The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
Mathieu Dallaire,
Guillaume Gagnon,
Émilie Fortin,
Josée Nepton,
Anne-France Severn,
Sharlène Côté,
Suhaila Mahmoud Smaili,
Hayslenne Andressa Gonçalves de Oliveira Araújo,
Márcio Rogério de Oliveira,
Suzy Ngomo,
Julie Bouchard,
Rubens A. da Silva
Affiliations
Mathieu Dallaire
Masters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Guillaume Gagnon
Physical Therapy McGill Program in Extension at the Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Émilie Fortin
Physical Therapy McGill Program in Extension at the Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Josée Nepton
Centre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, Canada
Anne-France Severn
Centre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, Canada
Sharlène Côté
Centre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, Canada
Suhaila Mahmoud Smaili
Doctoral Program in Rehabilitation Sciences, UEL/UNOPAR, Londrina 86041-120, Brazil
Hayslenne Andressa Gonçalves de Oliveira Araújo
Doctoral Program in Rehabilitation Sciences, UEL/UNOPAR, Londrina 86041-120, Brazil
Márcio Rogério de Oliveira
Doctoral and Masters Program in Physical Exercise on Health Promotion, Universidade Pitagoras UNOPAR, Londrina 86041-120, Brazil
Suzy Ngomo
Masters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Julie Bouchard
Laboratoire de Recherche BioNR, Centre Intersectoriel en Santé Durable, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Rubens A. da Silva
Masters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, Canada
Introduction: Parkinson’s disease is most prevalent among elderly people, 65 years and over, and leads to an alteration in motor control associated with postural instability. Current evidence shows that postural control decreases with the aging process. In addition, postural control is more altered in healthy aged men than in women. Until today, few studies have evaluated the combined impact of Parkinson’s disease and sex on postural control. This review has allowed to evaluate the impact of Parkinson’s disease and sex on postural control measurements in elderly people. Methodology: Studies have been selected from two main databases: PubMed and EBSCO using the keywords “Parkinson”, “postural control OR balance” and “sex”. Articles related to the evaluation of postural control, including men and women with Parkinson’s aged over 65 years old, regardless of stage, were included (n = 179). Articles were excluded if not written in French or English or not presenting original content. Results: Ten (10) studies out of 179 that fulfilled inclusion and exclusion criteria were reported in the final analysis, which cumulates a total of 944 individuals with Parkinson’s (410 women). In general, results show greater postural instability among people with Parkinson’s compared to healthy subjects, and this according to different objective measurements using stabilographic parameters from force platforms. Only two studies out of ten evaluated postural control while briefly considering distinctions between sex, but without showing a significant difference between men and women with Parkinson’s. Parkinson’s severity, length of time of Parkinson’s disease and cognitive state of the person are the three variables with a negative impact on postural control. Conclusion: Older people with Parkinson’s disease have greater postural instability. Sex does not seem to influence the postural control of elderly people with Parkinson’s, although more studies are necessary.
