Ronconi Gianpaolo, Gatto Dario Mattia, Ariani Mariantonietta, Codazza Sefora, Ingravalle Fabio, Ferriero Giorgio, Coraci Daniele, Ferrara Paola Emilia
Catholic University of the Sacred Heart, Rome.
Department of Neurosciences, Sense Organs and Thorax, Catholic University of the Sacred Heart, Rome.
Eur J Transl Myol. 2024 Apr 18;34(2):12354. doi: 10.4081/ejtm.2024.12354.
Parkinson's disease (PD) is defined by progressive worsening of gait, posture, and balance, as well as disability in daily life activities, and improvement in chronic musculoskeletal pain, particularly neck pain associated with worsening of balance. The study's goal is to look into the relationship between scoliosis, balance, and cervical pain in Parkinson's disease patients. Cross-sectional, pilot study. The study included 16 Parkinson's patients. Neck cervical pain was measured using the pain visual analogue scale and the short form McGill pain questionnaire, while dynamic balance was assessed using static balance, Tinetti, Berg Balance, and the Short Physical Performance Battery scales (SPPB). Cobb angles are measured on a whole-spine standard X-ray to assess spinal scoliosis.An observational statistical analysis was performed with patients subdivided into two groups: non-scoliosis (NS) and true scoliosis (TS) based on whether they presented a Cobb's angle below or ≥10°. Neck pain was reported by 37% (n=3) of participants in the NS group versus 50% (n=4) in the TS group. Neck pain was more prevalent in patients with a disease duration of less than 48 months (n=6; 75.0% vs n=1; 12.5%; p-value < 0.05). Scoliosis, cervical pain, and postural imbalance are all significant but often overlooked Parkinson's disease complaints.
帕金森病（PD）的定义为步态、姿势和平衡逐渐恶化，以及日常生活活动能力丧失，同时慢性肌肉骨骼疼痛有所改善，尤其是与平衡恶化相关的颈部疼痛。该研究的目的是探究帕金森病患者脊柱侧弯、平衡和颈部疼痛之间的关系。横断面试点研究。该研究纳入了16名帕金森病患者。使用疼痛视觉模拟量表和简化版麦吉尔疼痛问卷测量颈部疼痛，同时使用静态平衡、Tinetti量表、伯格平衡量表和简短体能状况量表（SPPB）评估动态平衡。通过全脊柱标准X线测量Cobb角以评估脊柱侧弯。根据患者的Cobb角小于或≥10°，将患者分为两组：非脊柱侧弯（NS）组和真性脊柱侧弯（TS）组，对患者进行观察性统计分析。NS组37%（n = 3）的参与者报告有颈部疼痛，而TS组为50%（n = 4）。病程小于48个月的患者中颈部疼痛更为普遍（n = 6；75.0% 对 n = 1；12.5%；p值 < 0.05）。脊柱侧弯、颈部疼痛和姿势失衡都是帕金森病的显著但常被忽视的症状。
