
Daniela Berg
Lorenzo Chiari
author_facet Walter Maetzler
Martina Mancini
Inga Liepelt-Scarfone
Katharina Müller
Clemens Becker
Rob C van Lummel
Erik Ainsworth
Markus Hobert
Johannes Streffer
Daniela Berg
Lorenzo Chiari
author_sort Walter Maetzler
title Impaired trunk stability in individuals at high risk for Parkinson's disease.
title_short Impaired trunk stability in individuals at high risk for Parkinson's disease.
title_full Impaired trunk stability in individuals at high risk for Parkinson's disease.
title_fullStr Impaired trunk stability in individuals at high risk for Parkinson's disease.
title_full_unstemmed Impaired trunk stability in individuals at high risk for Parkinson's disease.
title_sort impaired trunk stability in individuals at high risk for parkinson's disease.
publisher Public Library of Science (PLoS)
publishDate 2012
url https://doaj.org/article/6fa0f16d18af40ada231d8166f3a4f79
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