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Spinopelvic balance and body image perception in Parkinson’s disease: analysis of correlation

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Abstract

Purpose

The purpose of this study was to describe the association between body image perception and sagittal balance (SB) parameters in Parkinson’s Disease (PD) patients.

Methods

77 consecutive PD patients were included: 44 males, 33 females; 68.9 ± 6.8 years; 5.3 ± 3.8 years from diagnosis (YFD); Hoehn Yahr (HY) 2.0 ± 0.8, Unified Parkinson’s Disease rating Score-Motor section (UPDRS-M) 11.8 ± 9.3. Spinopelvic angles and SB were radiographically assessed. Body image perception was assessed through Trunk appearance scale (TAPS) and Stunkard Figure rating scale for BMI. Beck Depression Inventory (BDI) was used to evaluate depressive mood.

Results

We detected 32 (41.5 % of cohort) Parkinson Disease patients with scoliosis ≥15° Cobb. The mean calculated BMI was 27.1 ± 3.9 kg/m2. According to the Figure Rating Scale, the perceived BMI averaged 27.2 ± 4.5 kg/m2, while the mean desired BMI was 24.4 ± 2.7 kg/m2, TAPS scored 3.4 ± 0.9 points, while BDI 12.3 ± 7.9 points. TAPS had a weak negative correlation with the duration of disease (r = −0.25, p < 0.05) and a correlation with H&Y score (r = 0.28, p < 0.05). Sacral Slope was weakly correlated to the calculated BMI (r = −0.24, p < 0.05). SSA and SPA had a negative correlation with the TAPS mean score (respectively, r = −0.36 and −0.24, p < 0.05). BDI presented a weak correlation with TAPS (r = 0.27, p < 0.05) but not with self esteemed BMI values (p > 0.05).

Conclusions

Spinopelvic parameters and depression had a specific and concurrent influence on trunk deformity perception but not on BMI self-esteem.

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Author information

Authors and Affiliations

  1. Casa di Cura Domus Salutis, Brescia, Italy

    Luciano Bissolotti & Federica Isacco-Grassi

  2. LARIN: Neuromuscular and Adapted Physical Activity Laboratory, Brescia, Italy

    Luciano Bissolotti, Claudio Orizio & Massimiliano Gobbo

  3. Department of Clinical and Experimental Sciences, University of Brescia, Brescia, Italy

    Claudio Orizio, Massimiliano Gobbo & Stefano Negrini

  4. IRCCS Istituto Ortopedico Galeazzi, Milan, Italy

    Pedro Berjano

  5. IRCCS Don Gnocchi Foundation, Milan, Italy

    Jorge Hugo Villafañe & Stefano Negrini

Authors
  1. Luciano Bissolotti
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  2. Federica Isacco-Grassi
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  3. Claudio Orizio
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  4. Massimiliano Gobbo
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  5. Pedro Berjano
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  6. Jorge Hugo Villafañe
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  7. Stefano Negrini
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Correspondence to Jorge Hugo Villafañe.

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The authors of the paper have not received specific funding to perform the research. Non conflict of interest has to be declared by anyone of the authors.

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Bissolotti, L., Isacco-Grassi, F., Orizio, C. et al. Spinopelvic balance and body image perception in Parkinson’s disease: analysis of correlation. Eur Spine J 24 (Suppl 7), 898–905 (2015). https://doi.org/10.1007/s00586-015-4265-7

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  • DOI: https://doi.org/10.1007/s00586-015-4265-7

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