Session Information
Date: Tuesday, September 24, 2019
Session Title: Parkinsonisms and Parkinson-Plus
Session Time: 1:45pm-3:15pm
Location: Agora 3 West, Level 3
Objective: To compare balance and gait parameters between subtypes of Parkinson’s disease (PD).
Background: PD, which is a progressive neurodegenerative disease, has different clinical courses according to motor symptoms such as bradykinesia, rigidity, and tremor. PD may be classified two subtypes as akinetic-rigid (AR) and tremor dominant (TD). However, there is lack of evidence on the difference between these subtypes in terms of balance and gait.
Method: Forty-four patients (twenty-two AR, twenty-two TD) who were diagnosed with idiopathic PD were included in the study. Age, gender, duration of disease and PD subtype as AR or TD were recorded. Modified Hoehn&Yahr Scale (H&Y) and Unified Parkinson’s Disease Rating Scale (UPDRS) were used in the clinical assessment. Balance and gait were examined by modified Clinical Test of Sensory Interaction on Balance (mCTSIB) Test, Limit of Stability (LoS) Test and Walk Across (WA) Test with a computerized balance measuring instrument.
Results: There was no difference in terms of age (p=0.717), gender (p>0.999), duration of disease (p=0.777), H&Y (p=0.514) and UPDRS (p=0.594) scores between subtypes. mCTSIB (p=0.336, Cohen’s d=-0.31), LoS-Reaction Time (p=0.200, Cohen’s d=-0.38), LoS-Movement Velocity (p=0.633, Cohen’s d=0.15), LoS-Endpoint Excursion (p=0.664, Cohen’s d=0.13), LoS-Maximum Excursion (p=0.364, Cohen’s d=0.27), LoS-Directional Control (p=0.206, Cohen’s d=0.38), WA-Step Width (p=0.749, Cohen’s d=-0.09), WA-Step Length (p=0.248, Cohen’s d=0.35), WA-Speed (p=0.366, Cohen’s d=0.27), WA-Length Symmetry (0.450, Cohen’s d=0.22) showed no significant difference between AR and TD.
Conclusion: The results have shown that there was no difference in balance and gait parameters of the patients with PD having subtypes of AR and TD. Many patients with PD have mobility impairment; however, the subgroups do not have significantly different impairment level.
To cite this abstract in AMA style:
AC. Kalkan, T. Kahraman, BO. Ugut, B. Donmez Colakoglu, A. Genc. No difference in balance and gait parameters of the patients with akinetic-rigid and tremor-dominant Parkinson’s disease [abstract]. Mov Disord. 2019; 34 (suppl 2). https://www.mdsabstracts.org/abstract/no-difference-in-balance-and-gait-parameters-of-the-patients-with-akinetic-rigid-and-tremor-dominant-parkinsons-disease/. Accessed June 14, 2025.« Back to 2019 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/no-difference-in-balance-and-gait-parameters-of-the-patients-with-akinetic-rigid-and-tremor-dominant-parkinsons-disease/