Impaired trunk control and its relationship with balance, functional mobility, and disease severity in patients with cervical dystonia

Authors

FATİH SÖKE
NİGAR ESRA ERKOÇ ATAOĞLU
MEHMET FEVZİ ÖZTEKİN
BİLGE KOÇER
SELDA KARAKOÇ
ÇAĞRI GÜLŞEN
SELİM SELÇUK ÇOMOĞLU
HATİCE AYŞE BORA

DOI

10.55730/1300-0144.5597

Abstract

Background/aim: Impaired trunk control is common in neurological disorders; however, trunk control has not been examined in patients with cervical dystonia (CD). Therefore, the primary aim was to compare trunk control between patients with CD and healthy people. The secondary aim was to investigate the relationship between trunk control and balance, functional mobility, and disease severity in patients with CD. Materials and methods: This cross-sectional study included 32 patients with CD and 32 healthy people. Trunk control was compared using the trunk impairment scale (TIS) that consists of three subscales: static sitting balance, dynamic sitting balance, and trunk coordination between two groups. Balance was assessed using Berg Balance Scale, four square step test, and one-leg stance test. The Timed Up and Go Test was measured to determine functional mobility. Toronto Western Spasmodic Torticollis Rating Scale was used to evaluate disease severity. Results: Patients with CD demonstrated worse performance on the TIS-total with TIS-dynamic sitting subscale and TIS-trunk coordination subscale (p < 0.001, p < 0.001, and p < 0.001), except for TIS-static sitting subscale (p = 0.078) compared to healthy people. TIS-total scores had moderate to strong correlations with balance, functional mobility, and disease severity (range r between 0.786 and 0.536, p < 0.05 for all). There was no correlation between TIS-total scores and disease severity (p = 0.102). Conclusion: Patients with CD had impaired trunk control, especially in dynamic sitting balance and trunk coordination. Impaired trunk control was also associated with balance and functional mobility but not disease severity. These findings suggest that trunk control deficits should receive attention in the assessment and treatment of patients with CD.

Keywords

Cervical dystonia, trunk control, balance, functional mobility, disease severity

First Page

405

Last Page

412

Recommended Citation

SÖKE, FATİH; ATAOĞLU, NİGAR ESRA ERKOÇ; ÖZTEKİN, MEHMET FEVZİ; KOÇER, BİLGE; KARAKOÇ, SELDA; GÜLŞEN, ÇAĞRI; ÇOMOĞLU, SELİM SELÇUK; and BORA, HATİCE AYŞE (2023) "Impaired trunk control and its relationship with balance, functional mobility, and disease severity in patients with cervical dystonia," Turkish Journal of Medical Sciences: Vol. 53: No. 1, Article 47. https://doi.org/10.55730/1300-0144.5597
Available at: https://journals.tubitak.gov.tr/medical/vol53/iss1/47