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Testing functional performance in people with Parkinson disease.
Phys Ther. 2005 Feb; 85(2):134-41.PT

Abstract

BACKGROUND AND PURPOSE

Although the Unified Parkinson's Disease Rating Scale (UPDRS) is the most common performance measure for people with Parkinson disease (PD), the Berg Balance Scale (BBS), Forward Functional Reach Test (FFR), Backward Functional Reach Test (BFR), Timed "Up & Go" Test (TUG), and gait speed may be used to quantify some aspects of functional performance not measured by the UPDRS. The purpose of this study was to describe the relationship among a set of tests of balance, walking performance, and mobility in people with PD.

SUBJECTS

Twenty-five community-dwelling adults (11 female, 14 male) with a diagnosis of PD were recruited from PD support groups in southeastern Wisconsin and consented to participate in the study. The mean age of the participants was 76 years (SD=7). The average Hoehn and Yahr Stage Scale score was 2.

METHODS

Functional abilities of each subject were assessed with the UPDRS, BBS, FFR, BFR, TUG, and gait speed. Spearman and Pearson correlations were performed.

RESULTS

The UPDRS total score was correlated with the BBS (r=-.64, P<.001), FFR (r=-.52, P<.05), and TUG (r=.50, P<.05) measurements. The BBS is the only test of functional performance where scores correlate with all other functional tests and the UPDRS.

DISCUSSION AND CONCLUSIONS

The UPDRS total score may not reflect a comprehensive measure of mobility in people with PD. Because the BBS scores correlate both with UPDRS scores and with scores of all other tests of functional performance, the BBS appears to be a good overall measure of function in this population.

Authors+Show Affiliations

Program in Physical Therapy, Concordia University, 12800 N Lake Shore Dr, Mequon, WI 53097, USA.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article
Research Support, Non-U.S. Gov't

Language

eng

PubMed ID

15679464

Citation

Brusse, Kevin J., et al. "Testing Functional Performance in People With Parkinson Disease." Physical Therapy, vol. 85, no. 2, 2005, pp. 134-41.
Brusse KJ, Zimdars S, Zalewski KR, et al. Testing functional performance in people with Parkinson disease. Phys Ther. 2005;85(2):134-41.
Brusse, K. J., Zimdars, S., Zalewski, K. R., & Steffen, T. M. (2005). Testing functional performance in people with Parkinson disease. Physical Therapy, 85(2), 134-41.
Brusse KJ, et al. Testing Functional Performance in People With Parkinson Disease. Phys Ther. 2005;85(2):134-41. PubMed PMID: 15679464.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Testing functional performance in people with Parkinson disease. AU - Brusse,Kevin J, AU - Zimdars,Sandy, AU - Zalewski,Kathryn R, AU - Steffen,Teresa M, PY - 2005/2/1/pubmed PY - 2005/3/23/medline PY - 2005/2/1/entrez SP - 134 EP - 41 JF - Physical therapy JO - Phys Ther VL - 85 IS - 2 N2 - BACKGROUND AND PURPOSE: Although the Unified Parkinson's Disease Rating Scale (UPDRS) is the most common performance measure for people with Parkinson disease (PD), the Berg Balance Scale (BBS), Forward Functional Reach Test (FFR), Backward Functional Reach Test (BFR), Timed "Up & Go" Test (TUG), and gait speed may be used to quantify some aspects of functional performance not measured by the UPDRS. The purpose of this study was to describe the relationship among a set of tests of balance, walking performance, and mobility in people with PD. SUBJECTS: Twenty-five community-dwelling adults (11 female, 14 male) with a diagnosis of PD were recruited from PD support groups in southeastern Wisconsin and consented to participate in the study. The mean age of the participants was 76 years (SD=7). The average Hoehn and Yahr Stage Scale score was 2. METHODS: Functional abilities of each subject were assessed with the UPDRS, BBS, FFR, BFR, TUG, and gait speed. Spearman and Pearson correlations were performed. RESULTS: The UPDRS total score was correlated with the BBS (r=-.64, P<.001), FFR (r=-.52, P<.05), and TUG (r=.50, P<.05) measurements. The BBS is the only test of functional performance where scores correlate with all other functional tests and the UPDRS. DISCUSSION AND CONCLUSIONS: The UPDRS total score may not reflect a comprehensive measure of mobility in people with PD. Because the BBS scores correlate both with UPDRS scores and with scores of all other tests of functional performance, the BBS appears to be a good overall measure of function in this population. SN - 0031-9023 UR - https://www.unboundmedicine.com/medline/citation/15679464/Testing_functional_performance_in_people_with_Parkinson_disease_ L2 - http://www.diseaseinfosearch.org/result/5603 DB - PRIME DP - Unbound Medicine ER -