Current status of pelvic lateral shift in patients with Parkinson's disease and its relation to lateral trunk flexion.

IF 2.5 4区医学 Q2 CLINICAL NEUROLOGY

Journal of Movement Disorders Pub Date : 2025-04-15 DOI:10.14802/jmd.25017

Kyohei Mikami, Makoto Shiraishi, Akika Yoshimoto, Tsutomu Kamo

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引用次数: 0

Abstract

Objectives: A lack of standardized methods for evaluating postural abnormalities hinders treatment progress. The role of pelvic lateral shift (PLS) in patients with Parkinson's disease (PwP) exhibiting lateral trunk flexion (LTF) remains unclear. We hypothesized that PLS is related to LTF and investigated its characteristics and relationship to LTF angle.

Methods: PwP attending outpatient rehabilitation (March 2018-March 2023) were assessed using still images. PLS direction, its relationship with LTF angle, and LTF angle by PLS side were analysed.

Results: Among 158 patients, PLS was contralateral in 80 (50.6%), ipsilateral in 43 (27.2%), and absent in 35 (22.2%). In contralateral PLS, but not ipsilateral, PLS angle correlated with LTF angle (r=0.48, p<0.001). LTF angle was greater in contralateral (8.5±9.6°) than ipsilateral shift (2.8±4.2°, p<0.001).

Conclusions: Because of the positive relationship between LTF angle and contralateral shift angle, evaluation criteria that include PLS are needed for PwP with LTF.

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帕金森病患者骨盆外侧移位的现状及其与躯干外侧屈曲的关系

目的：缺乏评估姿势异常的标准化方法阻碍了治疗进展。骨盆外侧移位（PLS）在帕金森病（PwP）患者中表现为外侧躯干屈曲（LTF）的作用尚不清楚。我们假设PLS与LTF有关，并研究其特征及其与LTF角的关系。方法：对2018年3月- 2023年3月门诊康复的PwP患者进行静态图像评估。分析了PLS方向及其与LTF角的关系，以及PLS侧的LTF角。结果：158例患者中，对侧PLS 80例（50.6%），同侧PLS 43例（27.2%），缺失PLS 35例（22.2%）。在对侧PLS中，PLS角与LTF角相关（r=0.48, p）。结论：由于LTF角与对侧移位角呈正相关关系，因此对于LTF的PwP需要包括PLS的评价标准。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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