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A posturographic procedure assessing balance disorders in Parkinson's disease: a systematic review

Authors Kamieniarz A, Michalska J, Brachman A, Pawłowski M, Słomka KJ, Juras G

Received 20 July 2018

Accepted for publication 28 September 2018

Published 12 November 2018 Volume 2018:13 Pages 2301—2316

DOI https://doi.org/10.2147/CIA.S180894

Checked for plagiarism Yes

Review by Single-blind

Peer reviewers approved by Ms Justinn Cochran

Peer reviewer comments 4

Editor who approved publication: Dr Richard Walker


Anna Kamieniarz, Justyna Michalska, Anna Brachman, Michał Pawłowski, Kajetan J Słomka, Grzegorz Juras

Department of Human Motor Behavior, The Jerzy Kukuczka Academy of Physical Education in Katowice, Katowice, Poland

Abstract: Postural instability is common in Parkinson’s disease (PD), often contributing to falls, injuries, and reduced mobility. In the clinical setting, balance disorder is commonly diagnosed using clinical tests and balance scales, but it is suggested that the most sensitive measurement is the force platform. The aim of this systematic review was to summarize the methods and various posturographic procedures used to assess the body balance and gait in PD. A systematic review was conducted of papers published from 2000 to 2017. Databases searched were PubMed and EBSCO. Studies must have involved patients with PD, used force platform or motion analysis system as a measurement tool, and described posturographic procedure. The Physiotherapy Evidence Database (PEDro) scale was used to assess the methodological quality of the included studies. A total of 32 studies met the inclusion criteria. The PEDro scores ranged from 5 to 7 points. The analysis of the objective methods assessing balance disorders revealed a large discrepancy in the duration and procedures of measurements. The number of repetitions of each trial fluctuated between 1 and 8, and the duration of a single trial ranged from 10 to 60 seconds. Overall, there are many scales and tests used to assess the balance disorders and disabilities of people with PD. Although in many included studies the authors have used posturography as a method to evaluate the postural instability of PD patients, the results are contradictory. To solve this issue, it is indicated to establish a “gold standard” of procedures of measures of balance.

Keywords: Parkinson’s disease, posturography, balance disorders, postural instability

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