BACKGROUND: Stooped posture was mentioned in the original description of the characteristic features of Parkinson's disease (PD). Since then, a variety of postural, bone, and joint problems have become recognized as common aspects of the illness and deserve attention. METHODS: A Medline literature search for the period from 1970 to 2016 was performed to identify articles relevant to this topic. Keywords for the search included posture, spine, bone disorders, fractures, joint disorders, kyphosis, scoliosis, stooping, camptocormia, Pisa syndrome, frozen shoulder, anterocollis, dropped head syndrome, and pain in combination with PD. The articles were then reviewed to summarize clinical features, frequency, impact, pathophysiology, and treatment options for these conditions. RESULTS: Postural disorders (kyphoscoliosis, camptocormia, Pisa syndrome, dropped head syndrome), bone mineralization disorders (osteoporosis, bone fractures), and joint disorders (frozen shoulder, dystonia involving joints, joint pain) are often seen in association with PD. Treatment options for these conditions are varied and may include medications, physical therapy, or surgical interventions. CONCLUSIONS: Posture, bone, and joint disorders are common in patients with PD; they often produce added disability, and they may be treatable.
BACKGROUND: Stooped posture was mentioned in the original description of the characteristic features of Parkinson's disease (PD). Since then, a variety of postural, bone, and joint problems have become recognized as common aspects of the illness and deserve attention. METHODS: A Medline literature search for the period from 1970 to 2016 was performed to identify articles relevant to this topic. Keywords for the search included posture, spine, bone disorders, fractures, joint disorders, kyphosis, scoliosis, stooping, camptocormia, Pisa syndrome, frozen shoulder, anterocollis, dropped head syndrome, and pain in combination with PD. The articles were then reviewed to summarize clinical features, frequency, impact, pathophysiology, and treatment options for these conditions. RESULTS: Postural disorders (kyphoscoliosis, camptocormia, Pisa syndrome, dropped head syndrome), bone mineralization disorders (osteoporosis, bone fractures), and joint disorders (frozen shoulder, dystonia involving joints, joint pain) are often seen in association with PD. Treatment options for these conditions are varied and may include medications, physical therapy, or surgical interventions. CONCLUSIONS: Posture, bone, and joint disorders are common in patients with PD; they often produce added disability, and they may be treatable.
Authors: A-C Lepoutre; D Devos; A Blanchard-Dauphin; V Pardessus; C-A Maurage; D Ferriby; J-F Hurtevent; A Cotten; A Destée; L Defebvre Journal: J Neurol Neurosurg Psychiatry Date: 2006-05-30 Impact factor: 10.154
Authors: C Tassorelli; R De Icco; E Alfonsi; M Bartolo; M Serrao; M Avenali; I De Paoli; C Conte; N G Pozzi; P Bramanti; G Nappi; G Sandrini Journal: Parkinsonism Relat Disord Date: 2014-08-13 Impact factor: 4.891
Authors: Neha Prakash; Chelsea Caspell-Garcia; Christopher Coffey; Andrew Siderowf; Caroline M Tanner; Karl Kieburtz; Brit Mollenhauer; Douglas Galasko; Kalpana Merchant; Tatiana Foroud; Lana M Chahine; Daniel Weintraub; Cindy Casaceli; Ray Dorsey; Renee Wilson; Margaret Herzog; Nichole Daegele; Vanessa Arnedo; Mark Frasier; Todd Sherer; Ken Marek; Samuel Frank; Danna Jennings; Tanya Simuni Journal: Parkinsonism Relat Disord Date: 2019-01-31 Impact factor: 4.891
Authors: Amber Edinoff; Niro Sathivadivel; Timothy McBride; Allyson Parker; Chikezie Okeagu; Alan D Kaye; Adam M Kaye; Jessica S Kaye; Rachel J Kaye; Meeta M Sheth; Omar Viswanath; Ivan Urits Journal: Neurol Int Date: 2020-11-18