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4th April 2017 - New research
POSTURAL DEFORMITIES IN PARKINSON'S DISEASE
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Striatal (hand and foot) and postural deformities are known to commonly
occur in people with atypical Parkinsonism, but also occur in people with
Parkinson's Disease. These deformities are frequently misdiagnosed as joint
or orthopaedic problems that can often lead to unnecessary investigations.
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Postural deformities
 Various
striatal (hand and foot) and postural deformities (antecollis, camptocormia,
scoliosis and Pisa syndrome) and their relation with the duration of
Parkinson's Disease, severity and L-dopa intake were analyzed. Of those
people with Parkinson's Disease, nearly half of them (48.5%) had either
striatal or postural deformities. Striatal foot deformities were the most
common deformity observed (25%). Camptocormia was the second most common
deformity (20%). Striatal and postural deformities occur more in advanced
Parkinson's Disease as suggested by higher UPDRS scores.
Striatal deformities almost always (94%) occurred on the same side of
the body as the onset of Parkinson's Disease symptoms. Pisa and scoliosis
occurred more (66%) on the opposite side to the onset of Parkinson's Disease
symptoms.
The results showed that striatal and postural deformities were common and
present in about half of the people with Parkinson's Disease. These
deformities we more common in people in the advanced stages of Parkinson's
Disease.
Reference : Indian Journal of Medical Research
[2016] 144 (5) : 682-688 (S.Pandey, H.Kumar)
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