People with mild PD have impaired force production in all lower limb muscle groups: A cross-sectional study.
Parkinson disease
lower extremity
muscle strength
rehabilitation
Journal
Physiotherapy research international : the journal for researchers and clinicians in physical therapy
ISSN: 1471-2865
Titre abrégé: Physiother Res Int
Pays: United States
ID NLM: 9612022
Informations de publication
Date de publication:
Apr 2021
Apr 2021
Historique:
revised:
15
10
2020
received:
10
08
2020
accepted:
25
12
2020
pubmed:
20
1
2021
medline:
28
4
2021
entrez:
19
1
2021
Statut:
ppublish
Résumé
Power is reduced in people with Parkinson's disease as a consequence of bradykinesia, but it is not clear whether reduced power is also due to a deficit in force production. The aim of this study was to quantify force production in all major lower limb muscle groups in people with PD during the "on" phase after medication, compared with aged-matched neurologically normal control participants. Design: A cross-sectional study was undertaken. Thirty ambulatory people with PD and 24 neurologically normal controls. Isometric force production of the hip flexors and extensors, hip adductors and abductors, hip internal rotators and external rotators, knee flexors and extensors, ankle dorsiflexors and plantarflexors, ankle invertors and evertors using hand-held dynamometry. There was a significant deficit in force production in participants with PD in all lower limb muscle groups tested, compared with control participants. On average, force production of participants with PD was 78% (range 67%-87%) of control participants, despite participants with PD regularly participating in exercise, being measured during their "on" phase after medication and having normal walking ability. The most severely affected muscle groups were the hip adductors (67%) and ankle plantarflexors (68%). People with PD have a significant loss of force production in all lower limb muscle groups compared with age-matched neurologically-normal controls. Clinicians should regularly assess the strength of all lower limb muscle groups, regardless of participation in physical activity, responsiveness to levodopa medication and walking ability.
Sections du résumé
BACKGROUND
BACKGROUND
Power is reduced in people with Parkinson's disease as a consequence of bradykinesia, but it is not clear whether reduced power is also due to a deficit in force production. The aim of this study was to quantify force production in all major lower limb muscle groups in people with PD during the "on" phase after medication, compared with aged-matched neurologically normal control participants.
METHOD
METHODS
Design: A cross-sectional study was undertaken.
PARTICIPANTS
METHODS
Thirty ambulatory people with PD and 24 neurologically normal controls.
OUTCOME MEASURES
METHODS
Isometric force production of the hip flexors and extensors, hip adductors and abductors, hip internal rotators and external rotators, knee flexors and extensors, ankle dorsiflexors and plantarflexors, ankle invertors and evertors using hand-held dynamometry.
RESULTS
RESULTS
There was a significant deficit in force production in participants with PD in all lower limb muscle groups tested, compared with control participants. On average, force production of participants with PD was 78% (range 67%-87%) of control participants, despite participants with PD regularly participating in exercise, being measured during their "on" phase after medication and having normal walking ability. The most severely affected muscle groups were the hip adductors (67%) and ankle plantarflexors (68%).
CONCLUSION
CONCLUSIONS
People with PD have a significant loss of force production in all lower limb muscle groups compared with age-matched neurologically-normal controls.
IMPLICATIONS FOR PHYSIOTHERAPY PRACTICE
CONCLUSIONS
Clinicians should regularly assess the strength of all lower limb muscle groups, regardless of participation in physical activity, responsiveness to levodopa medication and walking ability.
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
e1897Commentaires et corrections
Type : ErratumIn
Informations de copyright
© 2021 John Wiley & Sons Ltd.
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