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Effects of Sagittal Spinopelvic Alignment on Motor Symptom and Respiratory Function in Mild to Moderate Parkinson`s disease
J Kor Phys Ther 2019;31(2):122-128
Published online April 30, 2019;  https://doi.org/10.18857/jkpt.2019.31.2.122
© 2019 The Korea Society of Physical Therapy.

DongYeon Kang1, SangMyung Cheon2, MinJi Son3, HyeRyun Sung2, HyeYoung Lee4

1Department of Health Care and science, College of Health Science, Dong-A University, Busan; 2Parkinson`s Disease Center, Dong-A University Hospital, Busan; 3Graduate School of medical, Dong-A University, Busan; 4Department of Physical Therapy, Keimyung University Dongsan Medical Center, Daegu, Korea
DongYeon Kang, E-mail dongyeon68@naver.com
Received March 25, 2019; Revised April 29, 2019; Accepted April 29, 2019.
This is an Open Access article distribute under the terms of the Creative Commons Attribution Non-commercial License (Http://creativecommons.org/license/by-nc/4.0.) which permits unrestricted non-commercial use, distribution,and reproduction in any medium, provided the original work is properly cited.
Abstract
Purpose: This study examined the effects of sagittal spinopelvic alignment on the clinical parameters, motor symptoms, and respiratory function in patients with mild to moderate Parkinson’s disease (PD).
Methods: This study was a prospective assessment of treated patients (n=28, Hoehn and Yahr (H&Y) stage 2-3) in a PD center. Twenty-eight subjects (68.5±5.7 yrs) participated in this study. The clinical and demographic parameters, including age, sex, symptoms duration, treatment duration, and H&Y stage, were collected. Kinematic analysis was conducted in the upright standing posture with a motion capture system. A pulmonary function test (PFT) was performed in the sitting position using a spirometer. The motor symptoms were assessed on part III of the movement disorder society sponsored version of the unified Parkinson’s disease rating scale (MDS-UPDRS). SPSS 18.0 was used to analyze the collected data.
Results: The exceeding 12 degrees group of the lower trunk showed significantly higher on the clinical parameters than the below 12 degrees group. In addition, the exceeding 12 degrees group of the lower trunk showed a significantly lower forced expiratory volume at one second (FEV1) / forced vital capacity (FVC) (%) and 25-75% forced mid-expiratory flow (FEF) (L/s) than in the below group. On the other hand, there was no difference in the upper trunk and the cervical pelvis between the groups.
Conclusion: These findings suggest that the sagittal balance in the lower trunk is related to the clinical parameters and respiratory function, but not the motor symptoms in patients with mild to moderate PD.
Keywords : Parkinson`s disease, Spinopelvic alignment, Respiratory function


April 2019, 31 (2)
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