Characterisation of balance capacity in Prader-Willi patients

被引:32
作者
Capodaglio, Paolo [2 ,3 ]
Menegoni, Francesco [2 ,3 ]
Vismara, Luca [2 ,3 ]
Cimolin, Veronica [1 ,2 ,3 ]
Grugni, Graziano [4 ]
Galli, Manuela [1 ,5 ]
机构
[1] Politecn Milan, Dept Bioengn, I-20133 Milan, Italy
[2] Osped San Giuseppe, IRCCS, Ist Auxol Italiano, Orthopaed Rehabil Unit, I-28824 Oggebbio, VB, Italy
[3] Osped San Giuseppe, IRCCS, Ist Auxol Italiano, Clin Lab Gait Anal & Posture, I-28824 Oggebbio, VB, Italy
[4] Osped San Giuseppe, IRCCS, Ist Auxol Italiano, Unit Auxol, I-28824 Oggebbio, VB, Italy
[5] IRCCS San Raffaele Pisana, Rome, Italy
关键词
Prader-Willi Syndrome; Posture; Rehabilitation; BODY-WEIGHT; STABILOMETRIC PARAMETERS; POSTURAL STABILITY; OBESITY; PREVALENCE; IMPROVES; PEOPLE; HEALTH; FEAR;
D O I
10.1016/j.ridd.2010.09.002
中图分类号
G76 [特殊教育];
学科分类号
040109 [特殊教育学];
摘要
Being severely overweight is a distinctive clinical feature of Prader-Willi Syndrome (PWS). This explorative study aims to characterise balance capacity in PWS as compared to non-genetically obese patients (0) and to a group of normal-weight individuals (CG). We enrolled 14 PWS patients: 8 females and 6 males (BMI = 41.3 +/- 7.3 kg/m(2), age = 32.86 +/- 4.42 years), 44 obese individuals, 22 males and 22 females (BMI = 40.6 +/- 4.6 kg/m(2), age = 34.2 +/- 10.7 years) and 20 controls (CG: 10 females and 10 males; BMI: 21.6 +/- 1.6 kg/m(2); age: 30.5 +/- 5.3 years). Postural acquisitions were conducted by means of a force platform from which the COP pattern vs time was analysed. The participants were required to stand barefoot on the platform with eyes open and heels at standardized distance and position for 60 s. All of the analysed parameters were statistically different from O and CG groups. PWS individuals showed greater displacements in both the A/P and M/L direction (RMS, RANGE and MV indices). Analysis of the overall planar movement of the CoP showed that the PWS patients were characterised by higher RMS distance from the centre (RMSCoP index) and area of confidence ellipse (AREA(CoP) index) when compared both to obese and healthy individuals. PWS patients showed a poorer balance capacity than their non-genetically obese counterparts and healthy individuals, with greater differences in both the A/P and M/L direction than O. Rehabilitation programs for PWS should take this finding into account. In addition to weight loss, strengthening of ankle flexors/extensors, and balance training, tailored interventions aimed at improving A/P control should be given particular consideration. (C) 2010 Elsevier Ltd. All rights reserved.
引用
收藏
页码:81 / 86
页数:6
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