J Korean Phys Ther.  2019 Apr;31(2):122-128. 10.18857/jkpt.2019.31.2.122.

Effects of Sagittal Spinopelvic Alignment on Motor Symptom and Respiratory Function in Mild to Moderate Parkinson's disease

Affiliations
  • 1Department of Health Care and science, College of Health Science, Dong-A University, Busan, Korea. dongyeon68@naver.com
  • 2Parkinson's Disease Center, Dong-A University Hospital, Busan, Korea.
  • 3Graduate School of medical, Dong-A University, Busan, Korea.
  • 4Department of Physical Therapy, Keimyung University Dongsan Medical Center, Daegu, Korea.

Abstract

PURPOSE
This study examined the effects of sagittal spinopelvic alignment on the clinical parameters, motor symptoms, and respiratory function in patients with mild to moderate Parkinson's disease (PD).
METHODS
This study was a prospective assessment of treated patients (n=28, Hoehn and Yahr (H&Y) stage 2-3) in a PD center. Twenty-eight subjects (68.5±5.7 yrs) participated in this study. The clinical and demographic parameters, including age, sex, symptoms duration, treatment duration, and H&Y stage, were collected. Kinematic analysis was conducted in the upright standing posture with a motion capture system. A pulmonary function test (PFT) was performed in the sitting position using a spirometer. The motor symptoms were assessed on part III of the movement disorder society sponsored version of the unified Parkinson's disease rating scale (MDS-UPDRS). SPSS 18.0 was used to analyze the collected data.
RESULTS
The exceeding 12 degrees group of the lower trunk showed significantly higher on the clinical parameters than the below 12 degrees group. In addition, the exceeding 12 degrees group of the lower trunk showed a significantly lower forced expiratory volume at one second (FEV1) / forced vital capacity (FVC) (%) and 25-75% forced mid-expiratory flow (FEF) (L/s) than in the below group. On the other hand, there was no difference in the upper trunk and the cervical pelvis between the groups.
CONCLUSION
These findings suggest that the sagittal balance in the lower trunk is related to the clinical parameters and respiratory function, but not the motor symptoms in patients with mild to moderate PD.

Keyword

Parkinson's disease; Spinopelvic alignment; Respiratory function

MeSH Terms

Forced Expiratory Volume
Hand
Humans
Movement Disorders
Parkinson Disease*
Pelvis
Posture
Prospective Studies
Respiratory Function Tests
Vital Capacity
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