Evidence map›Paper›PMID 40794256›Full record

ArticleIrish journal of medical science2025

Balance and biomechanics: exploring lower extremity biomechanics in Parkinson's disease.

Senanur Duzenli, Merve Sevinc Gunduz, Gulenay Yildirim, Aysen Elif Yilmaz, Yuksel Erdal, Rüstem Mustafaoğlu

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Article in Irish journal of medical science, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1citing papers in PubMed
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1 · What the graph read from it

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3 · Its place in the literature

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1 citing paper in PubMed.

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4 · The record

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5 · Who and what money

Authors and funding

6 authors.

Senanur DuzenliGraduate Education Institute, Department of Physiotherapy and Rehabilitation, Istanbul Universitesi-Cerrahpasa, Istanbul, Turkey.
Merve Sevinc GunduzGraduate Education Institute, Department of Physiotherapy and Rehabilitation, Istanbul Universitesi-Cerrahpasa, Istanbul, Turkey.
Gulenay YildirimGraduate Education Institute, Department of Physiotherapy and Rehabilitation, Istanbul Universitesi-Cerrahpasa, Istanbul, Turkey.
Aysen Elif YilmazGraduate Education Institute, Department of Physiotherapy and Rehabilitation, Istanbul Universitesi-Cerrahpasa, Istanbul, Turkey.
Yuksel ErdalFaculty of Medicine, Department of Neurology, Bezmialem Vakif University, Istanbul, Turkey.
Rüstem MustafaoğluFaculty of Health Sciences, Department of Physiotherapy and Rehabilitation, Istanbul University-Cerrahpasa, Istanbul, Turkey. rustem.mustafaoglu@iuc.edu.tr.ORCID http://orcid.org/0000-0001-8549-4449

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundPostural instability (PI) is a symptom seen in 16% of Parkinson Disease (PD) patients and has limited response to dopaminergic therapy. Understanding the factors contributing to PI, such as biomechanical changes, is important for the development of non-pharmacological treatment.

aimsTo investigate the relationship between lower extremity biomechanics and balance parameters in PD patients.

methodsA total of 18 participants (n = 9 female) were enrolled in the study. Lower extremity biomechanics were evaluated using a combination of measurements, including femoral anteversion angle, Q angle, leg length, navicular drop test (NDT), gastrocnemius shortness, range of motion (ROM) assessments, and the Foot Posture Index (FPI). Balance was assessed through the Postural Stability Test, Fall Risk Index (FRI), and the Mini-BESTest.

resultsA significant correlation was observed between FRI and femoral anteversion (r = 0.58, p = 0.011) as well as hip flexion ROM (r = 0.67, p = 0.002) and lateral malleoli curvature (r = 0.48, p = 0.04). Overall Stability Index (OSI) was significantly associated with NDT (r = 0.53, p = 0.024) and forefoot abduction/adduction (r = 0.67, p = 0.002). The Anteroposterior Stability Index (APSI) correlated with NDT (r = 0.47, p = 0.048), knee flexion ROM (r = 0.47, p = 0.045), and forefoot abduction/adduction (r = 0.65, p = 0.004). Moreover, Mini-BESTest scores were associated with hip abduction (r = 0.55, p = 0.017), ankle plantar flexion (r = 0.63, p = 0.005), and knee flexion ROM (r = 0.47, p = 0.048).

conclusionsThis study demonstrated that lower extremity biomechanical features, including alignment and joint mobility, are significantly linked to balance and fall risk in individuals with PD. Incorporating biomechanical assessments into clinical evaluations may aid in developing individualized treatment strategies for balance disorders in PD.

Indexed as

Lower ExtremityParkinson DiseasePostural BalanceAccidental FallsAgedBiomechanical PhenomenaFemaleHumansMaleMiddle AgedRange of Motion, ArticularAssessmentBalanceBiomechanicsFall riskParkinson’s diseasePostural instability

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.