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Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease

BACKGROUND: Parkinson’s disease (PD) is often clinically associated with posture instability and more easily falling. The Berg balance scale is a clinical indicator commonly used to subjectively evaluate a patient’s balance ability. Meanwhile, computerized force platforms have been used in research...

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Autores principales: Bao, Wei, Tan, Yuyan, Yang, Ying, Chen, Kai, Liu, Jun
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557353/
https://www.ncbi.nlm.nih.gov/pubmed/37803250
http://dx.doi.org/10.1186/s12883-023-03386-1
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author Bao, Wei
Tan, Yuyan
Yang, Ying
Chen, Kai
Liu, Jun
author_facet Bao, Wei
Tan, Yuyan
Yang, Ying
Chen, Kai
Liu, Jun
author_sort Bao, Wei
collection PubMed
description BACKGROUND: Parkinson’s disease (PD) is often clinically associated with posture instability and more easily falling. The Berg balance scale is a clinical indicator commonly used to subjectively evaluate a patient’s balance ability. Meanwhile, computerized force platforms have been used in research on postural control. The various parameters obtained from posturography are interpreted to assess balance ability. The present study aims to explore the correlations between posturographic variables and the BBS, and furthermore to efficiently evaluate postural instability and fall risk of early and moderate PD patients. METHODS: A total of 46 PD patients were involved in the experiment. Patients were asked to perform BBS tests and force platform tests under eye open (EO) and eye closed (EC) conditions. The recorded COP signal was analyzed with the time domain statistical method, the frequency domain method of Power Spectral Density (PSD), and structural methods of Stabilogram Diffusion Analysis (SDA), Sway Density Plot (SDP) to retrieve different posturographic variables. The correlation between posturographic variables under EO and EC conditions with BBS was compared statistically. The significantly correlated posturographic parameters were then applied to analyze posturographic differences between different groups: faller vs. non-faller (patients with/without a history of falls in the past 12 months). RESULTS: Among the different posturographic parameters, the prediction ellipse area, the slope of the regression line at a high-frequency band of PSD in the medial-lateral (ML) direction, the crossover point of the regression lines of SDA in the anterior-posterior (AP) direction, and the distance between successive peaks of SDP had significant correlations with BBS. These selected BBS-related parameters also showed significant differences between faller and non-faller. The selected posturographic parameters can be used as effective indicators to evaluate the balance ability of Parkinson’s disease patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-023-03386-1.
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spelling pubmed-105573532023-10-07 Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease Bao, Wei Tan, Yuyan Yang, Ying Chen, Kai Liu, Jun BMC Neurol Research BACKGROUND: Parkinson’s disease (PD) is often clinically associated with posture instability and more easily falling. The Berg balance scale is a clinical indicator commonly used to subjectively evaluate a patient’s balance ability. Meanwhile, computerized force platforms have been used in research on postural control. The various parameters obtained from posturography are interpreted to assess balance ability. The present study aims to explore the correlations between posturographic variables and the BBS, and furthermore to efficiently evaluate postural instability and fall risk of early and moderate PD patients. METHODS: A total of 46 PD patients were involved in the experiment. Patients were asked to perform BBS tests and force platform tests under eye open (EO) and eye closed (EC) conditions. The recorded COP signal was analyzed with the time domain statistical method, the frequency domain method of Power Spectral Density (PSD), and structural methods of Stabilogram Diffusion Analysis (SDA), Sway Density Plot (SDP) to retrieve different posturographic variables. The correlation between posturographic variables under EO and EC conditions with BBS was compared statistically. The significantly correlated posturographic parameters were then applied to analyze posturographic differences between different groups: faller vs. non-faller (patients with/without a history of falls in the past 12 months). RESULTS: Among the different posturographic parameters, the prediction ellipse area, the slope of the regression line at a high-frequency band of PSD in the medial-lateral (ML) direction, the crossover point of the regression lines of SDA in the anterior-posterior (AP) direction, and the distance between successive peaks of SDP had significant correlations with BBS. These selected BBS-related parameters also showed significant differences between faller and non-faller. The selected posturographic parameters can be used as effective indicators to evaluate the balance ability of Parkinson’s disease patients. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12883-023-03386-1. BioMed Central 2023-10-06 /pmc/articles/PMC10557353/ /pubmed/37803250 http://dx.doi.org/10.1186/s12883-023-03386-1 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Bao, Wei
Tan, Yuyan
Yang, Ying
Chen, Kai
Liu, Jun
Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title_full Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title_fullStr Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title_full_unstemmed Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title_short Correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
title_sort correlation of balance posturographic parameters during quiet standing with the berg balance scale in patients with parkinson’s disease
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10557353/
https://www.ncbi.nlm.nih.gov/pubmed/37803250
http://dx.doi.org/10.1186/s12883-023-03386-1
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