What If Low Back Pain Is the Most Prevalent Parkinsonism in the World?
Low back pain (LBP) has a point prevalence of nearly 10% and ranks highest in global disease burden for years lived with disability; Parkinson’s disease (PD) ranks in the top 100 most disabling health conditions for years lost and years lived with disability (1). Recent evidence suggests that people...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2018-05-01
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| Series: | Frontiers in Neurology |
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| Online Access: | http://journal.frontiersin.org/article/10.3389/fneur.2018.00313/full |
| _version_ | 1817979536120217600 |
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| author | Jesse V. Jacobs Sharon M. Henry Sharon M. Henry Fay B. Horak |
| author_facet | Jesse V. Jacobs Sharon M. Henry Sharon M. Henry Fay B. Horak |
| author_sort | Jesse V. Jacobs |
| collection | DOAJ |
| description | Low back pain (LBP) has a point prevalence of nearly 10% and ranks highest in global disease burden for years lived with disability; Parkinson’s disease (PD) ranks in the top 100 most disabling health conditions for years lost and years lived with disability (1). Recent evidence suggests that people with chronic, recurrent LBP exhibit many postural impairments reminiscent of a neurological postural disorder such as PD. We compare and contrast postural impairments associated with LBP and PD in order to inform treatment strategies for both conditions. The literature suggests that both LBP and PD associate with impaired proprioceptive function, sensory orientation during standing balance, anticipatory postural adjustments, automatic postural responses, and striatal-cortical function. Although postural impairments are similar in nature for LBP and PD, the postural impairments with LBP appear more specific to the trunk than for PD. Likewise, although both health conditions associate with altered striatal-cortical function, the nature of the altered neural structure or function differ for PD and LBP. Due to the high prevalence of LBP associated with PD, focused treatment of LBP in people with PD may render benefit to their postural impairments and disabilities. In addition, LBP would likely benefit from being considered more than just a musculoskeletal injury; as such, clinicians should consider including approaches that address impairments of postural motor control. |
| first_indexed | 2024-04-13T22:42:55Z |
| format | Article |
| id | doaj.art-b1ce043a89d94b49b25d40d0b271cea7 |
| institution | Directory Open Access Journal |
| issn | 1664-2295 |
| language | English |
| last_indexed | 2024-04-13T22:42:55Z |
| publishDate | 2018-05-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Neurology |
| spelling | doaj.art-b1ce043a89d94b49b25d40d0b271cea72022-12-22T02:26:31ZengFrontiers Media S.A.Frontiers in Neurology1664-22952018-05-01910.3389/fneur.2018.00313344012What If Low Back Pain Is the Most Prevalent Parkinsonism in the World?Jesse V. Jacobs0Sharon M. Henry1Sharon M. Henry2Fay B. Horak3Department of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, United StatesDepartment of Rehabilitation and Movement Science, University of Vermont, Burlington, VT, United StatesDepartment of Rehabilitation Therapy, University of Vermont Medical Center, Burlington, VT, United StatesDepartment of Neurology, School of Medicine, Oregon Health & Science University, Veterans Affairs Portland Health Care System, Portland, OR, United StatesLow back pain (LBP) has a point prevalence of nearly 10% and ranks highest in global disease burden for years lived with disability; Parkinson’s disease (PD) ranks in the top 100 most disabling health conditions for years lost and years lived with disability (1). Recent evidence suggests that people with chronic, recurrent LBP exhibit many postural impairments reminiscent of a neurological postural disorder such as PD. We compare and contrast postural impairments associated with LBP and PD in order to inform treatment strategies for both conditions. The literature suggests that both LBP and PD associate with impaired proprioceptive function, sensory orientation during standing balance, anticipatory postural adjustments, automatic postural responses, and striatal-cortical function. Although postural impairments are similar in nature for LBP and PD, the postural impairments with LBP appear more specific to the trunk than for PD. Likewise, although both health conditions associate with altered striatal-cortical function, the nature of the altered neural structure or function differ for PD and LBP. Due to the high prevalence of LBP associated with PD, focused treatment of LBP in people with PD may render benefit to their postural impairments and disabilities. In addition, LBP would likely benefit from being considered more than just a musculoskeletal injury; as such, clinicians should consider including approaches that address impairments of postural motor control.http://journal.frontiersin.org/article/10.3389/fneur.2018.00313/fullParkinson’s diseaselow back painpostureanticipatory postural adjustmentpostural responsebalance |
| spellingShingle | Jesse V. Jacobs Sharon M. Henry Sharon M. Henry Fay B. Horak What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? Frontiers in Neurology Parkinson’s disease low back pain posture anticipatory postural adjustment postural response balance |
| title | What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? |
| title_full | What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? |
| title_fullStr | What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? |
| title_full_unstemmed | What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? |
| title_short | What If Low Back Pain Is the Most Prevalent Parkinsonism in the World? |
| title_sort | what if low back pain is the most prevalent parkinsonism in the world |
| topic | Parkinson’s disease low back pain posture anticipatory postural adjustment postural response balance |
| url | http://journal.frontiersin.org/article/10.3389/fneur.2018.00313/full |
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