Absent Arm Swing and Dual Tasking Decreases Trunk Postural Control and Dynamic Balance in People With Parkinson's Disease

AbstractThe evidence of the responsiveness of dopaminergic medication on gait in patients with Parkinson’s disease is contradicting. This could be due to differences in complexity of the context gait was in performed. This study analysed the effect of dopaminergic medication on arm swing, an important movement during walking, in different contexts. Forty-five patients with Parkinson’s disease were measured when walking at preferred speed, fast speed, and dual-tasking conditions in both OFF and ON medication states. At preferred, and even more at fast speed, arm swing improved with medication. However, during dual-tasking, there were only small or even negative effects of medication on arm swing. Assuming that dual-task walking most closely reflects real-life situations, the results suggest that the effect of dopaminergic medication on mobility-relevant movements, such as arm swing, might be small in everyday conditions. This should motivate further studies to look at medication effects on mobility in Parkinson’s disease, as it could have highly relevant implications for Parkinson’s disease treatment and counselling.

Download Full-text

Effect of clinical Pilates training on balance and postural control in patients with Parkinson’s disease: a randomized controlled trial

Journal of Comparative Effectiveness Research ◽

10.2217/cer-2021-0091 ◽

2021 ◽

Author(s):

Fahriye Çoban ◽

Beliz Belgen Kaygısız ◽

Ferda Selcuk

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Postural Control ◽

Dynamic Balance ◽

Controlled Trial ◽

Functional Mobility ◽

Clinical Trial Registration ◽

Exercise Period ◽

Registration Number ◽

Conventional Physiotherapy

Background: Clinical pilates exercises have been shown to improve balance. Our study aims to compare effects of clinical Pilates and conventional physiotherapy exercises on balance and postural control in Parkinson’s disease patients. Materials & methods: Forty patients were randomly assigned into either clinical Pilates (CLP) or conventional physiotherapy (COP) group. Exercises were performed twice a week for 8 weeks. Balance, lower-extremity strength, fall risk and functional mobility were assessed at the beginning and end of the exercise period. Results: All measurements indicated significant increase in two groups (p < 0.05). Compared with the COP group, the CLP group showed significant improvement in dynamic balance values (p < 0.05). Conclusion: CLP was as effective as COP, with better dynamic balance results, and could be used in rehabilitation for patients with Parkinson’s disease. Clinical trial registration number: NCT04063605 .

Download Full-text

Neurophysiological Aspects of postural control training in Parkinson's disease

Klinische Neurophysiologie ◽

10.1055/s-2006-939157 ◽

2006 ◽

Vol 37 (01) ◽

Author(s):

C Haas ◽

S Turbanski ◽

D Schmidtbleicher

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Postural Control

Download Full-text

The Effect of Clinical Pilates Training on Balance and Postural Control of People With Parkinson's Disease.

Case Medical Research ◽

10.31525/ct1-nct04063605 ◽

2019 ◽

Author(s):

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Postural Control

Download Full-text

Relationship between Muscular Activity and Postural Control Changes after Proprioceptive Focal Stimulation (Equistasi®) in Middle-Moderate Parkinson’s Disease Patients: An Explorative Study

Sensors ◽

10.3390/s21020560 ◽

2021 ◽

Vol 21 (2) ◽

pp. 560

Author(s):

Fabiola Spolaor ◽

Marco Romanato ◽

Guiotto Annamaria ◽

Antonella Peppe ◽

Leila Bakdounes ◽

...

Keyword(s):

Parkinson’S Disease ◽

Parkinson's Disease ◽

Postural Control ◽

Quantitative Estimation ◽

Force Plate ◽

Muscular Activity ◽

Rectus Femoris ◽

Biceps Femoris ◽

Eyes Open ◽

Romberg Test

The aim of this study was to investigate the effects of Equistasi®, a wearable device, on the relationship between muscular activity and postural control changes in a sample of 25 Parkinson’s disease (PD) subjects. Gait analysis was carried out through a six-cameras stereophotogrammetric system synchronized with two force plates, an eight-channel surface electromyographic system, recording the activity of four muscles bilaterally: Rectus femoris, tibialis anterior (TA), biceps femoris, and gastrocnemius lateralis (GL). The peak of the envelope (PoE) and its occurrence within the gait cycle (position of the peak of the envelope, PPoE) were calculated. Frequency-domain posturographic parameters were extracted while standing still on a force plate in eyes open and closed conditions for 60 s. After the treatment with Equistasi®, the mid-low (0.5–0.75) Hz and mid-high (0.75–1 Hz) components associated with the vestibular and somatosensory systems, PoE and PPoE, displayed a shift toward the values registered on the controls. Furthermore, a correlation was found between changes in proprioception (power spectrum frequencies during the Romberg Test) and the activity of GL, BF (PoE), and TA (PPoE). Results of this study could provide a quantitative estimation of the effects of a neurorehabilitation device on the peripheral and central nervous system in PD.

Download Full-text