Strategies for Maintaining Balance in Patients with Parkinson’s Disease
- 作者: Slotina A.E.1, Ikonnikova E.S.1, Kotsoev G.A.1, Egunova A.S.1, Panina U.V.1, Fedotova E.Y.1, Gnedovskaya E.V.1, Suponeva N.A.1
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隶属关系:
- Russian Center of Neurology and Neurosciences
- 期: 卷 19, 编号 2 (2025)
- 页面: 5-15
- 栏目: Original articles
- URL: https://ogarev-online.ru/2075-5473/article/view/310258
- DOI: https://doi.org/10.17816/ACEN.1292
- EDN: https://elibrary.ru/DEYLLG
- ID: 310258
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详细
Introduction. The relevance of studying balance impairment in patients with Parkinson’s disease (PD) lies in the need to prevent falls and injuries while enabling patients to maintain maximum independence and mobility. Promising advances in posture and gait screening using digital image processing require a thorough understanding of fundamental balance maintenance strategies.
The study was aimed at investigating balance maintenance strategies during PD “on” and “off” periods using classical and integral stabilometric parameters.
Materials and methods. The study included 27 PD patients with the median of 61 years. The mean total daily levodopa equivalent dose was 889.71 mg. All patients underwent clinical balance assessment using the Berg Balance Scale and stabilometric platform testing during “on” and “off” periods.
Results. Berg Balance Scale scores revealed mild balance impairments in PD patients, with greater severity during the “off” period (p < 0.05). Classical Romberg test parameters during the “on” period demonstrated deteriorated balance function and increased reliance on visual strategies for balance maintenance. Analysis of vector integral parameters during the “off” period showed a significant increase in angular velocity and coefficient of abrupt direction changes (p < 0.05). Stabilometry data indicate balance impairments in both PD “on” and “off” states, accompanied by different compensatory strategies.
Conclusion. Despite clinical assessments suggesting only mild balance impairments and low fall risk in PD patients, stabilometric parameters revealed more significant static balance disorders contributing to fall risk. Notably, the diagnostic value of classical stabilometric parameters decreases during the “off” period, while vector parameters characterizing balance maintenance strategies gain importance. We propose that these integral parameters can effectively assess balance quality and fundamental compensatory strategies in PD patients undergoing treatment. The findings are valuable for developing digitalized balance analysis technologies incorporating artificial intelligence.
作者简介
A. Slotina
Russian Center of Neurology and Neurosciences
编辑信件的主要联系方式.
Email: slotina@neurology.ru
ORCID iD: 0000-0003-1395-6645
SPIN 代码: 4824-1240
Scopus 作者 ID: 57192699894
Researcher ID: F-1152-2019
Cand. Sci. (Med.), researcher, neurologist, PRM doctor, Institute of Neurorehabilitation and Recovery Technologies
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Ekaterina Ikonnikova
Russian Center of Neurology and Neurosciences
Email: ikonnikovaes@list.ru
ORCID iD: 0000-0001-6836-4386
researcher, Institute of Neurorehabilitation and Recovery Technologies
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Georgii Kotsoev
Russian Center of Neurology and Neurosciences
Email: slotina@neurology.ru
ORCID iD: 0009-0006-7417-1402
neurologist, 5th Neurological department with a molecular genetic laboratory, Institute of Clinical and Preventive Neurology
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Alena Egunova
Russian Center of Neurology and Neurosciences
Email: slotina@neurology.ru
ORCID iD: 0009-0000-8166-7103
resident
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Uliana Panina
Russian Center of Neurology and Neurosciences
Email: slotina@neurology.ru
ORCID iD: 0009-0003-0970-7934
resident
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Ekaterina Fedotova
Russian Center of Neurology and Neurosciences
Email: slotina@neurology.ru
ORCID iD: 0000-0001-8070-7644
Dr. Sci. (Med.), leading researcher, Head, 5th Neurological department with a molecular genetic laboratory, Institute of Clinical and Preventive Neurology
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Elena Gnedovskaya
Russian Center of Neurology and Neurosciences
Email: gnedovskaya@mail.ru
ORCID iD: 0000-0001-6026-3388
Dr. Sci. (Med.), Corresponding Member of RAS, leading researcher, Deputy Director for research and scientific-organizational work, Head of Institute of Medical Education and Professional Development
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367Natalia Suponeva
Russian Center of Neurology and Neurosciences
Email: slotina@neurology.ru
ORCID iD: 0000-0003-3956-6362
Dr. Sci. (Med.), Corresponding Member of RAS, Director, Institute of Neurorehabilitation and Recovery Technologies
俄罗斯联邦, 80 Volokolamskoye shosse, Moscow, 125367参考
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