Investigation of the Relationship of Trunk Disability with Disease Severity and Quality of Life in Parkinson's Patients
Abstract
Objectives: Trunk impairments in Parkinson’s patients occur in different ways and negatively affects the rehabilitation processes of the patients.The aim of the study was to examine the relationship of trunk impairment with disease severity and quality of life in Parkinson’s patients.
Materials and Methods: Twenty seven Parkinson’s patients (13 F, 14 M) were included in the study. Disease severity was assessed with the Unified Parkinson’s Disease Rating Scale, trunk involvement with the Trunk Impairment Scale, and quality of life with the Parkinson’s Disease Questionnaire-39.
Results: As a result of the study; low-moderate correlation was found between trunk impairment and disease severity (r=-0.39, p<0.05). A good correlation was found between trunk impairment and quality of life (r=-0.64, p<0.05). There was no statistically significant relationship between disease severity and quality of life (p>0.05).
Conclusion: Trunk impairment was found to be associated with disease severity and quality of life in Parkinson’s patients is an important result in terms of drawing attention to the importance of the body. These results suggest that more focus should be placed on the trunk in both assessment and treatment in Parkinson diseases rehabilitation.
References
- Bloem, B. R., Hausdorff, J. M., Visser, J. E., & Giladi, N. (2004). Falls and freezing of gait in Parkinson's disease: a review of two interconnected, episodic phenomena. Movement disorders: official journal of the Movement Disorder Society, 19(8), 871-884.
- Bridgewater, K. J., & Sharpe, M. H. (1998). Trunk muscle performance in early Parkinson's disease. Physical Therapy, 78(6), 566-576.
- Cano-de-la-Cuerda, R., Vela-Desojo, L., Miangolarra-Page, J. C., Macías-Macías, Y., & Muñoz-Hellín, E. (2011). Axial rigidity and quality of life in patients with Parkinson’s disease: a preliminary study. Quality of Life Research, 20(6), 817-823.
- Committee, G. P. s. D. S. S. (2002). Factors impacting on quality of life in Parkinson's disease: results from an international survey. Movement Disorders, 17(1), 60-67.
- De Rijk, M. C., Rocca, W., Anderson, D., Melcon, M., Breteler, M., & Maraganore, D. (1997). A population perspective on diagnostic criteria for Parkinson's disease. Neurology, 48(5), 1277-1281.
- Doherty, K. M., van de Warrenburg, B. P., Peralta, M. C., Silveira-Moriyama, L., Azulay, J.-P., Gershanik, O. S., & Bloem, B. R. (2011). Postural deformities in Parkinson's disease. The Lancet Neurology, 10(6), 538-549.
- Hayran, M. (2011). Sağlık araştırmaları için temel istatistik. Omega Araştırma.
- Hoehn, M. M., & Yahr, M. D. (1998). Parkinsonism: onset, progression, and mortality. Neurology, 50(2), 318-318.
- Hong, M., Perlmutter, J. S., & Earhart, G. M. (2009). A kinematic and electromyographic analysis of turning in people with Parkinson disease. Neurorehabilitation and neural repair, 23(2), 166-176.
- Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R., & Hyman, N. (1997). The Parkinson's Disease Questionnaire (PDQ-39): development and validation of a Parkinson's disease summary index score. Age and ageing, 26(5), 353-357.
- Kataoka, H., & Sugie, K. (2019). Recent advancements in lateral trunk flexion in Parkinson disease. Neurology: Clinical Practice, 9(1), 74-82.
- Memis, S., Akyol, A., Ayyldz, U., & Özkul, A. (2009). Reliability and validity of the Turkish versions of Parkinson's disease questionnaire (PDQ-39) and European quality of life (EQ-5D): P2651. Eur J Neurol, 16, 562.
- Mikami, K., Shiraishi, M., & Kamo, T. (2016). Effect of abnormal posture on quality of life in patients with Parkinson’s disease. Advances in Parkinson's Disease, 5(2), 7-14.
- Papapetropoulos, S., Ellul, J., Argyriou, A. A., Chroni, E., & Lekka, N. P. (2006). The effect of depression on motor function and disease severity of Parkinson's disease. Clinical Neurology and Neurosurgery, 108(5), 465-469.
- Ramaker, C., Marinus, J., Stiggelbout, A. M., & Van Hilten, B. J. (2002). Systematic evaluation of rating scales for impairment and disability in Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 17(5), 867-876.
