Top

Published in:

01-08-2018 | Original Article

Romberg ratio coefficient in quiet stance and postural control in Parkinson’s disease

Authors: Teresa Paolucci, Marco Iosa, Giovanni Morone, Matteo Delle Fratte, Stefano Paolucci, Vincenzo M. Saraceni, Ciro Villani

Published in: Neurological Sciences | Issue 8/2018

Abstract

The aim of this study was to determine the function of visual afference in postural control in Parkinson patients. We enrolled 29 patients and 30 healthy controls. The stabilometry test was performed for posture and balance and Romberg ratio coefficients were calculated. In addition, the Berg Balance Scale and the 6-Minute Walking Test were administered to assess balance and functional exercise capacity; the Unified Parkinson’s Disease Rating Scale was used to determine the stage of the disease; and the Short Form (SF)-36 Health Survey was given to collect information on quality of life. Results: significantly longer Center of Pressure (CoP) sway lengths were observed in the parkinson group. The Romberg index for CoP length of sway in parkinson patients was 94.3 ± 19.3%, versus 147.4 ± 120.6% for the control group. (p = 0.025). Conclusion: Parkinson patients use the increase in CoP sway length and ellipse area to stabilize their balance and sight does not facilitate static postural control as in healthy subjects.

Rajput AH, Rajput ML, Ferguson LW, Rajput A (2017) Baseline motor findings and Parkinson disease prognostic subtypes. Neurology 89(2):138–143. https://doi.org/10.1212/WNL.0000000000004078 CrossRefPubMedPubMedCentral

Chou KL, Elm JJ, Wielinski CL et al (2017) Factors associated with falling in early, treated Parkinson’s disease: the NET-PD LS1 cohort. J Neurol Sci 377:137–143. https://doi.org/10.1016/j.jns.2017.04.011 CrossRefPubMedPubMedCentral

Bonnet CT, Delval A, Defebvre L (2015) Parkinson’s disease-related impairments in body movement, coordination and postural control mechanisms when performing 80° lateral gaze shifts. IEEE Trans Neural Syst Rehabil Eng 23(5):849–856. https://doi.org/10.1109/TNSRE.2014.2369455 CrossRefPubMed

Błaszczyk JW, Orawiec R (2011) Assessment of postural control in patients with Parkinson’s disease: sway ratio analysis. Hum Mov Sci 30(2):396–404. https://doi.org/10.1016/j.humov.2010.07.017 CrossRefPubMed

Lahr J, Pereira MP, Pelicioni PH et al (2015) Parkinson’s disease patients with dominant hemibody affected by the disease rely more on vision to maintain upright postural control. Percept Mot Skills 121(3):923–934. https://doi.org/10.2466/15.PMS.121c26x0 CrossRefPubMed

Bronstein AM, Hood JD, Gresty MA, Panagi C (1990) Visual control of balance in cerebellar and parkinsonian syndromes. Brain 113(Pt 3):767–779CrossRefPubMed

Brown LA, Cooper SA, Doan JB, Dickin DC et al (2006) Parkinsonian deficits in sensory integration for postural control: temporal response to changes in visual input. Parkinsonism Relat Disord 12(6):376–381. https://doi.org/10.1016/j.parkreldis.2006.03.004 CrossRefPubMed

Nallegowda M, Singh U, Handa G et al (2004) Role of sensory input and muscle strength in maintenance of balance, gait, and posture in Parkinson’s disease: a pilot study. Am J Phys Med Rehabil 83(12):898–908CrossRefPubMed

Suarez H, Geisinger D, Ferreira ED et al (2011) Balance in Parkinson’s disease patients changing the visual input. Braz J Otorhinolaryngol 77(5):651–655CrossRefPubMed

10.

Huh YE, Hwang S, Kim K, Chung WH, Youn J, Cho JW (2016) Postural sensory correlates of freezing of gait in Parkinson’s disease. Parkinsonism Relat Disord 25:72–77. https://doi.org/10.1016/j.parkreldis.2016.02.004 CrossRefPubMed

11.

Pilgram LM, Earhart GM, Pickett KA (2016) Impact of limiting visual input on gait: individuals with Parkinson disease, age-matched controls, and healthy young participants. Somatosens Mot Res 33(1):29–34. https://doi.org/10.3109/08990220.2016.1152237 CrossRefPubMedPubMedCentral

12.

Hoehn MM, Yahr MD (1967) Parkinsonism: Onset, Progression, and Mortality. Neurology 17:427–442CrossRefPubMed

13.

Folstein MF, Folstein SE, McHugh PR (1975) “Mini Mental State” a practical method for grading the cognitive state of patients for the clinicians. J Psychiatr Res 12:189–198CrossRefPubMed

14.

Ferrazzoli D, Ortelli P, Maestri R et al (2016) Does cognitive impairment affect rehabilitation outcome in Parkinson’s disease? Front Aging Neurosci 8:192. https://doi.org/10.3389/fnagi.2016.00192 CrossRefPubMedPubMedCentral

15.

Huskisson EC (1974) Measurement of pain. Lancet 2:1127–1131CrossRefPubMed

16.

Berg K, Wood-Dauphinee SL, Williams JL (1992) Measuring balance in the elderly: validation of an instrument. Can J Public Health 83(supp 2):S7–S11PubMed

17.

Keus SH, Nieuwboer A, Bloem BR et al (2009) Clinimetric analyses of the modified Parkinson activity scale. Parkinsonism Relat Disord 15(4):263–269. https://doi.org/10.1016/j.parkreldis.2008.06.003 CrossRefPubMed

18.

Butland RJ, Pang J, Gross ER et al (1982) Two-, six-, and 12-minute walking tests in respiratory disease. Br Med J 284(6329):1607–1608CrossRef

19.

