Action observation and motor imagery in Parkinson's disease patients with postural instability and gait disorders: a gait analysis and functional MRI study

2019 ◽  
Vol 74 ◽  
pp. 34-35
Author(s):  
E. Sarasso ◽  
F. Agosta ◽  
A. Gardoni ◽  
M.A. Volontè ◽  
A. Tettamanti ◽  
...  
Author(s):  
Elisabetta Sarasso ◽  
Andrea Gardoni ◽  
Noemi Piramide ◽  
Maria Antonietta Volontè ◽  
Elisa Canu ◽  
...  

2019 ◽  
Author(s):  
Isaíra Almeida Pereira da Silva Nascimento ◽  
Lorenna Santiago ◽  
Aline Alves De Souza ◽  
Camila De Lima Pegado ◽  
Tatiana Ribeiro ◽  
...  

Abstract Background: Gait disorders in individuals with Parkinson’s Disease (PD) may be associated with alterations in the motor control system and aggravated by psychoemotional and cognitive issues. Therapeutic strategies aimed at self-perception and motor regulation seem to be promising. Motor imagery (MI) has been shown to be one of these strategies, but there is still no clear evidence of its applicability in this population. The aim of this trial is to determine the effects of motor imagery training on the gait and electroencephalographic activity of individuals with PD. Methods: The sample consisted of 40 individuals, aged between 45 and 75 years, in the mild and moderate phase of the disease, with the ability to generate voluntary mental images. They will be assessed for cognitive level, degree of physical disability, mental image clarity, kinematic gait variables, electroencephalographic activity and mobility. Next, subjects will be randomly assigned to an experimental (EG) and control group (CG). The EG will perform motor imagery and gait, while the CG will only engage in gait exercises. Twelve training sessions will be conducted lasting up to 90 minutes each, 3 times a week, for 4 weeks. They will be reassessed on the kinematic variables of gait, electroencephalographic activity and mobility, one, seven and thirty days after the final training session. Discussion: The results may provide an important advance in neurological rehabilitation. An easy-access and low-cost intervention may help improve gait, electroencephalographic activity and mobility in individuals with PD. Trial Registration: Clinicaltrials.gov: NCT03439800. Registered 15 November 2017. Keywords: Parkinson’s disease; Rehabilitation; Cerebral activation; Neurological gait disorders.


2015 ◽  
Vol 2015 ◽  
pp. 1-9 ◽  
Author(s):  
Giovanni Abbruzzese ◽  
Laura Avanzino ◽  
Roberta Marchese ◽  
Elisa Pelosin

Parkinson’s disease (PD) is characterized by a progressive impairment of motor skills with deterioration of autonomy in daily living activities. Physiotherapy is regarded as an adjuvant to pharmacological and neurosurgical treatment and may provide small and short-lasting clinical benefits in PD patients. However, the development of innovative rehabilitation approaches with greater long-term efficacy is a major unmet need. Motor imagery (MI) and action observation (AO) have been recently proposed as a promising rehabilitation tool. MI is the ability to imagine a movement without actual performance (or muscle activation). The same cortical-subcortical network active during motor execution is engaged in MI. The physiological basis of AO is represented by the activation of the “mirror neuron system.” Both MI and AO are involved in motor learning and can induce improvements of motor performance, possibly mediated by the development of plastic changes in the motor cortex. The review of available evidences indicated that MI ability and AO feasibility are substantially preserved in PD subjects. A few preliminary studies suggested the possibility of using MI and AO as parts of rehabilitation protocols for PD patients.


2013 ◽  
Vol 19 (8) ◽  
pp. 585-595 ◽  
Author(s):  
Sung-Ho Lee ◽  
Geon-Ho Jahng ◽  
Il-Hwan Choe ◽  
Chi-Bong Choi ◽  
Dae-Hyun Kim ◽  
...  

2019 ◽  
Vol 266 (11) ◽  
pp. 2764-2771 ◽  
Author(s):  
Kévin Ahrweiller ◽  
J. F. Houvenaghel ◽  
A. Riou ◽  
S. Drapier ◽  
P. Sauleau ◽  
...  

2016 ◽  
Vol 2016 ◽  
pp. 1-8 ◽  
Author(s):  
Judith Bek ◽  
Jordan Webb ◽  
Emma Gowen ◽  
Stefan Vogt ◽  
Trevor J. Crawford ◽  
...  

Background. Action observation and motor imagery activate neural structures involved in action execution, thereby facilitating movement and learning. Although some benefits of action observation and motor imagery have been reported in Parkinson’s disease (PD), methods have been based on stroke rehabilitation and may be less suitable for PD. Moreover, previous studies have focused on either observation or imagery, yet combining these enhances effects in healthy participants. The present study explores the feasibility of a PD-specific home-based intervention combining observation, imagery, and imitation of meaningful everyday actions.Methods. A focus group was conducted with six people with mild to moderate PD and two companions, exploring topics relating to the utility and feasibility of a home-based observation and imagery intervention.Results. Five themes were identified. Participants reported their experiences of exercise and use of action observation and motor imagery in everyday activities, and the need for strategies to improve movement was expressed. Motivational factors including feedback, challenge, and social support were identified as key issues. The importance of offering a broad range of actions and flexible training was also highlighted.Conclusions. A home-based intervention utilising action observation and motor imagery would be useful and feasible in mild to moderate PD.


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