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- Current Status of Pelvic Lateral Shift in Patients With Parkinson’s Disease and Its Relationship With Lateral Trunk Flexion
- Kyohei Mikami, Makoto Shiraishi, Akika Yoshimoto, Tsutomu Kamo
- J Mov Disord. 2025;18(3):253-256. Published online April 15, 2025
- DOI: https://doi.org/10.14802/jmd.25017
- 4,645 View
- 142 Download
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Abstract
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Supplementary Material - Objective
A lack of standardized methods for evaluating postural abnormalities hinders treatment progress. The role of pelvic lateral shift (PLS) in patients with Parkinson’s disease (PwP) exhibiting lateral trunk flexion (LTF) remains unclear. We hypothesized that PLS is related to LTF and investigated its characteristics and relationship with the LTF angle.
Methods
PwP attending outpatient rehabilitation (March 2018–March 2023) were assessed via still images. The PLS direction, its relationship with the LTF angle, and the LTF angle on the PLS side were analyzed.
Results
Among 158 patients, PLS was contralateral in 80 (50.6%), ipsilateral in 43 (27.2%), and absent in 35 (22.2%). In the contralateral PLS, but not in the ipsilateral PLS, the PLS angle was correlated with the LTF angle (r=0.48, p<0.001). The LTF angle was greater in the contralateral shift (8.5°±9.6°) than in the ipsilateral shift (2.8°±4.2°, p<0.001).
Conclusion
Based on the positive relationship between the LTF angle and contralateral shift angle, evaluation criteria that include PLS are needed for PwP with LTF.
Case Report
- Concomitant Appearance of Pisa Syndrome and Striatal Hand in Parkinson’s Disease
- Sanjay Pandey, Manmohan Mehndiratta
- J Mov Disord. 2011;4(2):78-79.
- DOI: https://doi.org/10.14802/jmd.11017
- 26,482 View
- 84 Download
- 8 Crossref
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Abstract
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Pisa syndrome is (PS) usually seen in patients receiving antipsychotic drugs and characterised by lateral flexion of trunk and axial dystonia. It is believed that antipsychotic drugs lead to dopamine blockage causing PS. We describe a Parkinson’s disease patient who was doing well with levodopa/carbidopa for 3 years and developed lateral flexion of trunk. His abnormal posture used to completely improve upon lying down position. He also had striatal hand deformity suggestive of focal dystonia.
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Citations
Citations to this article as recorded by
- Striatal Hand Deformities: Manifestations, Diagnosis, and Treatment Perspectives
Avril M. Stulginski, David J. Donehue, Mikhail Pakvasa, Nicolás Phielipp, Eric D. Wang
Plastic and Reconstructive Surgery - Global Open.2026; 14(5): e7688. CrossRef - Pisa syndrome with clozapine therapy in a young patient with schizoaffective disorder
Shreyas Aneja, Sharanya B. Shetty, Aayush Srivastav, Keshava Pai, Priyanka D’Souza, Sunil Kumar
PSYCHIATRIA DANUBINA.2025; 37(3): 393. CrossRef - Pisa syndrome in dementia with Lewy bodies: A Chinese multicenter study
Zhou Su, Shuai Liu, Gang Chen, Jinghuan Gan, Xinran Bao, Hongcan Zhu, Xiaodan Wang, Hao Wu, Yong Ji
Parkinsonism & Related Disorders.2022; 103: 50. CrossRef - Pisa syndrome due to shunt malfunction in normal pressure hydrocephalus with comorbid Parkinson’s disease
Halil Onder
Annals of Movement Disorders.2022; 5(1): 68. CrossRef - Striatal hand in an elderly man with disseminated tuberculosis: An unusual first case
Rohit Gaude, Upinder Kaur, Ishan Kumar, Deepak K Gautam, Indrajeet S Gambhir, Sankha S Chakrabarti
Geriatrics & Gerontology International.2018; 18(8): 1300. CrossRef - Frequency and clinical correlates of postural and striatal deformities in Parkinson’s disease
Amin Cervantes-Arriaga, Mayela Rodríguez-Violante, Hugo Morales-Briceño, Gabriel Neri-Nani, Roxanna Millán-Cepeda, Salvador Velázquez-Osuna
Clinical Neurology and Neurosurgery.2016; 142: 140. CrossRef - Pisa syndrome in Parkinson's disease: An integrated approach from pathophysiology to management
Michele Tinazzi, Christian Geroin, Marialuisa Gandolfi, Nicola Smania, Stefano Tamburin, Francesca Morgante, Alfonso Fasano
Movement Disorders.2016; 31(12): 1785. CrossRef - Reversible Parkinsonism and Pisa Syndrome in Juvenile Normal Pressure Hydrocephalus
Sanjay Pandey
Movement Disorders Clinical Practice.2015; 2(1): 72. CrossRef
- Striatal Hand Deformities: Manifestations, Diagnosis, and Treatment Perspectives
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