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CC BY 4.0 · Arq Neuropsiquiatr 2023; 81(04): 377-383
DOI: 10.1055/s-0043-1767825
Original Article

Using the cell phone while standing or walking affects balance and mobility in people with Parkinson's disease

O uso do celular em pé ou durante a caminhada afeta o equilíbrio e a mobilidade de pessoas com doença de Parkinson
Tayla Borges Lino 
1   Universidade Federal de Mato Grosso do Sul, Faculdade de Medicina, Campo Grande MS, Brazil.
,
Milena Nunes de Oliveira da Silva 
2   Universidade Federal de Mato Grosso do Sul, Instituto de Saúde, Campo Grande MS, Brazil.
,
Isabela Corrêa de Paula 
2   Universidade Federal de Mato Grosso do Sul, Instituto de Saúde, Campo Grande MS, Brazil.
,
Sarah Jane Lemos de Melo 
2   Universidade Federal de Mato Grosso do Sul, Instituto de Saúde, Campo Grande MS, Brazil.
,
Suzi Rosa Miziara Barbosa 
2   Universidade Federal de Mato Grosso do Sul, Instituto de Saúde, Campo Grande MS, Brazil.
,
Gustavo Christofoletti 
1   Universidade Federal de Mato Grosso do Sul, Faculdade de Medicina, Campo Grande MS, Brazil.
2   Universidade Federal de Mato Grosso do Sul, Instituto de Saúde, Campo Grande MS, Brazil.
› Author Affiliations Support Office of Graduate Studies of Universidade Federal de Mato Grosso do Sul, Coordination for the Improvement of Higher Education
CAPES financial code: 001
Fundação de Apoio ao Desenvolvimento do Ensino, Ciência e Tecnologia do Estado de Mato Grosso do SulFUNDECT grant n. 275/2022, SIAFEM: 32194.
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Abstract

Background Cell phones are part of peoples' lives. The literature indicates risks when cell phones are used during a secondary motor task. Studies addressing this topic in people with Parkinson's disease are still scarce.

Objective To investigate the impact of daily dual tasks with cell phone on balance and mobility in people with Parkinson's disease, compared to healthy control peers.

Methods Participants with Parkinson's disease and controls underwent three motor tasks: (1) Standing and walking without using a cell phone; (2) Standing and walking while talking on the phone; and (3) Standing and walking while texting messages on the phone. Assessments involved balance and mobility tests. Statistical analysis was performed with multivariate analysis of variance, comparing main effect for group (Parkinson's disease × control), task (using × not using cell phone) and interactions (group × task). Significance was set at 5%. Effect sizes are reported.

Results Participants with Parkinson's disease showed worse balance (p = 0.001, effect size of 0.471) and mobility (p = 0.001, effect size of 0.472) than control peers. The use of cell phone while performing a secondary motor task affected both groups (p = 0.005, effect size of 0.673 for balance and p = 0.001, effect size of 0.549 for mobility). The dual task impact, however, was higher in the Parkinson's disease group (p = 0.009, effect size of 0.407 for mobility).

Conclusion Daily dual tasks with cell phones increase imbalance and mobility risks in Parkinson's disease. People should be careful when using their cell phone while standing or walking.

Resumo

Antecedentes Aparelhos celulares fazem parte da vida das pessoas. A literatura aponta riscos quando o uso do celular está associado a uma tarefa motora. Estudos abordando esse tema na doença de Parkinson são escassos.

Objetivo Investigar o impacto de tarefas-duplas com o celular sobre equilíbrio e mobilidade de pessoas com doença de Parkinson, na comparação com controles saudáveis.

Métodos Participantes com e sem doença de Parkinson foram submetidos a três tarefas: (1) Ficar em pé e caminhar sem o celular; (2) Ficar em pé e caminhar enquanto conversa ao celular; e (3) Ficar em pé e caminhar enquanto digita mensagens. As avaliações envolveram testes de equilíbrio e mobilidade. Os procedimentos estatísticos envolveram testes de análise múltipla de variâncias, com análise de efeito principal para os fatores grupo (doença de Parkinson × controle), tarefa (com celular × sem celular) e interação (grupo × tarefa). Significância foi estipulada em 5%. Tamanhos de efeito foram reportados.

Resultados Participantes com doença de Parkinson apresentaram pior equilíbrio (p = 0,001; tamanho do efeito: 0,471) e mobilidade (p = 0,001; tamanho do efeito: 0,472) que controles. O uso do celular afetou ambos os grupos (p = 0,005, tamanho do efeito de 0,673 para equilíbrio e p = 0,001, tamanho do efeito de 0,549 para mobilidade). O impacto da tarefa-dupla, contudo, foi maior no grupo Parkinson (p = 0,009; tamanho do efeito de 0,407 para mobilidade).

Conclusão Tarefas simultâneas com o celular causam desequilíbrio e problemas de mobilidade na doença de Parkinson. As pessoas devem ter cuidado ao utilizar celulares durante atividades em pé e ao caminhar.

Keywords

Parkinson Disease - Cell Phone - Attentional Bias - Mobility Limitation - Accidental Falls

Palavras-chave

Doença de Parkinson - Telefone Celular - Viés de Atenção - Limitação da Mobilidade - Acidentes por Quedas

Authors' Contributions

TBL, MNOS, ICP, GC: research idea and study design; TBL, MNOS, ICP, SJLM: data acquisition; TBL, SRMZ, GC: data analysis/interpretation; GC: funding acquisition. All authors have read and agreed to the published version of the manuscript.




Publication History

Received: 07 June 2022

Accepted: 17 November 2022

Article published online:
09 May 2023

© 2023. Academia Brasileira de Neurologia. This is an open access article published by Thieme under the terms of the Creative Commons Attribution 4.0 International License, permitting copying and reproduction so long as the original work is given appropriate credit (https://creativecommons.org/licenses/by/4.0/)

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