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Postural instability differences between idiopathic normal pressure hydrocephalus and Parkinson's disease.

Abstract：

OBJECTIVES:We investigated the differences in postural control disability between idiopathic normal pressure hydrocephalus (iNPH) and Parkinson's disease (PD). PATIENTS AND METHODS:Twenty-seven iNPH patients, 20 PD patients, and 20 healthy controls (HCs) were examined using the Timed Up and Go test (TUG) and a force platform for recording the center of pressure (COP) trajectory during quiescent standing and voluntary multidirectional leaning (forward, backward, right, and left for 10 s each). RESULTS:In the leaning task, postural control in PD patients was impaired during forward and backward leaning, whereas postural control in iNPH patients was impaired in all directions. In particular, postural control during right and left leaning was significantly worse in iNPH patients than in PD patients. No significant difference was observed between iNPH and PD patients in TUG and postural sway during quiescent standing. CONCLUSION:Our results showed that the characteristics of impaired voluntary COP control in iNPH and PD patients might reflect pathophysiological differences in postural instability for each disease. In particular, postural instability during right and left leaning in iNPH patients may be responsible for wider steps and a higher risk of falling.

journal_name

Clin Neurol Neurosurg

journal_title

Clinical neurology and neurosurgery

authors

Nikaido Y,Akisue T,Kajimoto Y,Tucker A,Kawami Y,Urakami H,Iwai Y,Sato H,Nishiguchi T,Hinoshita T,Kuroda K,Ohno H,Saura R

doi

10.1016/j.clineuro.2018.01.012

subject

Has Abstract

pub_date

2018-02-01 00:00:00

pages

103-107

eissn

0303-8467

issn

1872-6968

pii

S0303-8467(18)30012-X

journal_volume

165

pub_type

杂志文章

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