The influence of postural deformities on neck function and pain in patients with Parkinson's disease

Mohammad Alwardat, Tommaso Schirinzi, Giulia Di Lazzaro, Donatella Franco, Paola Imbriani, Paola Sinibaldi Salimei, Nicola Biagio Mercuri, Antonio Pisani

Research output: Contribution to journalArticle

Abstract

BACKGROUND: Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson's disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A).

OBJECTIVES: to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD).

METHODS: Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A. The function, disability and pain were assessed by Neck Disability Index (NDI), and Brief Pain Inventory (BPI) which used to assess the pain severity (BPI-PS) and Pain Interference (BPI-PI). All groups completed clinical assessments by the Unified Parkinson's Disease Rating Scale (UPDRS), Modified Hoenh & Yahr (mH&Y) staging and the Levodopa Equivalent Daily Dose (LEDD).

RESULTS: PD group compared with PS and C&A groups showed differences in NDI, BPI-PS, BPI-PI, LEDD and mH&Y staging (P < 0.001), but no differences found in PD duration, UPDRS-II and III in the same groups. Moreover, no differences were observed between PS and C&A groups in the mentioned scales.

DISCUSSION AND CONCLUSION: These results demonstrated that PS and C&A are associated with severe impairment of neck functions, and pain in PwPD.

Original languageEnglish
Pages (from-to)79-84
Number of pages6
JournalNeuroRehabilitation
Volume44
Issue number1
DOIs
Publication statusPublished - 2019

Fingerprint

Neck Pain
Parkinson Disease
Pain
Equipment and Supplies
Neck
Levodopa

Keywords

  • Aged
  • Aged, 80 and over
  • Cross-Sectional Studies
  • Disabled Persons
  • Female
  • Humans
  • Levodopa/therapeutic use
  • Male
  • Middle Aged
  • Muscular Atrophy, Spinal/drug therapy
  • Neck Pain/diagnosis
  • Pain/drug therapy
  • Parkinson Disease/drug therapy
  • Pilot Projects
  • Postural Balance/physiology
  • Spinal Curvatures/drug therapy

Cite this

The influence of postural deformities on neck function and pain in patients with Parkinson's disease. / Alwardat, Mohammad; Schirinzi, Tommaso; Di Lazzaro, Giulia; Franco, Donatella; Imbriani, Paola; Sinibaldi Salimei, Paola; Mercuri, Nicola Biagio; Pisani, Antonio.

In: NeuroRehabilitation, Vol. 44, No. 1, 2019, p. 79-84.

Research output: Contribution to journalArticle

Alwardat, Mohammad ; Schirinzi, Tommaso ; Di Lazzaro, Giulia ; Franco, Donatella ; Imbriani, Paola ; Sinibaldi Salimei, Paola ; Mercuri, Nicola Biagio ; Pisani, Antonio. / The influence of postural deformities on neck function and pain in patients with Parkinson's disease. In: NeuroRehabilitation. 2019 ; Vol. 44, No. 1. pp. 79-84.
@article{8a6514a9c7054f63a79e9335379b57e9,
title = "The influence of postural deformities on neck function and pain in patients with Parkinson's disease",
abstract = "BACKGROUND: Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson's disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A).OBJECTIVES: to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD).METHODS: Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A. The function, disability and pain were assessed by Neck Disability Index (NDI), and Brief Pain Inventory (BPI) which used to assess the pain severity (BPI-PS) and Pain Interference (BPI-PI). All groups completed clinical assessments by the Unified Parkinson's Disease Rating Scale (UPDRS), Modified Hoenh & Yahr (mH&Y) staging and the Levodopa Equivalent Daily Dose (LEDD).RESULTS: PD group compared with PS and C&A groups showed differences in NDI, BPI-PS, BPI-PI, LEDD and mH&Y staging (P < 0.001), but no differences found in PD duration, UPDRS-II and III in the same groups. Moreover, no differences were observed between PS and C&A groups in the mentioned scales.DISCUSSION AND CONCLUSION: These results demonstrated that PS and C&A are associated with severe impairment of neck functions, and pain in PwPD.",
keywords = "Aged, Aged, 80 and over, Cross-Sectional Studies, Disabled Persons, Female, Humans, Levodopa/therapeutic use, Male, Middle Aged, Muscular Atrophy, Spinal/drug therapy, Neck Pain/diagnosis, Pain/drug therapy, Parkinson Disease/drug therapy, Pilot Projects, Postural Balance/physiology, Spinal Curvatures/drug therapy",
author = "Mohammad Alwardat and Tommaso Schirinzi and {Di Lazzaro}, Giulia and Donatella Franco and Paola Imbriani and {Sinibaldi Salimei}, Paola and Mercuri, {Nicola Biagio} and Antonio Pisani",
year = "2019",
doi = "10.3233/NRE-182505",
language = "English",
volume = "44",
pages = "79--84",
journal = "NeuroRehabilitation",
issn = "1053-8135",
publisher = "IOS Press",
number = "1",