- Schaafsma, J., Balash, Y., Gurevich, T., Bartels, A., Hausdorff, J. M., & Giladi, N. (2003). Characterization of freezing of gait subtypes and the response of each to levodopa in Parkinson's disease. European journal of neurology, 10(4), 391-398.
- Schrag, A., Jahanshahi, M., & Quinn, N. (2000). How does Parkinson's disease affect quality of life? A comparison with quality of life in the general population. Movement disorders: official journal of the Movement Disorder Society, 15(6), 1112-1118.
- Van Emmerik, R. E., Wagenaar, R. C., Winogrodzka, A., & Wolters, E. C. (1999). Identification of axial rigidity during locomotion in Parkinson disease. Archives of physical medicine and rehabilitation, 80(2), 186-191.
- Verheyden, G., Nieuwboer, A., Mertin, J., Preger, R., Kiekens, C., & De Weerdt, W. (2004). The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clinical rehabilitation, 18(3), 326-334.
- Verheyden, G., Willems, A.-M., Ooms, L., & Nieuwboer, A. (2007). Validity of the trunk impairment scale as a measure of trunk performance in people with Parkinson’s disease. Archives of physical medicine and rehabilitation, 88(10), 1304-1308.
- Wakamori, T., Agari, T., Yasuhara, T., Kameda, M., Kondo, A., Shinko, A., Sasada, S., Sasaki, T., Furuta, T., & Date, I. (2014). Cognitive functions in Parkinson's disease: relation to disease severity and hallucination. Parkinsonism & related disorders, 20(4), 415-420.
Parkinson Hastalarında Gövde Bozukluğunun Hastalık Şiddeti ve Yaşam Kalitesi ile İlişkisinin İncelenmesi
Abstract
Amaç: Parkinson hastalarında gövde bozukluğu, farklı şekillerde ortaya çıkarak hastaların rehabilitasyon süreçlerini olumsuz yönde etkilemektedir. Çalışmanın amacı, Parkinson hastalarında gövde bozukluğunun hastalık şiddeti ve yaşam kalitesi ile ilişkisini incelemekti.
Gereç ve Yöntem: Çalışmaya 27 Parkinson hastası (13 K, 14 E) dahil edildi. Hastalık şiddeti; Birleşik Parkinson Hastalığı Derecelendirme Ölçeği, gövde bozukluğu; Gövde Bozukluk Ölçeği, hastaların yaşam kaliteleri ise Parkinson Hastalığı Yaşam Kalitesi Anketi-39 ile değerlendirildi.
Bulgular: Çalışmanın sonucunda; gövde bozukluğu ile hastalık şiddeti arasında düşük/orta derecede korelasyon bulundu (r=-0,39, p<0,05). Gövde bozukluğu ile yaşam kalitesi arasında iyi derecede korelasyon bulundu (r=-0,64, p<0,05). Hastalık şiddeti ile yaşam kalitesi arasında ise istatistiksel olarak anlamlı bir ilişki bulunmadı (p>0,05).
Sonuç: Parkinson hastalarında gövde bozukluğunun, hastalık şiddeti ve yaşam kalitesi ile ilişkili bulunmuş olması; gövdenin önemine dikkat çekilmesi açısından önemli bir sonuçtur. Bu sonuçlar, Parkinson hastalığı rehabilitasyonunda hem değerlendirme, hem de tedavide gövdeye daha fazla odaklanılması gerektiğini düşündürmektedir.
References
- Bloem, B. R., Hausdorff, J. M., Visser, J. E., & Giladi, N. (2004). Falls and freezing of gait in Parkinson's disease: a review of two interconnected, episodic phenomena. Movement disorders: official journal of the Movement Disorder Society, 19(8), 871-884.
- Bridgewater, K. J., & Sharpe, M. H. (1998). Trunk muscle performance in early Parkinson's disease. Physical Therapy, 78(6), 566-576.
- Cano-de-la-Cuerda, R., Vela-Desojo, L., Miangolarra-Page, J. C., Macías-Macías, Y., & Muñoz-Hellín, E. (2011). Axial rigidity and quality of life in patients with Parkinson’s disease: a preliminary study. Quality of Life Research, 20(6), 817-823.
- Committee, G. P. s. D. S. S. (2002). Factors impacting on quality of life in Parkinson's disease: results from an international survey. Movement Disorders, 17(1), 60-67.
