Validity of the Trunk Impairment Scale as a Measure of Trunk Performance in People With Parkinson’s Disease
Presented in part to the RESCUE Conference, March 18, 2005, Amsterdam, The Netherlands, the World Congress for NeuroRehabilitation, February 13, 2006, Hong Kong, and the World Parkinson Congress, February 23, 2006, Washington, DC.
Abstract
Verheyden G, Willems A-M, Ooms L, Nieuwboer A. Validity of the Trunk Impairment Scale as a measure of trunk performance in people with Parkinson’s disease.
Objective
To evaluate construct validity of the Trunk Impairment Scale (TIS) as a measure of trunk performance in Parkinson’s disease (PD).
Design
A cross-sectional study of PD patients and healthy subjects.
Setting
University rehabilitation research unit.
Participants
Twenty-six PD patients (Hoehn and Yahr stages 2–4) and 26 healthy subjects.
Interventions
Not applicable.
Main Outcome Measures
The TIS and its subscales; static and dynamic sitting balance and trunk coordination.
Results
Compared with healthy controls, PD patients showed significantly lower scores on the total TIS, static sitting balance, and coordination subscale. Healthy subjects scored significantly better on the total TIS and coordination subscale compared with patients in the early stage of PD. Patients with PD in the early stage scored significantly higher for the total TIS as well as static and dynamic sitting balance in comparison with PD patients in a later stage. Forward stepwise multiple linear regression analysis showed that trunk impairment in PD patients was significantly related to a combination of older age and a higher score on part III of the Unified Parkinson’s Disease Rating Scale, which assesses motor impairments.
Conclusions
Early detection of trunk deficits and the significant relation with PD severity advocates further evaluation and use of the TIS in PD.
Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
Reprint requests to Geert Verheyden, PhD, University of Southampton, School of Health Professions and Rehabilitation Sciences, Southampton General Hospital, Mailpoint 886, Tremona Rd, Southampton, SO16 6YD, UK
No commercial party having a direct financial interest in the results of the research supporting this article has or will confer a benefit upon the author(s) or upon any organization with which the author(s) is/are associated.
ABSTRACT