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Original Article

The effect of lateral wedge on postural sway in Parkinson’s disease

Ji-Yeon Yoon1, Jinse Park2, Kang Min Park2, Sam Yeol Ha2, Sung Eun Kim2, Kyong Jin Shin2, Si Eun Kim2, Geunyeol Jo3
Annals of Clinical Neurophysiology 2018;20(1):31-35.
Published online: January 31, 2018
1Department of Physical Therapy, Inje University Haeundae Paik Hospital, Busan, Korea
2Department of Neurology, Inje University Haeundae Paik Hospital, Busan, Korea
3Department of Physical Medicine and Rehabilitation, Inje University Haeundae Paik Hospital, Busan, Korea
Corresponding author:  Jinse Park, Tel: +82-51-797-2082, Fax: +82-51-797-0640, 
Email: jinsepark@gmail.com
Received: 24 August 2017   • Revised: 20 November 2017   • Accepted: 7 December 2017
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Background
Although postural instability is one of the major symptoms of Parkinson’s disease (PD), dopaminergic treatment is ineffective for treating postural instability. Recent reports have shown that somatosensory deficit is associated with postural instability, and that somatosensory input improved postural instability. The purpose of this study is to evaluate the effects of lateral wedges for quiet standing postural control in people with PD.
Methods
Twenty-two patients who were diagnosed with PD were enrolled in this study. The participants stood on a force plate under two conditions (wedge and no wedge) with or without having their eyes open or closed. The center of pressure (COP) range and velocity were analyzed using a two-way repeated-measures analysis of variance.
Results
The range and velocity of COP in the anterioposterior and mediolateral (ML) directions were significantly improved after the patients stood on the lateral wedge with their eyes closed (p < 0.05). The range in ML direction and velocity in both directions of COP were significantly decreased when their eyes were open (p < 0.05).
Conclusions
Regardless of vision, standing on lateral wedges improved postural sway in people with PD.

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