Balance and Gait Rehabilitation in Patients with Parkinson’s Disease

Smania, Nicola; Picelli, Alessandro; Geroin, Christian; Ianes, Patrizia; Marchina, Elisabetta La; Zenorini, Andrea; Gandolfi, Marialuisa

doi:10.5772/22561

Cited by 7 publications

(4 citation statements)

References 174 publications

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“…Disturbances of gait in Parkinson’s disease, such as hesitation of gait initiation and freezing, may particularly contribute to a reduced sense of independence and increased disability – in part due to their intermittent and unpredictable nature (Smania et al, 2011 ). Indeed, Moore et al ( 2007 ) found a negative correlation between the incidence of freezing and patients’ quality of life, suggesting that challenges to gait are of particular concern in the treatment of the disorder.…”

Section: Discussionmentioning

confidence: 99%

Moving Forward with Prisms: Sensory-Motor Adaptation Improves Gait Initiation in Parkinson’s Disease

Bultitude¹,

Rafal²,

Tinker³

2012

Front. Neur.

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It is postulated that the decreased walking speed; small, shuffling steps; and “freezing” shown by patients with Parkinson’s disease could stem from an inability to tilt the body forward enough to provide sufficient forward propulsion. In two repeated-measures studies we examined whether adaptation to upward-shifting prisms, resulting in a downward after-effect, could improve gait initiation in healthy participants and patients with Parkinson’s disease. Faster forward stepping followed a brief (5 min) exposure period for patients, and a longer (20 min) exposure period for age-matched controls. Backward stepping was unchanged, and adaptation to downward-shifting prisms with control participants showed no effect on forward or backward stepping. These results suggest that adaptation of arm proprioception in the vertical plane may generalize to anterior-posterior postural control, presenting new possibilities for the treatment of gait disturbance in basal ganglia disorders.

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Section: Discussionmentioning

confidence: 99%

Moving Forward with Prisms: Sensory-Motor Adaptation Improves Gait Initiation in Parkinson’s Disease

Bultitude¹,

Rafal²,

Tinker³

2012

Front. Neur.

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“…Impaired postural control results in substantial functional limitations in advanced age (Maki and McIlroy, 1996) and in pathological ageing conditions like stroke (Beyaert et al, 2015), Parkinson's disease (Schoneburg et al, 2013) or multiple sclerosis (Huisinga et al, 2012). Although rehabilitation and conditioning programs have shown promising results in recovery of postural control, those interventions are typically time and cost intensive and may only yield moderate effects (Howard-Wilsher et al, 2016, Smania et al, 2011, Yitayeh and Teshome, 2016. Optimizing the effectiveness of such interventions by reducing the time and effort required to achieve beneficial outcomes is therefore of utmost importance for aging societies worldwide.…”

Section: Introductionmentioning

confidence: 99%

Cerebellar transcranial direct current stimulation improves adaptive postural control

Poortvliet

Hsieh

Cresswell

et al. 2018

Clinical Neurophysiology

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“…Thus balance is controlled by the interaction of nervous, musculoskeletal and contextual effects. 2 The old age population which is consider a person above 60 year age has serious concerns regarding the postural stability. 3 The old age and fall both are interlinked and associated with each other, the fall leads to the dependence of person on others which ultimately produce the immobility.…”

Section: Introductionmentioning

confidence: 99%

Differences in Balance and Activity Confidence Between Geriatric Population of Hilly and Plain Area

Sultana

Ramzan²,

Malik

2017

T Rehabili. J.

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Objective: This study aims to explore differences in balance and activity confidence between geriatric population of hilly and plain areas. Material & Method: This study was a comparative cross sectional survey conducted 60 years or above geriatric population from hilly and plain areas. The sample (n=204) were collected through convenient sampling technique. The sample was divided into two groups Group A (Hilly area, n= 102) and Group B (Plain area, n=102). The informed consent was taken and demographic was noted. The standardized balance assessment tool includes Berg Balance Scale, activity balance confidence test (ABC) and time up and go test were used for balance assessment. Data was analyzed through SPSS ver 21. Results: There is no statistically significant difference in balance, activity confidence and time up and go test of both groups. But activity confidence is significantly more in male as compare to female (p=0.00) Conclusion: The populations of plain and hilly areas have almost same level of postural control and stability. But activity balance confidence is more in male as compare to female. Key words: Balance problems, Geriatric population, Postural control

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Balance and Gait Rehabilitation in Patients with Parkinson’s Disease

Cited by 7 publications

References 174 publications

Moving Forward with Prisms: Sensory-Motor Adaptation Improves Gait Initiation in Parkinson’s Disease

Moving Forward with Prisms: Sensory-Motor Adaptation Improves Gait Initiation in Parkinson’s Disease

Cerebellar transcranial direct current stimulation improves adaptive postural control

Differences in Balance and Activity Confidence Between Geriatric Population of Hilly and Plain Area

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