COMPARISON OF TRUNK CONTROL, MANUAL DEXTERITY, AND REACTION TIME ACCORDING TO DIFFERENT STATUS OF BALANCE IN PEOPLE WITH PARKINSON DISEASE

Abstract

Objective This study aims to compare trunk control, manual dexterity, and reaction time according to different balance states in people with Parkinson's Disease (PwPD). Material and Method A total of 25 PwPD, 6 of whom were women, were included in the study. Individuals were divided into the Moderate-risk group (n=11) and the Low-risk group (n=14) according to the Berg Balance Scale (BBS) cut-off scores. To evaluate trunk control and functions, static and dynamic sitting balance were evaluated with the Trunk Impairment Scale (TIS), which consists of trunk coordination sub-parameters. Hand grip strength was measured with the Jamar hand dynamometer, manual dexterity was measured bilaterally with the Purdue Pegboard Test, and hand reaction time was measured bilaterally with the the Ruler Drop Test. Results When the groups were compared for trunk control, there was a significant difference in the dynamic sitting subparameter and the total score of the trunk impairment scale in favor of the low-risk group (p=0.030, p=0.005). However, there was no difference between the groups in static sitting and coordination sub-parameters (p=0.181, p=0.558). There was no difference between the groups in the grip strength, dexterity, and reaction time of both hands (p>0.05). Conclusion While the dynamic sitting balance and trunk impairment of the moderate-risk balance group was worse than the low-risk group, manual dexterity and reaction time were similar. Further studies are needed to examine manual dexterity for trunk and distal mobility, which play a key role in proximal stabilization and balance in PwPD.

Keywords

• Parkinson disease
• reaction time
• upper extremity
• hand grip strength

PARKİNSON HASTALARINDA FARKLI DENGE DURUMLARINA GÖRE GÖVDE KONTROLÜNÜN, EL FONKSİYONUNUN ve EL REAKSİYON ZAMANININ KARŞILAŞTIRILMASI

Abstract

Amaç Bu çalışmanın amacı Parkinson hastalarında farklı denge durumlarına göre gövde kontrolünün, el fonksiyonlarının ve reaksiyon zamanının karşılaştırılmasıdır. Gereç ve Yöntem Çalışmaya 6’sı kadın toplamda 25 Parkinson hastası dahil edildi. Bireyler Berg Denge Ölçeği (BDÖ) kesme puanlarına göre Orta risk grubu (n=11) ve Düşük risk grubu (n=14) olarak ikiye ayrıldı. Gövde kontrolü ve fonksiyonlarını değerlendirmek için statik oturma ve dinamik oturma dengesi, gövde koordinasyonu alt parametrelerinden oluşan Gövde Bozukluk Ölçeği (GBÖ) ile değerlendirildi. El kavrama kuvveti Jamar el dinamometresi ile, el fonksiyonları Purdue Pegboard testi ile el reaksiyon zamanı ise Ruler Drop testi ile bilateral ölçüldü. Bulgular Gövde kontrolü için gruplar karşılaştırıldığında gövde bozukluk ölçeği toplam skorunda ve dinamik oturma alt parametresinde düşük risk grubu lehine anlamlı fark vardı (p=0.030, p=0.005). Ancak statik oturma ve koordinasyon alt parametrelerinde gruplar arası fark yoktu (p=0.181, p=0.558). Her iki elin el kavrama kuvvetinde, el becerisinde ve reaksiyon zamanında gruplar arası fark görülmedi (p>0.05). Sonuç Parkinson hastalarında orta riskli denge grubunun dinamik oturma dengesi ve gövde bozukluğu düşük risk grubundan kötü iken, el fonksiyonları ve reaksiyon zamanı benzerdir. Parkinsonlu bireylerde proksimal stabilizasyonda ve dengede kilit rol oynayan gövde ve distal mobilite için el fonksiyonlarının incelendiği daha ileri çalışmalara ihtiyaç vardır.

Keywords

• Parkinson hastalığı
• reaksiyon zamanı
• üst ekstremite
• el kavrama kuvveti

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