A Comparison of Spinal Alignment and Trunk Mobility in Parkinson's Disease Patients With and Without Lower Urinary Tract Symptoms

IF 1.5 4区医学 Q3 UROLOGY & NEPHROLOGY

LUTS: Lower Urinary Tract Symptoms Pub Date : 2025-09-03 DOI:10.1111/luts.70028

Betül Kuz, Mustafa Ertuğrul Yaşa, Rıza Sonkaya, Selman Aktaş

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引用次数: 0

Abstract

Introduction

Lower urinary tract symptoms (LUTS) in Parkinson's disease (PD) primarily result from neurological abnormalities. Yet, the impact of postural abnormalities and muscular rigidity on lower urinary tract symptoms remains unclear. This study aims to compare spinal alignment and trunk mobility in PD patients with and without LUTS.

Methods

A total of 93 patients were included in this cross-sectional study. Two groups were created based on the presence of LUTS. The study was completed with 57 symptomatic and 36 asymptomatic patients. The presence of LUTS was determined using the International Prostate Symptom Score. The Urinary Symptom Profile questionnaire was used for LUTS classification. Spinal posture and trunk mobility were measured using the Spinal Mouse.

Results

Compared to the asymptomatic controls, decreased lumbar lordosis (p = 0.022) and increased anterior trunk tilt (p = 0.026) were evident in symptomatic patients. However, no significant differences were found in thoracic kyphosis or lateral spinal curvatures (p > 0.05). Asymptomatic patients demonstrated greater lumbar mobility and total trunk mobility in both the sagittal plane (p = 0.002; p = 0.023) and the frontal plane (p = 0.024; p = 0.046), respectively.

Conclusions

PD patients with LUTS demonstrate distinct alterations in spinal alignment and trunk mobility compared to those without symptoms. These biomechanical differences may reflect compensatory mechanisms or additional motor involvement contributing to urinary dysfunction in this population.

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有和无下尿路症状的帕金森病患者脊柱直线和躯干活动度的比较

帕金森病（PD）的下尿路症状（LUTS）主要由神经系统异常引起。然而，姿势异常和肌肉僵硬对下尿路症状的影响尚不清楚。本研究旨在比较伴有和不伴有LUTS的PD患者的脊柱对齐和躯干活动度。方法对93例患者进行横断面研究。根据LUTS的存在创建了两组。57例有症状患者和36例无症状患者完成了研究。使用国际前列腺症状评分来确定LUTS的存在。泌尿症状问卷用于LUTS分类。使用脊髓鼠测量脊柱姿势和躯干活动度。结果与无症状对照组相比，有症状组腰椎前凸明显减小（p = 0.022），前干倾斜明显增加（p = 0.026）。然而，在胸椎后凸或脊柱侧弯方面没有发现显著差异（p > 0.05）。无症状患者在矢状面（p = 0.002; p = 0.023）和额位面（p = 0.024; p = 0.046）均表现出较大的腰椎活动度和躯干总活动度。结论：与无症状的PD患者相比，伴有LUTS的PD患者在脊柱对齐和躯干活动方面表现出明显的改变。这些生物力学差异可能反映了代偿机制或额外的运动参与导致了该人群的尿功能障碍。

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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来源期刊

LUTS: Lower Urinary Tract Symptoms UROLOGY & NEPHROLOGY-

CiteScore

3.00

自引率

7.70%

发文量

审稿时长

>12 weeks

期刊介绍： LUTS is designed for the timely communication of peer-reviewed studies which provides new clinical and basic science information to physicians and researchers in the field of neurourology, urodynamics and urogynecology. Contributions are reviewed and selected by a group of distinguished referees from around the world, some of whom constitute the journal''s Editorial Board. The journal covers both basic and clinical research on lower urinary tract dysfunctions (LUTD), such as overactive bladder (OAB), detrusor underactivity, benign prostatic hyperplasia (BPH), bladder outlet obstruction (BOO), urinary incontinence, pelvic organ prolapse (POP), painful bladder syndrome (PBS), as well as on other relevant conditions. Case reports are published only if new findings are provided. LUTS is an official journal of the Japanese Continence Society, the Korean Continence Society, and the Taiwanese Continence Society. Submission of papers from all countries are welcome. LUTS has been accepted into Science Citation Index Expanded (SCIE) with a 2011 Impact Factor.