Interference of functional dual-tasks on static posturography in people with Parkinson's disease.

Background: Balance impairments lead to daily-life complications in people with Parkinson's disease (PwPD). However, the way the environment interferes with balance is still unknown. Objective: To analyze the interference of dual-tasks (DTs) on balance in PwPD and compare it with healthy participant...

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Publicado en:Physiotherapy Theory & Practice Vol. 42; no. 3; pp. 386 - 399
Autores principales: Monleón Guinot, Sara, Valenzuela, Constanza San Martín, Aranda Asensi, Vivina, Villanueva Navarro, Manuel, Tomás, José M.
Formato: pictorial research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Mar2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: Mar2026
      vid: 42
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      pub: Taylor & Francis Ltd
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        atl: Interference of functional dual-tasks on static posturography in people with Parkinson's disease.
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        au:
          Monleón Guinot, Sara
          Valenzuela, Constanza San Martín
          Aranda Asensi, Vivina
          Villanueva Navarro, Manuel
          Tomás, José M.
        affil: Department of Methodology for the Behavioral Sciences, University of Valencia, Valencia, Spain
      sug:
        subj:
          Parkinson Disease Complications
          Balance, Postural Evaluation
          Posturography
          Task Performance and Analysis
          Human
          Male
          Female
          Prospective Studies
          Cross Sectional Studies
          Descriptive Statistics
          Data Analysis Software
          Multivariate Analysis of Variance
          Post Hoc Analysis
          Chi Square Test
          Middle Age
          Aged
          Comparative Studies
          Motor Activity
          Cognition
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Background: Balance impairments lead to daily-life complications in people with Parkinson's disease (PwPD). However, the way the environment interferes with balance is still unknown. Objective: To analyze the interference of dual-tasks (DTs) on balance in PwPD and compare it with healthy participants. Methods: Sixty-seven people were evaluated, 42 comprised the Parkinson's disease group (PDG) and 25 were part of the Control group (CG). All followed the balanced HOME assessment trial, performing static posturography under 5 conditions: single-task, visual DT (DTvisual), verbal DT (DTverbal), and two manual tasks, one above 90º of shoulder flexion (DTupper) and the other below (DTlower). Swept area, velocity, displacement, dispersion, and force of the Center of Pressure (CoP) were recorded. Results: DT interfered with the balance of the PDG in all conditions, while the CG was affected mainly in manual tasks. In the PDG, the swept area had the highest interference, reaching 218.84 mm2 in the DTupper condition, meaning 255.34% more swept area than in the single-task condition. However, CoP velocity was the most sensitive parameter to secondary tasks, being perturbed in all dual conditions tested, and the only outcome that increased (19.49%) during the DTvisual (p <.05). In DTverbal condition the groups maintained similar balance, except for the CoP mediolateral displacement and dispersion (p <.05). Conclusion: Compared to healthy participants, untrained PwPD showed poorer postural control under DTs conditions. This impairment increased with task complexity, ranging from visual distraction to overhead manipulation. Mediolateral CoP movements may serve as an early indicator of balance deterioration in challenging environments.
      pubtype: Academic Journal
      doctype:
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        research
        tables/charts
        Journal Article
      ougenre: Unknown
    language: English
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