Upper and Lower Limbs Dyskinesia Detection for Patients with Parkinson’s Disease

2018 ◽  
Author(s):  
G. Belgiovine ◽  
M. Capecci ◽  
L. Ciabattoni ◽  
M. C. Fiorentino ◽  
G. Foresi ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Lower Limbs

scholarly journals Severe cold lower limbs in patients with Parkinson’s disease during the summer

2016 ◽  
Vol 8 (4) ◽  
Author(s):  
Hiroshi Kataoka ◽  
Satoshi Ueno
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Dopamine Agonist ◽  
Lower Limbs ◽  
Vasomotor Symptoms

Parkinson’s disease (PD) is frequently associated with vasomotor symptoms such as distal cold limbs or sensitivity to cold. Coldness of the lower limbs (COL) usually occurs in winter and is often accompanied by pain, potentially causing difficulty in walking or standing. A standard dopaminergic treatment for such symptoms is yet to be established. We describe two patients with PD, who had severe COL during summer. For example, the patients wore many pairs of socks or used heating appliances in the summer. Severe COL can occur in summertime and can be intolerable or unpleasant, since it can worsen disability. The treatment with a dopamine agonist did not sufficiently decrease the severity of COL.

scholarly journals Effects of using the Nintendo Wii Fit Plus Platform in the sensorimotor training of gait disorders in Parkinson’s disease

2014 ◽  
Vol 6 (1) ◽  
Author(s):  
Giovanna Barros Gonçalves ◽  
Marco Antônio A. Leite ◽  
Marco Orsini ◽  
João Santos Pereira
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Functional Independence Measure ◽  
Functional Independence ◽  
Gait Disorders ◽  
Lower Limbs ◽  
Stair Climbing ◽  
Sensorimotor Training ◽  
Nintendo Wii

The use of the Nintendo Wii has been considered a good alternative in the motor rehabilitation of individuals with Parkinson’s disease (PD), requiring simultaneous interaction to develop strategies for physical, visual, auditory, cognitive, psychological and social activities in the performing of virtual activities, resulting in improvement in functional performance and gait. The aim of this study was to analyze the effect of virtual sensorimotor activity on gait disorders in people with PD. Fifteen subjects with a clinical diagnosis of PD were submitted to the Unified Parkinson’s Disease Rating Scale (UPDRS III), Schwab and England Activities of Daily Living Scale (SE), Functional Independence Measure (FIM), and biomechanical gait analysis using digital images taken with a video camera before and after the treatment program. The activities with the Nintendo Wii virtual platform were standardized into three categories: aerobics, balance and Wii plus exercises. Participants carried out separate virtual exercises for 40 min, twice a week, for a total of 14 sessions. The program improved sensorimotor performance in PD gait, with an increase in stride length and gait speed, in addition to a reduction in motor impairment, especially in items of rigidity and flexibility of the lower limbs evaluated by UPDRS III, and greater functional independence, as evidenced in the SE and FIM scales. Improvements in items related to locomotion and stair climbing were also observed. The training was effective in motor recovery in chronic neurodegenerative diseases, showing improvement in motor performance and functional independence in individuals with PD.

scholarly journals Work and power reduced in L-dopa naïve patients in the early-stages of Parkinson’s disease

2016 ◽  
Vol 74 (4) ◽  
pp. 287-292
Author(s):  
Lidiane Oliveira Lima ◽  
Francisco Cardoso ◽  
Luci Fuscaldi Teixeira-Salmela ◽  
Fátima Rodrigues-de-Paula
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Healthy Subjects ◽  
Lower Limbs ◽  
Control Group ◽  
Isokinetic Dynamometer ◽  
Muscular Performance ◽  
Early Stages ◽  
Rehabilitation Strategies

ABSTRACT Studies which have investigated muscular performance during the initial stages of Parkinson´s disease (PD) without L-dopa treatments were not found. Objective to assess whether muscular performance, work and power, of the trunk and lower limbs in L-dopa naïve patients in the early stages of PD was lower than those of healthy subjects and to compare muscular performance between the lower limbs. Method Ten subjects with PD, Hoehn and Yahr (HY) I-II, L-dopa naïve and 10 subjects in the control group were assessed with the isokinetic dynamometer. Results ANOVAs revealed that work and power measures of the trunk, hip, knee, and ankle muscular groups were lower in PD compared with the control group (p < 0.05). There were no significant differences in muscular performance between the lower limbs. Conclusion The results suggested the use of specific exercises, as rehabilitation strategies, to improve the ability to produce work and power with this population.

