Rehabilitation pre- and post- musculoskeletal surgery: progress and opportunities

VILLAFAÑE, Jorge H.

doi:10.23736/s0394-9508.23.05603-6

Cited by 1 publication

(1 citation statement)

References 22 publications

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“…Assessment of spine deformities in patients with PD typically involves clinical or radiographic parameters, some of which correlate significantly with sagittal balance as observed on X-ray examination [ 3 , 13 , 14 , 15 ].…”

Section: Introductionmentioning

confidence: 99%

Gender-Specific Differences in Spinal Alignment and Muscle Power in Patients with Parkinson’s Disease

Bissolotti,

Rota,

Calza

et al. 2024

Diagnostics

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Background: Parkinson’s disease (PD) is an advancing neurodegenerative disorder characterized by spinal anomalies and muscular weakness, which may restrict daily functional capacities. A gender-focused examination of these effects could provide valuable insights into customized rehabilitation strategies for both sexes. Purpose: This study investigates the influence of spinal alignment on lower-limb function during the sit-to-stand (STS) movement in patients with Parkinson’s disease compared to healthy individuals. Methods: A cross-sectional study was conducted with 43 consecutive patients with PD (25 males and 18 females; average age 73.7 ± 7.1 years) and 42 healthy controls (22 males and 20 females; average age 69.8 ± 6.0 years). Assessments included the International Physical Activity Questionnaire (IPAQ), Hoehn and Yahr staging, and measurements of vertical deviations from several spinal landmarks. Lower-limb muscle power during the STS task was evaluated using the Muscle Quality Index (MQI). Results: Both absolute (Watts) and relative (Watts/Kg) muscle power in the lower limbs were notably decreased in the PD group compared to the control group. Within the PD cohort, muscle power showed a negative relationship with age and a positive association with the degree of lumbar lordosis (PL-L3). Importantly, gender-specific analysis revealed that male patients with PD had significantly higher lower-limb muscle power compared to female patients with PD, highlighting the need for gender-tailored therapeutic approaches. Conclusions: The findings suggest that preserving lumbar lordosis is crucial for maintaining effective lower-limb muscle biomechanics in individuals with Parkinson’s disease.

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