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Testing functional performance in people with Parkinson disease.

Kevin J Brusse1, Sandy Zimdars, Kathryn R Zalewski

  • 1Program in Physical Therapy, Concordia University, 12800 N Lake Shore Dr, Mequon, WI 53097, USA.

Physical Therapy
|February 1, 2005
PubMed
Summary

The Berg Balance Scale (BBS) may be a better measure of overall function in Parkinson disease (PD) than the UPDRS, as it correlates with more mobility and balance tests. This study explored these relationships in PD patients.

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Area of Science:

  • Neurology
  • Physical Therapy
  • Gerontology

Background:

  • The Unified Parkinson's Disease Rating Scale (UPDRS) is widely used for Parkinson disease (PD) assessment.
  • Other tests like the Berg Balance Scale (BBS) and gait speed may capture functional aspects not covered by the UPDRS.
  • Understanding the relationships between these measures is crucial for comprehensive PD evaluation.

Purpose of the Study:

  • To investigate the correlations between the UPDRS and various functional performance tests in individuals with PD.
  • To determine if the BBS provides a more comprehensive measure of functional mobility in PD compared to the UPDRS.

Main Methods:

  • Twenty-five community-dwelling adults diagnosed with PD participated.
  • Functional assessments included the UPDRS, BBS, Forward Functional Reach Test (FFR), Backward Functional Reach Test (BFR), Timed "Up & Go" Test (TUG), and gait speed.

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  • Spearman and Pearson correlation analyses were conducted.

    • Main Results:

    • The UPDRS total score showed significant correlations with the BBS (r=-.64), FFR (r=-.52), and TUG (r=.50).
    • The BBS demonstrated correlations with all other functional tests and the UPDRS.
    • The BBS emerged as the only functional test correlating with all other measures.

    Conclusions:

    • The UPDRS total score may not fully represent the spectrum of mobility in Parkinson disease.
    • The Berg Balance Scale (BBS) appears to be a robust overall measure of function in PD patients.
    • The BBS's correlation with multiple functional tests supports its utility in PD assessment.