Effects of trunk control, upper and lower extremity functions on functional activity, activities of daily living and quality of life in Parkinson's Disease

Year 2024, , 683 - 691, 30.09.2024

Taşkın Özkan , Yasemin Ateş Sarı , Aybike Erkoç , Yeşim Sücüllü Karadağ , Nezehat Özgül Ünlüer

https://doi.org/10.30621/jbachs.1518833

Abstract

Purpose: To investigate the relationship between trunk control, upper and lower extremity function with functional activity, activities of daily living and quality of life in patients with Parkinson’s Disease (PwPD).
Materials and Methods: The study was completed with 52 PwPD. Trunk control was evaluated with the Trunk Impairment Scale (TIS); upper extremity function with 9-Hole Peg Test (9-HPT) bilaterally; lower extremity function with 30-Second Sit-To-Stand Test (30STS); functional activity level with The Parkinson Activity Scale (PAS); activities of daily living with Barthel Index (BI); quality of life with The Parkinson's Disease Quality of Life Questionnaire (PDQ-39)
Results: 30STS and right-left 9-HPT results was correlated with PAS and PDQ-39, but not with BI in PwPD. All TIS scores except the coordination sub-parameter were found to be associated with PAS, all TIS scores except the static sitting balance sub-parameter were found to be associated with BI, and all TIS scores were found to be associated with PDQ-39 in PwPD (ρ between 0.293 and 0.689; p<0.05 for all).
Conclusion: Physical activity level and quality of life were associated with upper and lower extremity function and trunk control, whereas activities of daily living were only associated with trunk control in PwPD. These results suggest that physiotherapy and rehabilitation applications that will improve trunk control in addition to limb functions should be included in treatment protocols.

Keywords

Parkinson’s Disease, trunk control, extremity function, activity level, daily living activity, quality of life

Ethical Statement

Written ethical approval was obtained from Ankara Yıldırım Beyazıt University Health Sciences Ethics Committee on 23.11.2023. (Decision Number: 09-407).

Supporting Institution

Yok.

Thanks

The authors thank all participants who participated in this study.

