Affiliations: [a] Department of Systems Medicine, University of Roma “Tor Vergata”, Rome, Italy
| [b] Neuroscience PhD School, University of Rome “Tor Vergata”, Rome, Italy
| [c] Department of Neurosciences, Bambino Gesu Children Hospital, Rome, Italy
| [d] Fondazione Santa Lucia (IRCSS), Rome, Italy
| [e] Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, Rome, Italy
Correspondence:
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Address for correspondence: Mohammad Alwardat, PT, PhD, Neuroscience PhD School, Department of Systems Medicine, University of Rome “Tor Vergata”, Via Montpellier, 1, 00133, Rome, Italy. Tel.: +39 329 642 3074; Fax: +39 062 090 2106; E-mail: wardatm1@gmail.com.
Abstract: BACKGROUND:Trunk alignment is thought to contribute to neck function. However, this common assumption is not clear in patients with Parkinson’s disease (PwPD) suffering from different postural deformities such as: Pisa syndrome (PS), Camptocormia & Antecollis (C&A). OBJECTIVES:to investigate the effect of different postural deformities including PS and C&A on neck function and pain in patient (PwPD). METHODS:Forty-five participants belonging to three groups: 15 PD patients without postural disorders (PD), 15 with PS, and 15 with C&A. The function, disability and pain were assessed by Neck Disability Index (NDI), and Brief Pain Inventory (BPI) which used to assess the pain severity (BPI-PS) and Pain Interference (BPI-PI). All groups completed clinical assessments by the Unified Parkinson’s Disease Rating Scale (UPDRS), Modified Hoenh & Yahr (mH&Y) staging and the Levodopa Equivalent Daily Dose (LEDD). RESULTS:PD group compared with PS and C&A groups showed differences in NDI, BPI-PS, BPI-PI, LEDD and mH&Y staging (P < 0.001), but no differences found in PD duration, UPDRS-II and III in the same groups. Moreover, no differences were observed between PS and C&A groups in the mentioned scales. DISCUSSION AND CONCLUSION:These results demonstrated that PS and C&A are associated with severe impairment of neck functions, and pain in PwPD.
