Category: Parkinsonism, Others
Objective: To explore the effect of limited thoracic mobility on shoulder joint functionality in extrapyramidal patients over 60 years of age.
Background: The extrapyramidal motor system is mainly responsible for performing automated movements such as walking, maintenance of posture and body balance. Τhe damage of the extrapyramidal system can lead to a number of motor and non-motor symptoms called extrapyramidal syndrome. Parkinsonism is a broad term that refers to the symptoms that feature the extrapyramidal syndrome.
Method: 25 participants with extrapyramidal syndrome, participated. The recruitment of participants took place at Alzheimer Athens Association Day Care Center. The test battery contained: (a)Thoracic kyphosis measurement, (b)Trunk active rotation in standing measurement, (c)Trunk Control Test(TCT), (d)Shoulder range of motion(ROM), (e)4 meters walking test, (f)Multi Directional Reach test and (g)Time up and go (TUG) test.
Results: 13 women and 12 men (mean of age 78.84, SD=5,87). Pearson Correlation revealed: (a)Limitations of right and left trunk turns are negatively related to maximum shoulder flexion ROM (p<0,001), (b)TCT relation with shoulder joint ROM passive and active abduction (p<0,05), (c)Thoracic kyphosis is related to maximum flexion of the right (p<0,001) and left (p<0,05) shoulder, (d)Similarly reaching ability backwards, lateral left or right signified an increased number of injuring falls (p<0,05). Simple linear regression test showed: (a)Subjects with significantly increased reach performance backwards or lateral left or right demonstrated a minimal or no falls(F(3,41)=4,764, p<0,001). Multiple linear regression test revealed: (a)Left and right trunk rotation ability was related to left, right and backwards reaching ability (F(12,51)=14,15, p<0,001), (b)Multi-Directional Reach test was related to 4m walk test (F(4,20)=5,365, p<0,05).
Conclusion: The present study protocol revealed various relationships between reaching performance, trunk turning ability, shoulder ROM and functional performance such as reaching in multiple directions, 4m walking test and TUG test.
To cite this abstract in AMA style:
C. Bouzineki, A. Christakou, S. Kanellopoulou, X. Arabatzi, V. Sakellari. The examination of the relationship between limited thoracic mobility and shoulder joint function in individuals with extrapyramidal syndrome [abstract]. Mov Disord. 2023; 38 (suppl 1). https://www.mdsabstracts.org/abstract/the-examination-of-the-relationship-between-limited-thoracic-mobility-and-shoulder-joint-function-in-individuals-with-extrapyramidal-syndrome/. Accessed July 5, 2025.« Back to 2023 International Congress
MDS Abstracts - https://www.mdsabstracts.org/abstract/the-examination-of-the-relationship-between-limited-thoracic-mobility-and-shoulder-joint-function-in-individuals-with-extrapyramidal-syndrome/