Three simple clinical tests to accurately predict falls in people with Parkinson's disease

2013 ◽  
Vol 28 (5) ◽  
pp. 655-662 ◽  
Author(s):  
Serene S. Paul ◽  
Colleen G. Canning ◽  
Catherine Sherrington ◽  
Stephen R. Lord ◽  
Jacqueline C. T. Close ◽  
...  
Author(s):  
Naiqian Zhi ◽  
Beverly K. Jaeger ◽  
Andrew Gouldstone ◽  
Samuel Frank ◽  
Rifat Sipahi

Movement disorders associated with Essential Tremor (ET) and Parkinson’s disease (PD) can negatively impact use of the upper limb for many precision tasks, including handwriting. Both ET and PD can be assessed through clinical tests which are, however, relatively subjective. This assessment approach possesses inherent logistical and resolution limitations. To address this, here we present objective computerized metrics intended to assess and quantify the extent to which static writing samples display the effects of ET and PD. Specifically, these metrics are tested in their ability to measure tremor by comparing unaffected writing samples with those affected by artificially induced tremor on healthy subjects, and also by comparing healthy writing samples with symptomatic writing samples collected from PD patients reporting micrographia. Our findings indicate that the presented metrics can be utilized for assessment, leading to a toolset capable of objectively monitoring static handwriting changes associated with symptom variations in ET and/or PD patients.


1998 ◽  
Vol 78 (6) ◽  
pp. 577-592 ◽  
Author(s):  
Fiona Smithson ◽  
Meg E Morris ◽  
Robert Iansek

2007 ◽  
Vol 22 (5) ◽  
pp. 640-644 ◽  
Author(s):  
Kuen Lam ◽  
Florence Kwai Yi Lam ◽  
Kwok Kwong Lau ◽  
Yiu Kay Chan ◽  
Elaine Yee Ling Kan ◽  
...  

Author(s):  
Nuriye Yıldırım Gökay ◽  
Bülent Gündüz ◽  
Fatih Söke ◽  
Recep Karamert

Purpose The effects of neurological diseases on the auditory system have been a notable issue for investigators because the auditory pathway is closely associated with neural systems. The purposes of this study are to evaluate the efferent auditory system function and hearing quality in Parkinson's disease (PD) and to compare the findings with age-matched individuals without PD to present a perspective on aging. Method The study included 35 individuals with PD (mean age of 48.50 ± 8.00 years) and 35 normal-hearing peers (mean age of 49 ± 10 years). The following tests were administered for all participants: the first section of the Speech, Spatial and Qualities of Hearing Scale; pure-tone audiometry, speech audiometry, tympanometry, and acoustic reflexes; and distortion product otoacoustic emissions (DPOAEs) and contralateral suppression of DPOAEs. SPSS Version 25 was used for statistical analyses, and values of p < .05 were considered statistically significant. Results There were no statistically significant differences in the pure-tone audiometry thresholds and DPOAE responses between the individuals with PD and their normal-hearing peers ( p = .732). However, statistically significant differences were found between the groups in suppression levels of DPOAEs and hearing quality ( p < .05). In addition, a statistically significant and positive correlation was found between the amount of suppression at some frequencies and the Speech, Spatial and Qualities of Hearing Scale scores. Conclusions This study indicates that medial olivocochlear efferent system function and the hearing quality of individuals with PD were affected adversely due to the results of PD pathophysiology on the hearing system. For optimal intervention and follow-up, tasks related to hearing quality in daily life can also be added to therapies for PD.


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