Assessment of imbalance in idiopathic Parkinson's disease (IPD) usually relies on semiquantitative ratings. Posturography has been proposed as an objective means to assess imbalance but its relationship to clinical disequilibrium is questionable. In this study static and dynamic posturography was pe
Perceived imbalance and risk of Parkinson's disease
โ Scribed by Xiang Gao; Honglei Chen; Michael A. Schwarzschild; Giancarlo Logroscino; Alberto Ascherio
- Publisher
- John Wiley and Sons
- Year
- 2008
- Tongue
- English
- Weight
- 77 KB
- Volume
- 23
- Category
- Article
- ISSN
- 0885-3185
No coin nor oath required. For personal study only.
โฆ Synopsis
Abstract
We prospectively examined associations between perceived imbalance and Parkinson's disease (PD) risk in the Health Professional Followโup Study (HPFS), and Nurses' Health Study (NHS). We included 39,087 men and 82,299 women free of PD at baseline (1990) in the current analyses. We documented 449 incident PD cases during 12 years followโup. Subjects who reported difficulty with balance before 1990 (baseline) were 1.8 more times likely to develop PD, relative to those who reported no balance difficulty (pooled multivariate RR = 1.8; 95% CI: 1.3, 2.5; P < 0.0001). When we further examined associations between perceived imbalance at baseline and PD onset during different time periods, we found a significant elevation of PD risk only during the first 4 years of followโup. This result suggests that the imbalance may in some cases be an early sign of PD, and may represent the onset of motor symptoms although they have not been clinically recognized. ยฉ 2008 Movement Disorder Society
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