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An Instrumented Pull Test to Characterize Postural Responses
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How Do I Test for Postural Stability?

Christopher G Goetz1, Padmaja Vittal1, John Maldonado1

  • 1Rush University Medical Center Chicago Illinois USA.

Movement Disorders Clinical Practice
|March 15, 2019
PubMed
Summary
This summary is machine-generated.

This study explains how to assess postural stability in Parkinson's disease using the Movement Disorder Society-Unified Parkinson's Disease Rating Scale. Proper execution ensures safe and uniform testing for patients.

Keywords:
balance testexaminationpostural instabilitypull testvideo

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Area of Science:

  • Neurology
  • Movement Disorders
  • Clinical Assessment

Background:

  • Parkinson's disease is characterized by compromised postural reflexes.
  • Accurate assessment of postural stability is crucial for patient management.
  • Standardized testing protocols are needed for reliable evaluation.

Purpose of the Study:

  • To detail the methodology for assessing postural stability using the International Parkinson and Movement Disorder Society revision of the UPDRS (MDS-UPDRS).
  • To ensure uniform and safe administration of the postural stability test (Item 3.12).

Main Methods:

  • The International Parkinson and Movement Disorder Society revision of the UPDRS (MDS-UPDRS) Item 3.12 was utilized.
  • Subjects were positioned, instructed, and then subjected to a brisk pull on the shoulders.
  • Raters evaluated the subject's ability to stabilize and avoid falling, assigning a score from 0 to 4 based on predefined anchors.

Main Results:

  • The described method provides a structured approach to evaluating postural stability.
  • The scoring system allows for objective quantification of stability deficits.
  • Adherence to safety guidelines ensures the maneuver can be performed by all raters.

Conclusions:

  • The MDS-UPDRS Item 3.12 offers a standardized and safe method for assessing postural stability in Parkinson's disease.
  • Consistent application of this testing procedure is achievable with proper training and safety adherence.
  • This assessment contributes to the comprehensive evaluation of Parkinson's disease progression and treatment efficacy.