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Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease

Parkinson’s disease (PD) is a neurodegenerative disorder that affects postural and cardiac autonomic control. However, since it is unknown whether these changes are associated, the objective of this study was to determine whether such a relationship exists. Twenty-three patients with PD participated...

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Autores principales: Espinoza-Valdés, Yoan, Córdova-Arellano, Rocio, Espinoza-Espinoza, Maiter, Méndez-Alfaro, Diego, Bustamante-Aguirre, Juan Pablo, Maureira-Pareja, Hernán Antonio, Zamunér, Antonio Roberto
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796175/
https://www.ncbi.nlm.nih.gov/pubmed/33396272
http://dx.doi.org/10.3390/ijerph18010249
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author Espinoza-Valdés, Yoan
Córdova-Arellano, Rocio
Espinoza-Espinoza, Maiter
Méndez-Alfaro, Diego
Bustamante-Aguirre, Juan Pablo
Maureira-Pareja, Hernán Antonio
Zamunér, Antonio Roberto
author_facet Espinoza-Valdés, Yoan
Córdova-Arellano, Rocio
Espinoza-Espinoza, Maiter
Méndez-Alfaro, Diego
Bustamante-Aguirre, Juan Pablo
Maureira-Pareja, Hernán Antonio
Zamunér, Antonio Roberto
author_sort Espinoza-Valdés, Yoan
collection PubMed
description Parkinson’s disease (PD) is a neurodegenerative disorder that affects postural and cardiac autonomic control. However, since it is unknown whether these changes are associated, the objective of this study was to determine whether such a relationship exists. Twenty-three patients with PD participated. The RR intervals were recorded in different positions and heart rate variability (HRV) was analyzed. Postural sway was analyzed based on the center of pressure. No significant differences on HRV indices were induced by postural change. A correlation was found between these indices and postural control, high frequency (HF), and anterior-posterior (AP) root mean square (RMS-AP) (r = 0.422, p = 0.045), low frequency (LF)/HF, and AP mean velocity (r = 0.478, p = 0.021). A correlation was found between HRV induced by postural change and postural control, Δ LF/HF and RMS-AP (r = 0.448, p = 0.032), Δ LF/HF and ellipse area (r = 0.505, p = 0.014), Δ LF/HF and AP mean velocity (r = −0.531; p = 0.009), and Δ LF and AP mean velocity (r = −0.424, p = 0.044). There is an association between the autonomic and postural systems, such that PD patients with blunted cardiac autonomic function in both the supine and orthostatic positions have worse postural control.
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spelling pubmed-77961752021-01-10 Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease Espinoza-Valdés, Yoan Córdova-Arellano, Rocio Espinoza-Espinoza, Maiter Méndez-Alfaro, Diego Bustamante-Aguirre, Juan Pablo Maureira-Pareja, Hernán Antonio Zamunér, Antonio Roberto Int J Environ Res Public Health Article Parkinson’s disease (PD) is a neurodegenerative disorder that affects postural and cardiac autonomic control. However, since it is unknown whether these changes are associated, the objective of this study was to determine whether such a relationship exists. Twenty-three patients with PD participated. The RR intervals were recorded in different positions and heart rate variability (HRV) was analyzed. Postural sway was analyzed based on the center of pressure. No significant differences on HRV indices were induced by postural change. A correlation was found between these indices and postural control, high frequency (HF), and anterior-posterior (AP) root mean square (RMS-AP) (r = 0.422, p = 0.045), low frequency (LF)/HF, and AP mean velocity (r = 0.478, p = 0.021). A correlation was found between HRV induced by postural change and postural control, Δ LF/HF and RMS-AP (r = 0.448, p = 0.032), Δ LF/HF and ellipse area (r = 0.505, p = 0.014), Δ LF/HF and AP mean velocity (r = −0.531; p = 0.009), and Δ LF and AP mean velocity (r = −0.424, p = 0.044). There is an association between the autonomic and postural systems, such that PD patients with blunted cardiac autonomic function in both the supine and orthostatic positions have worse postural control. MDPI 2020-12-31 2021-01 /pmc/articles/PMC7796175/ /pubmed/33396272 http://dx.doi.org/10.3390/ijerph18010249 Text en © 2020 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Espinoza-Valdés, Yoan
Córdova-Arellano, Rocio
Espinoza-Espinoza, Maiter
Méndez-Alfaro, Diego
Bustamante-Aguirre, Juan Pablo
Maureira-Pareja, Hernán Antonio
Zamunér, Antonio Roberto
Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title_full Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title_fullStr Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title_full_unstemmed Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title_short Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease
title_sort association between cardiac autonomic control and postural control in patients with parkinson’s disease
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7796175/
https://www.ncbi.nlm.nih.gov/pubmed/33396272
http://dx.doi.org/10.3390/ijerph18010249
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