scholarly journals Evaluation of Knee Proprioception and Factors Related to Parkinson’s Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-6 ◽  
Author(s):  
Nathalie Ribeiro Artigas ◽  
Giovana Duarte Eltz ◽  
Alexandre Severo do Pinho ◽  
Vanessa Bielefeldt Leotti Torman ◽  
Arlete Hilbig ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Cognitive Ability ◽  
Rating Scale ◽  
Center Of Pressure ◽  
Postural Instability ◽  
Lower Limbs ◽  
Controlled Study ◽  
Motor Symptoms ◽  
Cross Sectional

Background. Changes in proprioception may contribute to postural instability in individuals with neurological disorders. Objectives. Evaluate proprioception in the lower limbs of patients with Parkinson’s disease (PD) and the association between proprioception and cognitive ability, motor symptoms, postural instability, and disease severity. Methods. This is a cross-sectional, controlled study that evaluated proprioception in PD patients and healthy age- and sex-matched individuals. Kinetic postural proprioception of the knee was evaluated using an isokinetic dynamometer (Biodex® Multi-Joint System 4 Pro). Participants were evaluated using the Montreal Cognitive Assessment (MoCA), the Hoehn and Yahr rating scale and postural instability (pull test and stabilometric analysis), and motor function (UPDRS-III) tests. Results. A total of 40 individuals were enrolled in the study: 20 PD patients and 20 healthy controls (CG). The PD patients had higher angular errors on the proprioceptive ratings than the CG participants (p=0.002). Oscillations of the center of pressure (p=0.002) were higher in individuals with PD than in the controls. Proprioceptive errors in the PD patients were associated with the presence of tremors as the dominant symptom and more impaired motor performance. Conclusion. These findings show that individuals with PD have proprioceptive deficits, which are related to decreased cognitive ability and impaired motor symptoms.

Side-effects of L-dopa on venous tone in Parkinson's disease: a leg-weighing assessment

2006 ◽  
Vol 110 (3) ◽  
pp. 369-377 ◽  
Author(s):  
Jean-Pierre Wolf ◽  
Malika Bouhaddi ◽  
Francis Louisy ◽  
Andrei Mikehiev ◽  
Laurent Mourot ◽  
...  
Keyword(s):  
Blood Pressure ◽  
Parkinson’S Disease ◽  
Heart Rate ◽  
Parkinson's Disease ◽  
Side Effects ◽  
Vascular Tone ◽  
Lower Limbs ◽  
Plasma Noradrenaline ◽  
Venous Tone ◽  
Arterial Blood

In the present study, the effects of L-dopa treatment on cardiovascular variables and peripheral venous tone were assessed in 13 patients with Parkinson's disease (PD) with Hoehn and Yahr stages 1–4. Patients were investigated once with their regular treatment and once after 12 h of interruption of L-dopa treatment. L-Dopa intake significantly reduced systolic and diastolic blood pressure, heart rate and plasma noradrenaline and adrenaline in both the supine and upright (60°) positions. A significant reduction in stroke volume and cardiac output was also seen with L-dopa. The vascular status of the legs was assessed through thigh compression during leg weighing, a new technique developed in our laboratory. Healthy subjects were used to demonstrate that this technique provided reproducible results, consistent with those provided by strain gauge plethysmography of the calf. When using this technique in patients with PD, L-dopa caused a significant lowering of vascular tone in the lower limbs as shown, in particular, by an increase in venous distensibility. Combined with the results of the orthostatic tilting, these findings support that the treatment-linked lowering of plasma noradrenaline in patients with PD was concomitant with a significant reduction in blood pressure, heart rate and vascular tone in the lower limbs. These pharmacological side-effects contributed to reduce venous return and arterial blood pressure which, together with a lowered heart rate, worsened the haemodynamic status.

scholarly journals Application of nonlinear analysis for the assessment of gait in patients with Parkinson’s disease

