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Spinal movement and performance of a standing reach task in participants with and without Parkinson disease.

Publication ,  Journal Article
Schenkman, ML; Clark, K; Xie, T; Kuchibhatla, M; Shinberg, M; Ray, L
Published in: Phys Ther
August 2001

BACKGROUND AND PURPOSE: Evidence suggests that individuals with early and mid-stage Parkinson disease (PD) have diminished range of motion (ROM). Spinal ROM influences the ability to function. In this investigation, the authors examined available spinal ROM, segmental excursions (the ROM used) during reaching, and their relationships in community-dwelling adults with and without PD. SUBJECTS: The subjects were 16 volunteers with PD (modified Hoehn and Yahr stages 1.5-3) and 32 participants without PD who were matched for age, body mass index, and sex. METHODS: Range of motion of the extremities was measured using a goniometer, and ROM of the spine was measured using the functional axial rotation (FAR) test, a measure of unrestricted cervico-thoracic-lumbar rotation in the seated position. Motion during reaching was determined using 3-dimensional motion analysis. Group differences were determined using multivariable analysis of variance followed by analysis of variance. Contributions to total reaching distance of segmental excursions (eg, thoracic rotation, thoracic lateral flexion) were determined using forward stepwise regression. RESULTS: Subjects with PD as compared with subjects without PD had less ROM (FAR of 98.2 degrees versus 110.3 degrees, shoulder flexion of 151.9 degrees versus 160.1 degrees) and less forward reaching (29.5 cm versus 34.0 cm). Lateral trunk flexion and total rotation relative to the ground contributed to reaching, with the regression model explaining 36% of the variance. DISCUSSION AND CONCLUSION: These results contribute to the growing body of evidence demonstrating that spinal ROM is impaired early in PD.

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Published In

Phys Ther

DOI

ISSN

0031-9023

Publication Date

August 2001

Volume

81

Issue

8

Start / End Page

1400 / 1411

Location

United States

Related Subject Headings

  • Time Factors
  • Spine
  • Severity of Illness Index
  • Rotation
  • Rehabilitation
  • Regression Analysis
  • Range of Motion, Articular
  • Psychomotor Performance
  • Predictive Value of Tests
  • Posture
 

Citation

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Schenkman, M. L., Clark, K., Xie, T., Kuchibhatla, M., Shinberg, M., & Ray, L. (2001). Spinal movement and performance of a standing reach task in participants with and without Parkinson disease. Phys Ther, 81(8), 1400–1411. https://doi.org/10.1093/ptj/81.8.1400
Schenkman, M. L., K. Clark, T. Xie, M. Kuchibhatla, M. Shinberg, and L. Ray. “Spinal movement and performance of a standing reach task in participants with and without Parkinson disease.Phys Ther 81, no. 8 (August 2001): 1400–1411. https://doi.org/10.1093/ptj/81.8.1400.
Schenkman ML, Clark K, Xie T, Kuchibhatla M, Shinberg M, Ray L. Spinal movement and performance of a standing reach task in participants with and without Parkinson disease. Phys Ther. 2001 Aug;81(8):1400–11.
Schenkman, M. L., et al. “Spinal movement and performance of a standing reach task in participants with and without Parkinson disease.Phys Ther, vol. 81, no. 8, Aug. 2001, pp. 1400–11. Pubmed, doi:10.1093/ptj/81.8.1400.
Schenkman ML, Clark K, Xie T, Kuchibhatla M, Shinberg M, Ray L. Spinal movement and performance of a standing reach task in participants with and without Parkinson disease. Phys Ther. 2001 Aug;81(8):1400–1411.

Published In

Phys Ther

DOI

ISSN

0031-9023

Publication Date

August 2001

Volume

81

Issue

8

Start / End Page

1400 / 1411

Location

United States

Related Subject Headings

  • Time Factors
  • Spine
  • Severity of Illness Index
  • Rotation
  • Rehabilitation
  • Regression Analysis
  • Range of Motion, Articular
  • Psychomotor Performance
  • Predictive Value of Tests
  • Posture