The University of Southampton
University of Southampton Institutional Repository

Strategies used by people with Parkinson's disease who report difficulty turning

Record type: Article

Purpose: Difficulty turning (DT) is common in Parkinson's disease (PD). We set out to answer the questions: (1) do people who do and do not report DT differ in postural stability, heel strike, the use of support and step count when performing functional turns during everyday tasks, (2) is the structured observation of functional tasks an ecologically valid way of assessing an individual's ability to turn and (3) does a history of DT predict freezing and/or falls.
Method: At home, 75 people (median age 75 years; PD duration 7 years) answered questions about DT, freezing and falls and completed a standard 180° turn test and an everyday task necessitating spontaneous turns, later rated from video by blinded assessors.
Results: Forty-two people reported DT, of whom 86% reported frequent freezing and/or falls. Twenty-six people with DT and 15 without completed the functional task. Greater proportions of the former appeared Unstable (12 vs 1; P=0.014), lacked Heel Strike (25 vs 9; P=0.006) and Used Support (7 vs 0; P=0.035): the former took more Turning Steps (medians 6 vs 4; P=0.001). The 95% limits of agreement between step counts (functional vs standard turns) ran from ?6.3 to 3.6 steps. Of 49 people with a history of freezing and/or falls, 36 (73%) reported frequent DT.
Conclusions: People who report DT turn differently to those who report no problems. Standard turn tests poorly reflect step count during real-life turning, whereas unobtrusive structured observation reveals the turning strategies people use, so can guide rehabilitation. Reported DT is a sensitive indicator of freezing and/or falling, both indicators for physiotherapy.

Full text not available from this repository.

Citation

Stack, Emma L., Ashburn, Ann M. and Jupp, Kate E. (2006) Strategies used by people with Parkinson's disease who report difficulty turning Parkinsonism and Related Disorders, 12, (2), pp. 87-92. (doi:10.1016/j.parkreldis.2005.08.008).

More information

Published date: 2006
Keywords: disease, turning, parkinson's disease, falls, physiotherapy

Identifiers

Local EPrints ID: 18057
URI: http://eprints.soton.ac.uk/id/eprint/18057
ISSN: 1353-8020
PURE UUID: f31d9a47-6c19-439a-b0b4-da3769a5e92c

Catalogue record

Date deposited: 17 Jan 2006
Last modified: 17 Jul 2017 16:37

Export record

Altmetrics

Contributors

Author: Emma L. Stack
Author: Ann M. Ashburn
Author: Kate E. Jupp

University divisions

Download statistics

Downloads from ePrints over the past year. Other digital versions may also be available to download e.g. from the publisher's website.

View more statistics

Atom RSS 1.0 RSS 2.0

Contact ePrints Soton: eprints@soton.ac.uk

ePrints Soton supports OAI 2.0 with a base URL of http://eprints.soton.ac.uk/cgi/oai2

This repository has been built using EPrints software, developed at the University of Southampton, but available to everyone to use.

We use cookies to ensure that we give you the best experience on our website. If you continue without changing your settings, we will assume that you are happy to receive cookies on the University of Southampton website.

×