Effect of Therapy on Vestibular and Balance Functions in Parkinson's Disease
Mona Abd El-Fattah Sayed;
Abstract
SUMMARY
P
arkinson's disease is a neuro-degenerative disorder characterized by cardinal features including resting tremors, rigidity, bradykinesia, and postural difficulties .These symptoms are thought to arise primarily from the loss of dopamine- producing neurons and subsequent dysfunction of the basal ganglia-thalamo-cortical pathway (Konczak et al., 2009).
Computerized Dynamic Posturography (CDP) has been used to assess balance in a variety of conditions (Fife et al., 2006 & Whitney et al., 2006). One specific CDP test is Sensory Organization Test (SOT), which provides an extremely sensitive objective assessment of the main sensory systems involved in balance and stability (Vouriot et al., 2004 & Ray et al., 2007). Motor control test (MCT) measures the patient's ability to adapt to increasing anterior and posterior rocking and body sway (Roeser et al., 2000).
The aim of the work in this study is to assess the vestibular & balance functions in patients with (PD)& measure the effect of therapy in controlling vestibular& or balance dysfunction in (PD).
This study was conducted on 29 patient suffering from clinical definite PD Nine of them are excluded as they couldn’t do the test and had severe disability. The other 20 patients were randomly selected and subdivided into two subgroups as subgroup (1) they were 8 patients receiving medical treatment & physiotherapy, subgroup (2) 12 patients receiving medical treatment only and other 10 persons they serve as a control group the age of the patients 40-60 years and sex was shifted to towards male gender. All patients underwent vestibular function testing by VNG & function assessment by CDP
The results showed that 58.3% of subgroup (2) had central vestibular lesion and only 41.7% of them had peripheral vestibular lesion, however in subgroup (1) only 50% of them had central vestibular lesion but there was peripheral lesion in 12.5% of this subgroup ,CPD finding that assess sensory and motor function was very useful especially SOT as a gold standard in assess this patients showed that all patients in subgroup (2 ) had below average scores in C6 on the other hand only 62.5% of the subgroup (1) had below average scores.
On conclusion, this study documented abnormalities in the vestibular & balance function .Patients (subgroup 1) receiving medical treatment adjunct physiotherapy showed better results than (subgroup 2) receiving medical treatment only.
P
arkinson's disease is a neuro-degenerative disorder characterized by cardinal features including resting tremors, rigidity, bradykinesia, and postural difficulties .These symptoms are thought to arise primarily from the loss of dopamine- producing neurons and subsequent dysfunction of the basal ganglia-thalamo-cortical pathway (Konczak et al., 2009).
Computerized Dynamic Posturography (CDP) has been used to assess balance in a variety of conditions (Fife et al., 2006 & Whitney et al., 2006). One specific CDP test is Sensory Organization Test (SOT), which provides an extremely sensitive objective assessment of the main sensory systems involved in balance and stability (Vouriot et al., 2004 & Ray et al., 2007). Motor control test (MCT) measures the patient's ability to adapt to increasing anterior and posterior rocking and body sway (Roeser et al., 2000).
The aim of the work in this study is to assess the vestibular & balance functions in patients with (PD)& measure the effect of therapy in controlling vestibular& or balance dysfunction in (PD).
This study was conducted on 29 patient suffering from clinical definite PD Nine of them are excluded as they couldn’t do the test and had severe disability. The other 20 patients were randomly selected and subdivided into two subgroups as subgroup (1) they were 8 patients receiving medical treatment & physiotherapy, subgroup (2) 12 patients receiving medical treatment only and other 10 persons they serve as a control group the age of the patients 40-60 years and sex was shifted to towards male gender. All patients underwent vestibular function testing by VNG & function assessment by CDP
The results showed that 58.3% of subgroup (2) had central vestibular lesion and only 41.7% of them had peripheral vestibular lesion, however in subgroup (1) only 50% of them had central vestibular lesion but there was peripheral lesion in 12.5% of this subgroup ,CPD finding that assess sensory and motor function was very useful especially SOT as a gold standard in assess this patients showed that all patients in subgroup (2 ) had below average scores in C6 on the other hand only 62.5% of the subgroup (1) had below average scores.
On conclusion, this study documented abnormalities in the vestibular & balance function .Patients (subgroup 1) receiving medical treatment adjunct physiotherapy showed better results than (subgroup 2) receiving medical treatment only.
Other data
| Title | Effect of Therapy on Vestibular and Balance Functions in Parkinson's Disease | Other Titles | تقييم التأثير العلاجي على وظائف الجهاز الدهليزي والأتزان في مرضى الشلل الرعاش | Authors | Mona Abd El-Fattah Sayed | Issue Date | 2014 |
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