Task Force Consensus on Nosology and Cut-Off Values for Axial Postural Abnormalities in Parkinsonism

Background: There is no consensus with regard to the nosology and cut-off values for postural abnormalities in parkinsonism. Objective: To reach a consensus regarding the nosology and cut-off values. Methods: Using a modified Delphi panel method, multiple rounds of questionnaires were conducted by m...

Descripción completa

Detalles Bibliográficos
Autores: Tinazzi, Michele, Geroin, Christian, Bhidayasiri, Roongroj, Bloem, Bastiaan R., Capato, Tamine, Djaldetti, Ruth, Doherty, Karen, Fasano, Alfonso, Tibar, Houyam, Lopiano, Leonardo, Margraf, Nils G., Merello, Marcelo Jorge, Moreau, Caroline, Ugawa, Yoshikazu, Artusi, Carlo Alberto
Tipo de recurso: artículo
Estado:Versión publicada
Fecha de publicación:2022
País:Argentina
Institución:Consejo Nacional de Investigaciones Científicas y Técnicas
Repositorio:CONICET Digital (CONICET)
Idioma:inglés
OAI Identifier:oai:ri.conicet.gov.ar:11336/200882
Acceso en línea:http://hdl.handle.net/11336/200882
Access Level:acceso abierto
Palabra clave:ANTECOLLIS
ATYPICAL PARKINSONISMS
CAMPTOCORMIA
DIAGNOSTIC CRITERIA.
PARKINSON'S DISEASE
PISA SYNDROME
POSTURAL ABNORMALITIES
https://purl.org/becyt/ford/3.2
https://purl.org/becyt/ford/3
Descripción
Sumario:Background: There is no consensus with regard to the nosology and cut-off values for postural abnormalities in parkinsonism. Objective: To reach a consensus regarding the nosology and cut-off values. Methods: Using a modified Delphi panel method, multiple rounds of questionnaires were conducted by movement disorder experts to define nosology and cut-offs of postural abnormalities. Results: After separating axial from appendicular postural deformities, a full agreement was found for the following terms and cut-offs: camptocormia, with thoracic fulcrum (>45°) or lumbar fulcrum (>30°), Pisa syndrome (>10°), and antecollis (>45°). “Anterior trunk flexion,” with thoracic (≥25° to ≤45°) or lumbar fulcrum (>15° to ≤30°), “lateral trunk flexion” (≥5° to ≤10°), and “anterior neck flexion” (>35° to ≤45°) were chosen for milder postural abnormalities. Conclusions: For axial postural abnormalities, we recommend the use of proposed cut-offs and six unique terms, namely camptocormia, Pisa syndrome, antecollis, anterior trunk flexion, lateral trunk flexion, anterior neck flexion, to harmonize clinical practice and future research.

Similares en LA Referencia