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Cognitive Function and Postural Control Strategies in Relation to Disease Progression in Patients with Parkinson’s Disease

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  • Monika Zawadka-Kunikowska

    (Department of Human Physiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Karłowicza 24, 85-092 Bydgoszcz, Poland)

  • Jacek J. Klawe

    (Department of Hygiene, Epidemiology, Ergonomy and Postgraduate Education, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University in Torun, M. Sklodowskiej-Curie 9, 85-094 Bydgoszcz, Poland)

  • Małgorzata Tafil-Klawe

    (Department of Human Physiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Karłowicza 24, 85-092 Bydgoszcz, Poland)

  • Monika Bejtka

    (Department of Human Physiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Karłowicza 24, 85-092 Bydgoszcz, Poland)

  • Łukasz Rzepiński

    (Department of Neurology, 10th Military Research Hospital and Polyclinic, 85-681 Bydgoszcz, Poland
    Sanitas-Neurology Outpatient Clinic, Dworcowa 110, 85-010 Bydgoszcz, Poland)

  • Mirosława Cieślicka

    (Department of Human Physiology, Ludwik Rydygier Collegium Medicum in Bydgoszcz, Nicolaus Copernicus University, Karłowicza 24, 85-092 Bydgoszcz, Poland)

Abstract

Aim: This study assessed the influence of performing an additional cognitive task on center of pressure (COP) displacement in the early and advanced stages of patients with Parkinson’s disease (PD) compared to age-matched healthy controls (HCs). Methods: The study included 40 HCs and 62 patients with PD: early PD ( n = 38) and advanced PD ( n = 24). COP parameters were determined by static posturography during quiet standing with open eyes (ST, single task) and simultaneous performance of a cognitive task (DT, dual task). Cognitive functioning was examined with a Mini Mental State Examination, number-counting-backward test, and number of enunciated words during DT. Results: In the advanced-PD group, DT significantly reduced the sway radius ( p = 0.009), area of stabilogram ( p = 0.034), medio-lateral length ( p = 0.027), and velocity ( p = 0.033) compared to ST. In HCs, DT showed a significant increase in the sway radius ( p = 0.006), total length ( p = 0.039), sway velocity ( p = 0.037), anterior–posterior length, and sway velocity. Both PD groups showed worse cognitive performance compared to HCs. Conclusions: Both early and advanced patients with PD showed significant delay in cognitive performance associated with executive function compared to the HCs. During additional cognitive tasks, patients with advanced stages of PD may reduce stabilographic parameters in medio-lateral direction, and this is probably an adaptive strategy to restore balance.

Suggested Citation

  • Monika Zawadka-Kunikowska & Jacek J. Klawe & Małgorzata Tafil-Klawe & Monika Bejtka & Łukasz Rzepiński & Mirosława Cieślicka, 2022. "Cognitive Function and Postural Control Strategies in Relation to Disease Progression in Patients with Parkinson’s Disease," IJERPH, MDPI, vol. 19(19), pages 1-18, October.
    • Handle: RePEc:gam:jijerp:v:19:y:2022:i:19:p:12694-:d:933208
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    References listed on IDEAS

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    1. Kenneth F Schulz & Douglas G Altman & David Moher & for the CONSORT Group, 2010. "CONSORT 2010 Statement: Updated Guidelines for Reporting Parallel Group Randomised Trials," PLOS Medicine, Public Library of Science, vol. 7(3), pages 1-7, March.
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    1. Elvira Maranesi & Elisa Casoni & Renato Baldoni & Ilaria Barboni & Nadia Rinaldi & Barbara Tramontana & Giulio Amabili & Marco Benadduci & Federico Barbarossa & Riccardo Luzi & Valentina Di Donna & Pi, 2022. "The Effect of Non-Immersive Virtual Reality Exergames versus Traditional Physiotherapy in Parkinson’s Disease Older Patients: Preliminary Results from a Randomized-Controlled Trial," IJERPH, MDPI, vol. 19(22), pages 1-11, November.

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