, Volume 245, Issue 10, pp 669-673

Clinimetrics of postural instability in Parkinson’s disease

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Abstract

Judgement of the ability to recover balance after a sudden shoulder pull is used as a clinical measure of postural instability in Parkinson’s disease. To further evaluate its merits, we compared this ‘retropulsion test’ with dynamic posturography in 23 Parkinson patients. Dynamic posturography involved 20 serial ‘toe-up’ support surface rotations, which induced backward body sway. We found a moderate correlation (Spearman’s ρ = 0.54; P < 0.05) between the retropulsion test and body sway after platform rotations during the ‘off’ phase, but no correlation during the ‘on’ phase (Spearman’s ρ = 0.43; P = 0.11). These results cast doubt on the use of the retropulsion test as a measure of postural instability in Parkinson’s disease.

Received: 1 August 1997 Received in revised form: 3 February 1998 Accepted: 16 March 1998