References

• Xia R, Mao Z-H. Progression of motor symptoms in Parkinson’s disease. Neuroscience Bulletin 2012;28:39-48.
• Jankovic J. Parkinson’s disease: clinical features and diagnosis. Journal of neurology, neurosurgery & psychiatry. 2008;79(4):368-76.
• Reichmann H. Clinical criteria for the diagnosis of Parkinson’s disease. Neurodegenerative Diseases 2010;7(5):284-90.
• McVey MA, Stylianou AP, Luchies CW, Lyons KE, Pahwa R, Jernigan S, et al. Early biomechanical markers of postural instability in Parkinson's disease. Gait & Posture. 2009;30(4):538-42.
• Amara AW, Chahine L, Seedorff N, Caspell-Garcia CJ, Coffey C, Simuni T, et al. Self-reported physical activity levels and clinical progression in early Parkinson's disease. Parkinsonism & Related Disorders 2019;61:118-25.
• Choi Y-I, Song C-S, Chun B-Y. Activities of daily living and manual hand dexterity in persons with idiopathic Parkinson disease. Journal of physical therapy science. 2017;29(3):457-60.
• Stewart KC, Fernandez HH, Okun MS, Jacobson CE, Hass CJ. Distribution of motor impairment influences quality of life in Parkinson's disease. Movement disorders: Official Journal of the Movement Disorder Society 2008;23(10):1466-8.
• Brod M, Mendelsohn GA, Roberts B. Patients' experiences of Parkinson's disease. The Journals of Gerontology Series B: Psychological Sciences and Social Sciences 1998;53(4):P213-P22.
• Verheyden G, Willems A-M, Ooms L, Nieuwboer A. Validity of the trunk impairment scale as a measure of trunk performance in people with Parkinson’s disease. Archives of physical medicine and rehabilitation. 2007;88(10):1304-8.
• Ünlüer NÖ, Ozkan T, Sari YA, Karadağ YS. Investigation of the relationship between trunk position sense and balance, functional mobility, fear of falling, and disease stage in Parkinson’s disease. Irish Journal of Medical Science (1971-) 2023;192(4):1889-94.
• Masaki M, Takeuchi M, Kasahara M, Minakawa K, Inagaki Y, Ogawa Y, et al. Association of activities of daily living, mobility and balance ability, and symptoms of Parkinson’s disease with the masses and amounts of intramuscular non-contractile tissue of the trunk and lower extremity muscles in patients with Parkinson’s disease. Journal of Medical Ultrasonics 2023;50(4):551-60.
• Lamb SE, Jørstad‐Stein EC, Hauer K, Becker C, Europe PoFN, Group OC. Development of a common outcome data set for fall injury prevention trials: the Prevention of Falls Network Europe consensus. Journal of the American Geriatrics Society 2005;53(9):1618-22.
• Candan SA, Çatıker A, Özcan TŞ. Psychometric properties of the Turkish version of the freezing of gait questionnaire for patients with Parkinson’s disease. Neurol Sci Neurophysiol. 2019;36(36):44-50.
• Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology 1967;17(5):427-42.
• Earhart GM, Cavanaugh JT, Ellis T, Ford MP, Foreman KB, Dibble L. The 9-hole PEG test of upper extremity function: average values, test-retest reliability, and factors contributing to performance in people with Parkinson disease. Journal of Neurologic Physical Therapy 2011;35(4):157-63.
• Petersen C, Steffen T, Paly E, Dvorak L, Nelson R. Reliability and minimal detectable change for sit-to-stand tests and the functional gait assessment for individuals with Parkinson disease. Journal of Geriatric Physical Therapy 2017;40(4):223-6.
• Lauzé M, Daneault J-F, Duval C. The effects of physical activity in Parkinson’s disease: a review. Journal of Parkinson's Disease 2016;6(4):685-98.
• Taghizadeh G, Martinez-Martin P, Meimandi M, Habibi SAH, Jamali S, Dehmiyani A, et al. Barthel index and modified rankin scale: psychometric properties during medication phases in idiopathic Parkinson disease. Annals of Physical and Rehabilitation Medicine 2020;63(6):500-4.
• Memis S, Akyol A, Ayyldz U, Özkul A. 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. 2009;16:562.
• Jesus-Ribeiro J, Vieira E, Ferreira P, Januário C, Freire A. Reliability and validity of 39-Item Parkinson's disease questionnaire and Parkinson's disease quality of life questionnaire. Acta Medica Portuguesa 2017;30(5):395-401.
• Bilge TK, Dereli EE, Oztop-Cakmak O, Ertan FS, Kayapınar Aylak EE, Taskıran OO. Reliability and validity of the Turkish version of the 39-item Parkinson Disease Questionnaire. Ideggyogyaszati Sz 2023;76(5-6):181-188.
• Altman D, Machin D, Bryant T, Gardner M. Statistics with confidence: confidence intervals and statistical guidelines: John Wiley & Sons; 2013.
• Skidmore FM, Mackman CA, Pav B, Shulman LM, Garvan C, Macko RF, et al. Daily ambulatory activity levels in idiopathic Parkinson disease. Journal of Rehabilitation Research & Development 2008;45(9): 1343-8.
• Galperin I, Hillel I, Del Din S, Bekkers EM, Nieuwboer A, Abbruzzese G, et al. Associations between daily-living physical activity and laboratory-based assessments of motor severity in patients with falls and Parkinson's disease. Parkinsonism & Related Disorders 2019;62:85-90.
• Wu S-Y, Lin T-K, Pan C-Y, Tsai C-L. The predictive relationships between advanced dynamic balance and physical activity/quality of life in Parkinson's disease. Human Movement Science 2023;89:103076.
• Ayvat E, Ayvat FA, Doğan M, Kılınç ÖO, Sütçü G, Kılınç M, et al. Parkinson Hastalarında Gövde Bozukluğunun Hastalık Şiddeti ve Yaşam Kalitesi ile İlişkisinin İncelenmesi. Hacettepe University Faculty of Health Sciences Journal 2024;11(1):38-47.
• Ryan SD, Fried LP. The impact of kyphosis on daily functioning. Journal of the American Geriatrics Society 1997;45(12):1479-86.
• Kataoka H, Sugie K. Recent advancements in lateral trunk flexion in Parkinson disease. Neurology: Clinical Practice 2019;9(1):74-82.
• Cole MH, Naughton GA, Silburn PA. Neuromuscular impairments are associated with impaired head and trunk stability during gait in Parkinson fallers. Neurorehabilitation and Neural Repair 2017;31(1):34-47.
• Cano-de-la-Cuerda R, Vela-Desojo L, Miangolarra-Page JC, Macías-Macías Y, Muñoz-Hellín E. Axial rigidity and quality of life in patients with Parkinson’s disease: a preliminary study. Quality of Life Research 2011;20:817-23.
• Muslimovic D, Post B, Speelman JD, Schmand B, de Haan RJ. Determinants of disability and quality of life in mild to moderate Parkinson disease. Neurology 2008;70(23):2241-7.
• Schrag A, Jahanshahi M, Quinn N. What contributes to quality of life in patients with Parkinson's disease? Journal of Neurology, Neurosurgery & Psychiatry 2000;69(3):308-12.
• Broderick MP, Van Gemmert AW, Shill HA, Stelmach GE. Hypometria and bradykinesia during drawing movements in individuals with Parkinson’s disease. Experimental Brain Research 2009;197:223-33.
• Malling ASB, Morberg BM, Wermuth L, Gredal O, Bech P, Jensen BR. Associations of Motor Symptom Severity and Quality of Life to Motor Task Performance in Upper and Lower Extremities Across Task Complexity in Parkinson’s Disease. Motor Control 2019;23(4):445-60.
• Wong-Yu IS, Ren L, Mak MK. Impaired hand function and its association with self-perceived hand functional ability and quality of life in Parkinson disease. American Journal of Physical Medicine & Rehabilitation 2022;101(9):843-9.
• de Almeida Sá R, de Sá Ferreira A, Lemos T, de Oliveira LAS. Correlation analysis of lower-limb muscle function with clinical status, balance tests, and quality of life in people with Parkinson disease. Topics in Geriatric Rehabilitation 2022;38(1):56-64.
• Cano-de-la-Cuerda R, Vela-Desojo L, Moreno-Verdú M, Ferreira-Sánchez MdR, Macías-Macías Y, Miangolarra-Page JC. Trunk range of motion is related to axial rigidity, functional mobility and quality of life in Parkinson’s disease: An exploratory study. Sensors 2020;20(9):2482.