The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review

Introduction: Parkinson’s disease is most prevalent among elderly people, 65 years and over, and leads to an alteration in motor control associated with postural instability. Current evidence shows that postural control decreases with the aging process. In addition, postural control is more altered...

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Main Authors: Mathieu Dallaire, Guillaume Gagnon, Émilie Fortin, Josée Nepton, Anne-France Severn, Sharlène Côté, Suhaila Mahmoud Smaili, Hayslenne Andressa Gonçalves de Oliveira Araújo, Márcio Rogério de Oliveira, Suzy Ngomo, Julie Bouchard, Rubens A. da Silva
Format: Article
Language:English
Published: MDPI AG 2021-10-01
Series:Geriatrics
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Online Access:https://www.mdpi.com/2308-3417/6/4/105
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author Mathieu Dallaire
Guillaume Gagnon
Émilie Fortin
Josée Nepton
Anne-France Severn
Sharlène Côté
Suhaila Mahmoud Smaili
Hayslenne Andressa Gonçalves de Oliveira Araújo
Márcio Rogério de Oliveira
Suzy Ngomo
Julie Bouchard
Rubens A. da Silva
author_facet Mathieu Dallaire
Guillaume Gagnon
Émilie Fortin
Josée Nepton
Anne-France Severn
Sharlène Côté
Suhaila Mahmoud Smaili
Hayslenne Andressa Gonçalves de Oliveira Araújo
Márcio Rogério de Oliveira
Suzy Ngomo
Julie Bouchard
Rubens A. da Silva
author_sort Mathieu Dallaire
collection DOAJ
description Introduction: Parkinson’s disease is most prevalent among elderly people, 65 years and over, and leads to an alteration in motor control associated with postural instability. Current evidence shows that postural control decreases with the aging process. In addition, postural control is more altered in healthy aged men than in women. Until today, few studies have evaluated the combined impact of Parkinson’s disease and sex on postural control. This review has allowed to evaluate the impact of Parkinson’s disease and sex on postural control measurements in elderly people. Methodology: Studies have been selected from two main databases: PubMed and EBSCO using the keywords “Parkinson”, “postural control OR balance” and “sex”. Articles related to the evaluation of postural control, including men and women with Parkinson’s aged over 65 years old, regardless of stage, were included (<i>n</i> = 179). Articles were excluded if not written in French or English or not presenting original content. Results: Ten (10) studies out of 179 that fulfilled inclusion and exclusion criteria were reported in the final analysis, which cumulates a total of 944 individuals with Parkinson’s (410 women). In general, results show greater postural instability among people with Parkinson’s compared to healthy subjects, and this according to different objective measurements using stabilographic parameters from force platforms. Only two studies out of ten evaluated postural control while briefly considering distinctions between sex, but without showing a significant difference between men and women with Parkinson’s. Parkinson’s severity, length of time of Parkinson’s disease and cognitive state of the person are the three variables with a negative impact on postural control. Conclusion: Older people with Parkinson’s disease have greater postural instability. Sex does not seem to influence the postural control of elderly people with Parkinson’s, although more studies are necessary.
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spelling doaj.art-ff8d051424344648a714cb87711bc4832023-11-23T08:32:50ZengMDPI AGGeriatrics2308-34172021-10-016410510.3390/geriatrics6040105The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic ReviewMathieu Dallaire0Guillaume Gagnon1Émilie Fortin2Josée Nepton3Anne-France Severn4Sharlène Côté5Suhaila Mahmoud Smaili6Hayslenne Andressa Gonçalves de Oliveira Araújo7Márcio Rogério de Oliveira8Suzy Ngomo9Julie Bouchard10Rubens A. da Silva11Masters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaPhysical Therapy McGill Program in Extension at the Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaPhysical Therapy McGill Program in Extension at the Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaCentre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, CanadaCentre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, CanadaCentre Intégré de Santé et Services Sociaux du Saguenay—Lac-Saint-Jean (CIUSSS SLSJ), Specialized Geriatrics services–La Baie Hospital, Saguenay, QC G7H 7K9, CanadaDoctoral Program in Rehabilitation Sciences, UEL/UNOPAR, Londrina 86041-120, BrazilDoctoral Program in Rehabilitation Sciences, UEL/UNOPAR, Londrina 86041-120, BrazilDoctoral and Masters Program in Physical Exercise on Health Promotion, Universidade Pitagoras UNOPAR, Londrina 86041-120, BrazilMasters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaLaboratoire de Recherche BioNR, Centre Intersectoriel en Santé Durable, Département des Sciences de la Santé, Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaMasters of Biomedical Science Program at l’Université du Québec à Chicoutimi (UQAC), Saguenay, QC G7H 2B1, CanadaIntroduction: Parkinson’s disease is most prevalent among elderly people, 65 years and over, and leads to an alteration in motor control associated with postural instability. Current evidence shows that postural control decreases with the aging process. In addition, postural control is more altered in healthy aged men than in women. Until today, few studies have evaluated the combined impact of Parkinson’s disease and sex on postural control. This review has allowed to evaluate the impact of Parkinson’s disease and sex on postural control measurements in elderly people. Methodology: Studies have been selected from two main databases: PubMed and EBSCO using the keywords “Parkinson”, “postural control OR balance” and “sex”. Articles related to the evaluation of postural control, including men and women with Parkinson’s aged over 65 years old, regardless of stage, were included (<i>n</i> = 179). Articles were excluded if not written in French or English or not presenting original content. Results: Ten (10) studies out of 179 that fulfilled inclusion and exclusion criteria were reported in the final analysis, which cumulates a total of 944 individuals with Parkinson’s (410 women). In general, results show greater postural instability among people with Parkinson’s compared to healthy subjects, and this according to different objective measurements using stabilographic parameters from force platforms. Only two studies out of ten evaluated postural control while briefly considering distinctions between sex, but without showing a significant difference between men and women with Parkinson’s. Parkinson’s severity, length of time of Parkinson’s disease and cognitive state of the person are the three variables with a negative impact on postural control. Conclusion: Older people with Parkinson’s disease have greater postural instability. Sex does not seem to influence the postural control of elderly people with Parkinson’s, although more studies are necessary.https://www.mdpi.com/2308-3417/6/4/105motor controlpostural controlpostural instabilitybalanceagingParkinson’s disease
spellingShingle Mathieu Dallaire
Guillaume Gagnon
Émilie Fortin
Josée Nepton
Anne-France Severn
Sharlène Côté
Suhaila Mahmoud Smaili
Hayslenne Andressa Gonçalves de Oliveira Araújo
Márcio Rogério de Oliveira
Suzy Ngomo
Julie Bouchard
Rubens A. da Silva
The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
Geriatrics
motor control
postural control
postural instability
balance
aging
Parkinson’s disease
title The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
title_full The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
title_fullStr The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
title_full_unstemmed The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
title_short The Impact of Parkinson’s Disease on Postural Control in Older People and How Sex can Mediate These Results: A Systematic Review
title_sort impact of parkinson s disease on postural control in older people and how sex can mediate these results a systematic review
topic motor control
postural control
postural instability
balance
aging
Parkinson’s disease
url https://www.mdpi.com/2308-3417/6/4/105
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