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 journalArticlepeer-review


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
Issue number1
Publication statusPublished - 2019


  • 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


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