}

TY - JOUR

T1 - The influence of postural deformities on neck function and pain in patients with Parkinson's disease

AU - Alwardat, Mohammad

AU - Schirinzi, Tommaso

AU - Di Lazzaro, Giulia

AU - Franco, Donatella

AU - Imbriani, Paola

AU - Sinibaldi Salimei, Paola

AU - Mercuri, Nicola Biagio

AU - Pisani, Antonio

PY - 2019

Y1 - 2019

N2 - BACKGROUND: Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson's disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A).OBJECTIVES: to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD).METHODS: Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A. The function, disability and pain were assessed by Neck Disability Index (NDI), and Brief Pain Inventory (BPI) which used to assess the pain severity (BPI-PS) and Pain Interference (BPI-PI). All groups completed clinical assessments by the Unified Parkinson's Disease Rating Scale (UPDRS), Modified Hoenh & Yahr (mH&Y) staging and the Levodopa Equivalent Daily Dose (LEDD).RESULTS: PD group compared with PS and C&A groups showed differences in NDI, BPI-PS, BPI-PI, LEDD and mH&Y staging (P < 0.001), but no differences found in PD duration, UPDRS-II and III in the same groups. Moreover, no differences were observed between PS and C&A groups in the mentioned scales.DISCUSSION AND CONCLUSION: These results demonstrated that PS and C&A are associated with severe impairment of neck functions, and pain in PwPD.

AB - BACKGROUND: Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson's disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A).OBJECTIVES: to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD).METHODS: Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A. The function, disability and pain were assessed by Neck Disability Index (NDI), and Brief Pain Inventory (BPI) which used to assess the pain severity (BPI-PS) and Pain Interference (BPI-PI). All groups completed clinical assessments by the Unified Parkinson's Disease Rating Scale (UPDRS), Modified Hoenh & Yahr (mH&Y) staging and the Levodopa Equivalent Daily Dose (LEDD).RESULTS: PD group compared with PS and C&A groups showed differences in NDI, BPI-PS, BPI-PI, LEDD and mH&Y staging (P < 0.001), but no differences found in PD duration, UPDRS-II and III in the same groups. Moreover, no differences were observed between PS and C&A groups in the mentioned scales.DISCUSSION AND CONCLUSION: These results demonstrated that PS and C&A are associated with severe impairment of neck functions, and pain in PwPD.

KW - Aged

KW - Aged, 80 and over

KW - Cross-Sectional Studies

KW - Disabled Persons

KW - Female

KW - Humans

KW - Levodopa/therapeutic use

KW - Male

KW - Middle Aged

KW - Muscular Atrophy, Spinal/drug therapy

KW - Neck Pain/diagnosis

KW - Pain/drug therapy

KW - Parkinson Disease/drug therapy

KW - Pilot Projects

KW - Postural Balance/physiology

KW - Spinal Curvatures/drug therapy

U2 - 10.3233/NRE-182505

DO - 10.3233/NRE-182505

M3 - Article

C2 - 30741700

VL - 44

SP - 79

EP - 84

JO - NeuroRehabilitation

JF - NeuroRehabilitation

SN - 1053-8135

IS - 1

ER -