Abstract

Progression of Parkinson disease (PD) increases severe motor symptoms such as bradykinesia, tremor, gait disturbance and postural instability, interfering with patients' daily life autonomy. Clinical evaluation is based on specific Scales like Hoehn & Yahr (HY 2) Limits of Stability (LOS); 3) Rhythmic Weight Shift (RWS). The results, concerning four stages of the H&Y scale (I-IV), showed significant differences between groups/stages. Static balance parameters like velocity, total distance, amplitude and frequency of CoP sway, increase with disease severity. In early to medium stages (I-II) of the disease, CoP presents a projection backwards, while in stage IV, this projection showed a trend to change forwards. Concerning dynamic balance, LOS presents a reduction mainly in the forward direction in all stages. The directional control in anterior-posterior RWS decreases with disease progression.

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