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Abstract Details

Community mobility is affected by balance and related aspects in Parkinson’s disease: preliminary results
Movement Disorders
P2 - Poster Session 2 (8:00 AM-9:00 PM)
3-014
This study aimed to evaluate balance deficits in Parkinson’s Disease and to verify its relation with staging, severity of disease, motor subtypes and communitary mobility.

Balance instability are frequent and disabling for patients with PD. Although those are well studied, its reflections on communitary mobility are not often addressed.


75 participants diagnosed with PD were grouped by Hoehn and Yahr (HY) scores: Group 1 consisted of subjects with scores 1 or 2 (n = 52, mean = 25.42±0.76), while Group 2 consisted of subjects with scores 3 or 4 (n = 23, mean = 19.43±1.45). Mini Balance Evaluation Systems Test (MiniBEST) was used to quantify balance, then comparing it to different stages of the disease through Hoehn and Yahr (HY). The Unified PD Rating Scale (MDS-UPDRS), Life-Space Assessment (LSA) and Parkinson's Disease Questionnaire (PDQ-8) were performed to verify aspects associated with balance and mobility deficits such as severity of the disease and years since first symptom. Evaluations were performed during the "ON" period of medication. T-test and Spearman’s Correlation were performed in order to compare and correlate the independent samples, respectively.

There was a significant difference in balance between groups (p= 0.0001). In Group 1 correlations was found between balance and motor subtypes (r= -0.333, p= 0.017), years from first symptom (r= -0.316, p= 0.023), dyskinesia (r= -0.420, p= 0.001), communitary mobility (r = -0.297, p = 0.032) and LSA (r= 0.449, p= 0.001). Group 2 presented correlation with quality of life (r= -0.575, p= 0.005), MDS-UPDRS (r=-0.582, p= 0.003) and LSA part II (r=0.488, p= 0.021).

Quantitative measurements of balance correlate with the course of the disease, severity of symptoms and social participation of individuals, therefore showing relation with Community Mobility. Also, miniBEST appears to be a good instrument to assist evaluation of motor symptoms in PD patients.


Authors/Disclosures

PRESENTER
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