The competition with a concurrent cognitive task affects posturographic measures in patients with Parkinson disease

Arq Neuropsiquiatr. 2015 Nov;73(11):906-12. doi: 10.1590/0004-282X20150153.

Abstract

Objectives: To estimate the impact of a sensory-motor- cognitive task on postural balance, in Parkinson disease patients (Hoehn and Yahr 2-3) and to investigate possible relationships between posturography and functional balance clinical scales.

Method: Parkinson disease patients (n = 40) and healthy controls (n = 27) were evaluated with fluency tests, Berg Balance scale, Mini Best test and static posturography on the conditions eyes open, eyes closed and dual-task (simultaneous balance and fluency tasks).

Results: Posturographic data showed that Parkinson disease patients performed worse than controls in all evaluations. In general, balance on dual-task was significantly poorer than balance with eyes closed. Posturographic data were weakly correlated to clinical balance scales.

Conclusion: In clinical practice, Parkinson disease patients are commonly assessed with eyes closed, to sensitize balance. Our study showed that adding a cognitive task is even more effective. Static posturographic data should be carefully overgeneralized to infer functional balance impairments.

MeSH terms

  • Aged
  • Analysis of Variance
  • Case-Control Studies
  • Cognition / physiology*
  • Female
  • Humans
  • Male
  • Mental Status Schedule
  • Middle Aged
  • Neurologic Examination
  • Parkinson Disease / physiopathology*
  • Postural Balance / physiology*
  • Posture / physiology
  • Task Performance and Analysis
  • Visual Perception / physiology