Relation of chair rising ability to activities of daily living and physical activity in Parkinson\u2019s disease

Mon S Bryant,Gu Eon Kang,Elizabeth J Protas

doi:10.1186/s40945-020-00094-8

Abstract

BackgroundMany persons living with Parkinson’s disease (PD) have difficulty rising from a chair. Impaired ability to perform the chair rise may be associated with low physical activity levels and reduced ability to perform activities of daily living (ADL).MethodsCross-sectional analysis was performed in 88 persons with PD to study the association of chair rising ability with ADL and physical activity.ResultsWe found that the participants who pushed themselves up from the chair had more severe PD, higher motor impairment and more comorbidity than those who rose from a chair normally. The Unified Parkinson’s Disease Rating Scale ADL (UPDRS-ADL), Schwab and England Activities of Daily Living Scale (SE-ADL) and the Physical Activity Scale for the Elderly (PASE) scores for the participants who pushed themselves up to rise (17.20 ± 7.53; 76.67 ± 13.23; 46.18 ± 52.64, respectively) were significantly poorer than for those who rose normally (10.35 ± 3.79; 87.64 ± 8.30; 112.90 ± 61.40, respectively) (all p < .05). Additionally, PASE scores were significantly poorer for participants who pushed themselves up to rise compared to those who rose slowly (95.21 ± 60.27) (p < .01). Pushing up to rise from a chair was a significant predictor of UPDRS-ADL (β = .357; p < .001; R2 = .403), SE-ADL (β = −.266; p = .009; R2 = .257) and PASE (β = −.250; p = .016; R2 = .162).ConclusionsAbility to rise from a chair was associated with ADL limitation and physical activity in persons with PD. Poor ability to rise from a chair may prevent persons from living independently and engaging in physical activity.

Highlights

Rising from a chair, bed or toilet seat is a physically demanding function required to maintain independent living [1]
Persons who pushed themselves up had more co-morbidities and lower SE-activities of daily living (ADL) scores than those who rose from a chair slowly
Our finding is in agreement with a previous study that performance of the 5-time sit-to-stand test was moderately correlated with physical activity in those with Parkinson’s disease (PD) [18]

Summary

Introduction

Rising from a chair, bed or toilet seat is a physically demanding function required to maintain independent living [1]. Many persons living with Parkinson’s disease (PD) have difficulties in rising from a chair, especially as PD progresses. Because rising from a chair requires greater leg-extensor strength and joint range of motion than other activities of daily living (ADLs), such as Bryant et al Archives of Physiotherapy (2020) 10:22 walking or stair climbing [5], difficulties in this ADL can lead to a sedentary lifestyle and a subsequent deterioration in overall daily function [6]. Reduction in leg strength has been considered the leading factor in functional deterioration in daily activities in older adults, in such ADLs as standing up from a seated position, walking or climbing stairs [8]. Impaired ability to perform the chair rise may be associated with low physical activity levels and reduced ability to perform activities of daily living (ADL)

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