• Natália Mariana Silva Luna, Tatiana Godoy Bobbio, Myriam de Graaf, GreveJúlia Maria D'AndreaJMDProgram in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil., Rita de Cássia Ernandes, Aluane Silva Dias, Matheus Henrique Dos Santos Lino, Jose Maria Soares-Junior, Edmund Chada Baracat, Luis Mochizuki, Guilherme Carlos Brech, and Angelica Castilho Alonso.
• Program in Aging Sciences from the Universidade São Judas Tadeu (USJT), São Paulo, SP, Brazil; Laboratory for the Study of Movement, Institute of Orthopedics and Traumatology, Faculdade de Medicina da Universidade de São Paulo (FMUSP), São Paulo, SP, Brazil.
• Clinics (Sao Paulo). 2024 Jan 1; 79: 100382100382.

IntroductionAn accurate assessment of balance problems is critical for decreasing the risk of falling in patients with Parkinson's Disease (PD). Reliable diagnostic tools such as Computerized Dynamic Posturography (CDP) are not feasible for the clinical setting. Therefore, the present study's aim was to assess the correlation between the clinical Balance Evaluation Systems Test (BESTest) and CDP.Methods20 male older adults with Parkinson's Disease (PD) were included in this study. Participants first executed the Sit-To-Stand (STS), Step/Quick turn (SQT), and Step Up and Over (SUO) tests on a Balance Master® force platform, followed by a clinical balance evaluation using the BESTest.ResultsFour outcomes of the CDP were negatively correlated with one or more BESTest domains or total BESTest score: STS sway velocity was negatively correlated with the anticipatory postural adjustment (p = 0.02) and sensory orientation (p = 0.01) domains. SQT turn time was negatively correlated with biomechanical restriction (for turns to the left, p = 0.01, and right, p = 0.03, respectively), postural response (p = 0.01, p = 0.01), dynamic balance during gait (p = 0.007, p = 0.001), and total score (p = 0.02, p = 0.01). Step over time to the right in SUP was negatively correlated with the limits of the stability domain (p = 0.002) and total BESTest score (p = 0.020). SUO impact index was negatively correlated with the anticipatory postural adjustment domain (p = 0.01).ConclusionThis study shows that several BESTest domains are significantly correlated with CDP outcomes, demonstrating that the BESTest can be used as a more clinically feasible alternative for computerized posturography, without loss of information.Copyright © 2024 HCFMUSP. Published by Elsevier España, S.L.U. All rights reserved.

17 keywords...

hide…