2021 ◽  
pp. 1-8
Author(s):  
Donatas Lukšys ◽  
Julius Griškevičius
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Rating Scale ◽  
Lower Limbs ◽  
Nonlinear Method ◽  
Nonlinear Parameters ◽  
Kinematic Data ◽  
Disease Rating ◽  
Measurement Units ◽  
Updrs Score

BACKGROUND: Gait can be affected by diseases such as Parkinson’s disease (PD), which lead to alterations like shuffle gait or loss of balance. PD diagnosis is based on subjective measures to generate a score using the Unified Parkinson’s Disease Rating Scale (UPDRS). To improve clinical assessment accuracy, gait analysis can utilise linear and nonlinear methods. A nonlinear method called the Lyapunov exponent (LE) is being used to identify chaos in dynamic systems. This article presents an application of LE for diagnosing PD. OBJECTIVE: The objectives were to use the largest Lyapunov exponents (LaLyEx), sample entropy (SampEn) and root mean square (RMS) to assess the gait of subjects diagnosed with PD; to verify the applicability of these parameters to distinguish between people with PD and healthy controls (CO); and to differentiate subjects within the PD group according to the UPDRS assessment. METHODS: The subjects were divided into the CO group (n= 12) and the PD group (n= 14). The PD group was also divided according to the UPDRS score: UPDRS 0 (n= 7) and UPDRS 1 (n= 7). Kinematic data of lower limbs were measured using inertial measurement units (IMU) and nonlinear parameters (LaLyEx, SampEn and RMS) were calculated. RESULTS: There were significant differences between the CO and PD groups for RMS, SampEn and the LaLyEx. After dividing the PD group according to the UPDRS score, there were significant differences in LaLyEx and RMS. CONCLUSIONS: The selected parameters can be used to distinguish people with PD from CO subjects, and separate people with PD according to the UPDRS score.

scholarly journals BACKWARD WALKING AS A NEW TECHNIQUE FOR PHYSICAL REHABILITATION

2018 ◽  
Vol 17 (1) ◽  
pp. 4-8
Author(s):  
Aleksey Viktorovich Klemenov
Keyword(s):  
Multiple Sclerosis ◽  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Athletic Training ◽  
Anaerobic Capacity ◽  
Physical Rehabilitation ◽  
Lower Limbs ◽  
Physical Endurance ◽  
Backward Walking ◽  
A New Technique

Backward locomotion (backward walking and running) is increasingly used in sports and medicine. Kinetic and kinematic analysis of backward walking showed its advantages over the usual method of movement that can be successfully used in the athletic training and for treatment and rehabilitation after various diseases. During sports training backward walking/running can be used as one of the methods of fitness to improve physical endurance. Backward walking leads to a more cardiovascular and respiratory load and a more significant aerobic and anaerobic capacity of the organism compared with forward walking at similar parameters of physical activity. Backward walking is associated with less overload on knee joints, it is also one of the few natural ways of strengthening the quadriceps. Backward walking is used to elaborate the correct pattern of gait in children with cerebral palsy, in persons with hemiplegia after stroke, in patients suffering from Parkinson’s disease and multiple sclerosis, in spinal cord injured patients. Regular backward walking trainings improve spatial-temporal parameters of walking and balance, increase muscle strength of the lower limbs in these diseases. There is an information about the application of backward walking exercises in diabetic foot syndrome in order to reduce a plantar pressure and in physical rehabilitation of postoperative patients. Tests with backward walking are used for diagnostic purposes - to assess the severity of impaired coordination and motor skills in post-stroke patients and in Parkinson’s disease, to identify the minimal walking impairment in persons with multiple sclerosis and for probability of falling prediction in elderly individuals and patients with dizziness.

scholarly journals Muscle Fatigue Does Not Change the Effects on Lower Limbs Strength Caused by Aging and Parkinson’s Disease

2018 ◽  
Vol 9 (6) ◽  
pp. 988 ◽  
Author(s):  
Vinicius Alota Ignacio Pereira ◽  
Fabio Augusto Barbieri ◽  
Alessandro Moura Zagatto ◽  
Paulo Cezar Rocha dos Santos ◽  
Lucas Simieli ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Muscle Fatigue ◽  
Lower Limbs
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