- De Rijk, M. C., Rocca, W., Anderson, D., Melcon, M., Breteler, M., & Maraganore, D. (1997). A population perspective on diagnostic criteria for Parkinson's disease. Neurology, 48(5), 1277-1281.
- Doherty, K. M., van de Warrenburg, B. P., Peralta, M. C., Silveira-Moriyama, L., Azulay, J.-P., Gershanik, O. S., & Bloem, B. R. (2011). Postural deformities in Parkinson's disease. The Lancet Neurology, 10(6), 538-549.
- Hayran, M. (2011). Sağlık araştırmaları için temel istatistik. Omega Araştırma.
- Hoehn, M. M., & Yahr, M. D. (1998). Parkinsonism: onset, progression, and mortality. Neurology, 50(2), 318-318.
- Hong, M., Perlmutter, J. S., & Earhart, G. M. (2009). A kinematic and electromyographic analysis of turning in people with Parkinson disease. Neurorehabilitation and neural repair, 23(2), 166-176.
- Jenkinson, C., Fitzpatrick, R., Peto, V., Greenhall, R., & Hyman, N. (1997). The Parkinson's Disease Questionnaire (PDQ-39): development and validation of a Parkinson's disease summary index score. Age and ageing, 26(5), 353-357.
- Kataoka, H., & Sugie, K. (2019). Recent advancements in lateral trunk flexion in Parkinson disease. Neurology: Clinical Practice, 9(1), 74-82.
- Memis, S., Akyol, A., Ayyldz, U., & Özkul, A. (2009). Reliability and validity of the Turkish versions of Parkinson's disease questionnaire (PDQ-39) and European quality of life (EQ-5D): P2651. Eur J Neurol, 16, 562.
- Mikami, K., Shiraishi, M., & Kamo, T. (2016). Effect of abnormal posture on quality of life in patients with Parkinson’s disease. Advances in Parkinson's Disease, 5(2), 7-14.
- Papapetropoulos, S., Ellul, J., Argyriou, A. A., Chroni, E., & Lekka, N. P. (2006). The effect of depression on motor function and disease severity of Parkinson's disease. Clinical Neurology and Neurosurgery, 108(5), 465-469.
- Ramaker, C., Marinus, J., Stiggelbout, A. M., & Van Hilten, B. J. (2002). Systematic evaluation of rating scales for impairment and disability in Parkinson's disease. Movement disorders: official journal of the Movement Disorder Society, 17(5), 867-876.
- Schaafsma, J., Balash, Y., Gurevich, T., Bartels, A., Hausdorff, J. M., & Giladi, N. (2003). Characterization of freezing of gait subtypes and the response of each to levodopa in Parkinson's disease. European journal of neurology, 10(4), 391-398.
- Schrag, A., Jahanshahi, M., & Quinn, N. (2000). How does Parkinson's disease affect quality of life? A comparison with quality of life in the general population. Movement disorders: official journal of the Movement Disorder Society, 15(6), 1112-1118.
- Van Emmerik, R. E., Wagenaar, R. C., Winogrodzka, A., & Wolters, E. C. (1999). Identification of axial rigidity during locomotion in Parkinson disease. Archives of physical medicine and rehabilitation, 80(2), 186-191.
- Verheyden, G., Nieuwboer, A., Mertin, J., Preger, R., Kiekens, C., & De Weerdt, W. (2004). The Trunk Impairment Scale: a new tool to measure motor impairment of the trunk after stroke. Clinical rehabilitation, 18(3), 326-334.
- Verheyden, G., Willems, A.-M., Ooms, L., & Nieuwboer, A. (2007). Validity of the trunk impairment scale as a measure of trunk performance in people with Parkinson’s disease. Archives of physical medicine and rehabilitation, 88(10), 1304-1308.
- Wakamori, T., Agari, T., Yasuhara, T., Kameda, M., Kondo, A., Shinko, A., Sasada, S., Sasaki, T., Furuta, T., & Date, I. (2014). Cognitive functions in Parkinson's disease: relation to disease severity and hallucination. Parkinsonism & related disorders, 20(4), 415-420.
Details
| Primary Language | Turkish |
|---|---|
| Subjects | Physiotherapy |
| Journal Section | Articles |
| Authors | |
| Early Pub Date | February 19, 2024 |
| Publication Date | April 30, 2024 |
| Submission Date | March 13, 2023 |
| Published in Issue | Year 2024 Volume: 11 Issue: 1 |
