Frontiers in Neurology (Jan 2018)

Postural Stabilization Differences in Idiopathic Parkinson’s Disease and Progressive Supranuclear Palsy during Self-Triggered Fast Forward Weight Lifting

  • Stefan Kammermeier,
  • Lucia Dietrich,
  • Lucia Dietrich,
  • Kathrin Maierbeck,
  • Kathrin Maierbeck,
  • Annika Plate,
  • Stefan Lorenzl,
  • Stefan Lorenzl,
  • Arun Singh,
  • Arun Singh,
  • Ahmad Ahmadi,
  • Kai Bötzel

DOI
https://doi.org/10.3389/fneur.2017.00743
Journal volume & issue
Vol. 8

Abstract

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Progressive supranuclear palsy (PSP) and late-stage idiopathic Parkinson’s disease (IPD) are neurodegenerative movement disorders resulting in different postural instability and falling symptoms. IPD falls occur usually forward in late stage, whereas PSP falls happen in early stages, mostly backward, unprovoked, and with high morbidity. Self-triggered, weighted movements appear to provoke falls in IPD, but not in PSP. Repeated self-triggered lifting of a 0.5–1-kg weight (<2% of body weight) with the dominant hand was performed in 17 PSP, 15 IPD with falling history, and 16 controls on a posturography platform. PSP showed excessive force scaling of weight and body motion with high-frequency multiaxial body sway, whereas IPD presented a delayed-onset forward body displacement. Differences in center of mass displacement apparent at very small weights indicate that both syndromes decompensate postural control already within stability limits. PSP may be subject to specific postural system devolution. IPD are susceptible to delayed forward falling. Differential physiotherapy strategies are suggested.

Keywords