Apolone G, Mosconi P (1998) The Italian SF-36 Health Survey: translation, validation and norming. J Clin Epidemiol 51:1025–1036CrossRefPubMed

20.

Vandenbroucke JP, von Elm E, Altman DG, Gøtzsche PC, Mulrow CD, Pocock SJ, Poole C, Schlesselman JJ, Egger M (2007) STROBE initiative Strengthening the Reporting of Observational Studies in Epidemiology (STROBE): explanation and elaboration. Ann Intern Med 147(8):W163–94

21.

Tjernström F, Björklund M, Malmström EM (2015) Romberg ratio in quiet stance posturography—test to retest reliability. Gait Posture 42(1):27–31. https://doi.org/10.1016/j.gaitpost.2014.12.007 CrossRefPubMed

22.

Manabe Y, Honda E, Shiro Y, Sakai K, Kohira I, Kashihara K et al (2001) Fractal dimension analysis of static stabilometry in Parkinson’s disease and spinocerebellar ataxia. Neurol Res 23(4):397–404. https://doi.org/10.1179/016164101101198613 CrossRefPubMed

23.

Adamovich SV, Berkinblit MB, Hening W, Sage J, Poizner H (2001) The interaction of visual and proprioceptive inputs in pointing to actual and remembered targets in Parkinson’s disease. Neuroscience 104:1027–1041CrossRefPubMed

24.

Van den Heuvel MR, Daffertshofer A, Beek PJ, Kwakkel G, van Wegen EE (2016) The effects of visual feedback during a rhythmic weight-shifting task in patients with Parkinson’s disease. Gait Posture 48:140–145. https://doi.org/10.1016/j.gaitpost.2016.03.020 CrossRefPubMed

25.

Jacobs JV, Horak FB (2006) Abnormal proprioceptive-motor integration contributes to hypometric postural responses of subjects with Parkinson’s disease. Neuroscience 141(2):999–1009. https://doi.org/10.1016/j.neuroscience.2006.04.014 CrossRefPubMed

26.

Frenklach A, Louie S, Koop MM, Bronte-Stewart H (2009) Excessive postural sway and the risk of falls at different stages of Parkinson’s disease. Mov Disord 24(3):377–385. https://doi.org/10.1002/mds.22358 CrossRefPubMed

27.

Louie S, Koop MM, Frenklach A, Bronte-Stewart H (2009) Quantitative lateralized measures of bradykinesia at different stages of Parkinson’s disease: the role of the less affected side. Mov Disord 24(13):1991–1997. https://doi.org/10.1002/mds.22741 CrossRefPubMed

28.

Iosa M, Fusco A, Morone G, Paolucci S (2012) Effects of visual deprivation on gait dynamic stability. ScientificWorldJournal 2012:1–7. https://doi.org/10.1100/2012/974560 CrossRef

29.

Panyakaew P, Anan C, Bhidayasiri R (2015) Visual deprivation elicits subclinical postural inflexibilities in early Parkinson’s disease. J Neurol Sci 349(1-2):214–219. https://doi.org/10.1016/j.jns.2015.01.022 CrossRefPubMed

30.

Schlick C, Ernst A, Bötzel K, Plate A, Pelykh O, Ilmberger J (2016) Visual cues combined with treadmill training to improve gait performance in Parkinson’s disease: a pilot randomized controlled trial. Clin Rehabil 30(5):463–471. https://doi.org/10.1177/0269215515588836 CrossRefPubMed

31.

Barbosa AF, Souza Cde O, Chen J, Francato DV, Caromano FA, Chien HF et al (2015) The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease. Arq Neuropsiquiatr 73(11):906–912. https://doi.org/10.1590/0004-282X20150153 CrossRefPubMed

32.

Rocha PA, Porfírio GM, Ferraz HB, Trevisani VF (2014) Effects of external cues on gait parameters of Parkinson’s disease patients: a systematic review. Clin Neurol Neurosurg 124:127–134. https://doi.org/10.1016/j.clineuro.2014.06.026 CrossRefPubMed

33.

Heremans E, Nieuwboer A, Feys P, Vercruysse S, Vandenberghe W, Sharma N, Helsen WF (2012) External cueing improves motor imagery quality in patients with Parkinson disease. Neurorehabil Neural Repair 26(1):27–35. https://doi.org/10.1177/1545968311411055 CrossRefPubMed

Title: Romberg ratio coefficient in quiet stance and postural control in Parkinson’s disease
Authors: Teresa Paolucci
Marco Iosa
Giovanni Morone
Matteo Delle Fratte
Stefano Paolucci
Vincenzo M. Saraceni
Ciro Villani
Publication date: 01-08-2018
Publisher: Springer Milan
Published in: Neurological Sciences / Issue 8/2018
Print ISSN: 1590-1874
Electronic ISSN: 1590-3478
DOI: https://doi.org/10.1007/s10072-018-3423-1

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Romberg ratio coefficient in quiet stance and postural control in Parkinson’s disease

Abstract

Keynote webinar | Spotlight on medication adherence

Springer Medicine

Abstract

Please log in to get access to this content

Other articles of this Issue 8/2018

Task-specific hand tremor during embouchure in a flutist

The goblet sign in the amnestic syndrome of the subcallosal artery infarct

Basal vitamin D levels and disease activity in multiple sclerosis patients treated with fingolimod

Hippocampal deep brain stimulation: persistent seizure control after bilateral extra-cranial electrode fracture

Different clinical response to interferon beta and glatiramer acetate related to the presence of oligoclonal IgM bands in CSF in multiple sclerosis patients

Cognitive assessment in multiple sclerosis—an Italian consensus