Association between Cardiac Autonomic Control and Postural Control in Patients with Parkinson’s Disease

Yoan Espinoza-Valdés, Rocio Córdova-Arellano, Maiter Espinoza-Espinoza, Diego Méndez-Alfaro, Juan Pablo Bustamante-Aguirre, Hernán Antonio Maureira-Pareja and Antonio Roberto Zamunér
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Yoan Espinoza-Valdés: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Rocio Córdova-Arellano: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Maiter Espinoza-Espinoza: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Diego Méndez-Alfaro: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Juan Pablo Bustamante-Aguirre: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Hernán Antonio Maureira-Pareja: Laboratorio de Biomecánica y Análisis de Movimiento Humano, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile
Antonio Roberto Zamunér: Laboratorio de Investigación Clínica en Kinesiología, Department of Kinesiology, Universidad Católica del Maule, 3605 Talca, Chile

IJERPH, 2020, vol. 18, issue 1, 1-12

Abstract: Parkinson’s disease (PD) is a neurodegenerative disorder that affects postural and cardiac autonomic control. However, since it is unknown whether these changes are associated, the objective of this study was to determine whether such a relationship exists. Twenty-three patients with PD participated. The RR intervals were recorded in different positions and heart rate variability (HRV) was analyzed. Postural sway was analyzed based on the center of pressure. No significant differences on HRV indices were induced by postural change. A correlation was found between these indices and postural control, high frequency (HF), and anterior-posterior (AP) root mean square (RMS-AP) ( r = 0.422, p = 0.045), low frequency (LF)/HF, and AP mean velocity ( r = 0.478, p = 0.021). A correlation was found between HRV induced by postural change and postural control, Δ LF/HF and RMS-AP ( r = 0.448, p = 0.032), Δ LF/HF and ellipse area ( r = 0.505, p = 0.014), Δ LF/HF and AP mean velocity ( r = −0.531; p = 0.009), and Δ LF and AP mean velocity ( r = −0.424, p = 0.044). There is an association between the autonomic and postural systems, such that PD patients with blunted cardiac autonomic function in both the supine and orthostatic positions have worse postural control.

Keywords: Parkinson’s disease; heart rate; elderly; postural balance; autonomic nervous system; heart rate variability (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2020
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