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Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms

BACKGROUND: Although most patients with Parkinson’s disease (PD) present difficulties of bed mobility, the contributing factors to impaired bed mobility in PD are unknown. OBJECTIVE: To compare bed mobility and muscle strength between PD patients and healthy controls, and investigate the determinant...

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Autores principales: Taniguchi, Seira, D’cruz, Nicholas, Nakagoshi, Miho, Osaki, Toshinori, Nieuwboer, Alice
Formato: Online Artículo Texto
Lenguaje:English
Publicado: IOS Press 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277679/
https://www.ncbi.nlm.nih.gov/pubmed/35147569
http://dx.doi.org/10.3233/NRE-210301
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author Taniguchi, Seira
D’cruz, Nicholas
Nakagoshi, Miho
Osaki, Toshinori
Nieuwboer, Alice
author_facet Taniguchi, Seira
D’cruz, Nicholas
Nakagoshi, Miho
Osaki, Toshinori
Nieuwboer, Alice
author_sort Taniguchi, Seira
collection PubMed
description BACKGROUND: Although most patients with Parkinson’s disease (PD) present difficulties of bed mobility, the contributing factors to impaired bed mobility in PD are unknown. OBJECTIVE: To compare bed mobility and muscle strength between PD patients and healthy controls, and investigate the determinants of bed mobility in PD. METHODS: Sixteen patients with PD and ten age- and sex-matched healthy controls (HC) were enrolled. Time and pattern to get out of bed to their preferred side at usual speed, muscle torque in lower extremities and motor symptom burden were also measured. RESULTS: PD exhibited significantly slower speed in bed mobility and lower torque in the hip adductor/abductor/flexor muscle than HC. Slower movement time in PD was correlated with weaker hip adductor torque on the more affected side (Rs = –0.56, p < 0.05) and with higher score in arm rigidity both sides (Rs≥0.79, p < 0.01). There were no significant differences between the categorised movement patterns and movement time in PD (p = 0.31). CONCLUSIONS: Reduced hip adductors torque and severe arm rigidity are associated with slowness of getting out of bed, implying that these components could be used as targets for rehabilitation practice to improve bed mobility in PD.
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spelling pubmed-92776792022-07-25 Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms Taniguchi, Seira D’cruz, Nicholas Nakagoshi, Miho Osaki, Toshinori Nieuwboer, Alice NeuroRehabilitation Research Article BACKGROUND: Although most patients with Parkinson’s disease (PD) present difficulties of bed mobility, the contributing factors to impaired bed mobility in PD are unknown. OBJECTIVE: To compare bed mobility and muscle strength between PD patients and healthy controls, and investigate the determinants of bed mobility in PD. METHODS: Sixteen patients with PD and ten age- and sex-matched healthy controls (HC) were enrolled. Time and pattern to get out of bed to their preferred side at usual speed, muscle torque in lower extremities and motor symptom burden were also measured. RESULTS: PD exhibited significantly slower speed in bed mobility and lower torque in the hip adductor/abductor/flexor muscle than HC. Slower movement time in PD was correlated with weaker hip adductor torque on the more affected side (Rs = –0.56, p < 0.05) and with higher score in arm rigidity both sides (Rs≥0.79, p < 0.01). There were no significant differences between the categorised movement patterns and movement time in PD (p = 0.31). CONCLUSIONS: Reduced hip adductors torque and severe arm rigidity are associated with slowness of getting out of bed, implying that these components could be used as targets for rehabilitation practice to improve bed mobility in PD. IOS Press 2022-06-17 /pmc/articles/PMC9277679/ /pubmed/35147569 http://dx.doi.org/10.3233/NRE-210301 Text en © 2022 – The authors. Published by IOS Press https://creativecommons.org/licenses/by-nc/4.0/This is an open access article distributed under the terms of the Creative Commons Attribution Non-Commercial (CC BY-NC 4.0) License (https://creativecommons.org/licenses/by-nc/4.0/) , which permits unrestricted non-commercial use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Research Article
Taniguchi, Seira
D’cruz, Nicholas
Nakagoshi, Miho
Osaki, Toshinori
Nieuwboer, Alice
Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title_full Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title_fullStr Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title_full_unstemmed Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title_short Determinants of impaired bed mobility in Parkinson’s disease: Impact of hip muscle strength and motor symptoms
title_sort determinants of impaired bed mobility in parkinson’s disease: impact of hip muscle strength and motor symptoms
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9277679/
https://www.ncbi.nlm.nih.gov/pubmed/35147569
http://dx.doi.org/10.3233/NRE-210301
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