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Postural, Bone, and Joint Disorders in Parkinson's Disease
Marcie L Rabin1, Mary Cathryn Earnhardt1, Anvi Patel1
1Atlantic Neuroscience Institute Overlook Medical Center Summit New Jersey USA.
Movement Disorders Clinical Practice
|October 27, 2018
Summary
Parkinson's disease (PD) commonly causes stooped posture, bone, and joint issues, leading to disability. These conditions, including osteoporosis and frozen shoulder, often require treatment like physical therapy or medication.
Area of Science:
- Neurology
- Orthopedics
- Rheumatology
Background:
- Stooped posture is a hallmark of Parkinson's disease (PD).
- Postural, bone, and joint problems are increasingly recognized as common in PD patients.
- These musculoskeletal issues significantly impact patient well-being and require attention.
Purpose of the Study:
- To review the literature on postural, bone, and joint disorders in Parkinson's disease.
- To summarize the clinical features, prevalence, impact, and pathophysiology of these conditions.
- To outline available treatment options for musculoskeletal complications in PD.
Main Methods:
- Conducted a Medline literature search from 1970 to 2016.
- Utilized keywords such as 'posture', 'spine', 'bone disorders', 'joint disorders', and specific PD-related musculoskeletal conditions.
- Reviewed identified articles to synthesize information on clinical aspects and management.
Main Results:
- Commonly observed issues include postural disorders (e.g., kyphoscoliosis, dropped head syndrome), bone disorders (e.g., osteoporosis, fractures), and joint disorders (e.g., frozen shoulder, joint pain).
- These conditions are frequently associated with Parkinson's disease.
- Treatment modalities encompass medications, physical therapy, and surgical interventions.
Conclusions:
- Musculoskeletal disorders, including posture, bone, and joint problems, are prevalent in Parkinson's disease patients.
- These conditions frequently contribute to added disability.
- Effective treatments are available, offering potential for improved patient outcomes.