Characteristics associated with freezing of gait in actual daily living in Parkinson’s disease

Ishii, Mitsuaki; Okuyama, Kohei

doi:10.1589/jpts.29.2151

Cited by 11 publications

(9 citation statements)

References 25 publications

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“…Indeed, in many patients suffering from FOG, despite experiencing FOG during daily living, it is often difficult to observe FOG episodes during examinations conducted in clinical settings. The presence of FOG needs to be often provoked by FOG-provoking tasks or to be measured during more complex circumstances [ 40 – 42 ]. In this study, we measured spatiotemporal parameters of gait during a simple walking task (straight walking at self-selected speed) and this could explain why we did not find differences between the two PD groups.…”

Section: Discussionmentioning

confidence: 99%

Functional Correlates of Action Observation of Gait in Patients with Parkinson’s Disease

et al. 2020

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Background. Action observation (AO) relies on the mirror neuron system (MNS) and has been proposed as a rehabilitation tool in Parkinson’s disease (PD), in particular for gait disorder such as freezing of gait (FOG). In this study, we aimed to explore the brain functional correlates of the observation of human gait in PD patients with (FOG+) and without (FOG-) FOG and to investigate a possible relationship between AO-induced brain activation and gait performance. Methods. Fifty-four participants were enrolled in the study (15 PD FOG+; 18 PD FOG-; 21 healthy subjects (HS)) which consisted of two tasks in two separate days: (i) gait assessment and (ii) task-fMRI during AO of gait. Differences between patients with PD (FOG+ and FOG-) and HS were assessed at the level of behavioral and functional analysis. Results. Gait parameters, including gait velocity, stride length, and their coefficients of variability (CV), were different in PD patients compared to HS, whereas gait performance was similar between FOG+ and FOG-. The PD group, compared to HS, presented reduced functional activation in the frontal, cingulum, and parietooccipital regions. Reduced activity was more pronounced in the FOG+ group, compared to both HS and FOG- groups. Gait variability positively correlated with precuneus neural activity in the FOG+ group. Discussion. Patients with PD present a reduced functional activity during AO of gait, especially if FOG+. A baseline knowledge of the neural correlates of AO of gait in the clinical routine “on” status would help for the design of future AO rehabilitative interventions.

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Section: Discussionmentioning

confidence: 99%

Functional Correlates of Action Observation of Gait in Patients with Parkinson’s Disease

et al. 2020

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“…This results in a huge personal strain on the PwP, including their carer(s) and substantial economical strain on the health system. Beyond its direct effect on gait, living with FoG has additional PD associated non-motor complications such as anxiety, social isolation and depression and dramatically affects the person’s quality of life (QoL) [14,15,16,17,18,19].…”

Section: Introductionmentioning

confidence: 99%

A Technological Review of Wearable Cueing Devices Addressing Freezing of Gait in Parkinson’s Disease

Sweeney

Quinlan

Browne

et al. 2019

Sensors

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Freezing of gait is one of the most debilitating symptoms of Parkinson’s disease and is an important contributor to falls, leading to it being a major cause of hospitalization and nursing home admissions. When the management of freezing episodes cannot be achieved through medication or surgery, non-pharmacological methods such as cueing have received attention in recent years. Novel cueing systems were developed over the last decade and have been evaluated predominantly in laboratory settings. However, to provide benefit to people with Parkinson’s and improve their quality of life, these systems must have the potential to be used at home as a self-administer intervention. This paper aims to provide a technological review of the literature related to wearable cueing systems and it focuses on current auditory, visual and somatosensory cueing systems, which may provide a suitable intervention for use in home-based environments. The paper describes the technical operation and effectiveness of the different cueing systems in overcoming freezing of gait. The “What Works Clearinghouse (WWC)” tool was used to assess the quality of each study described. The paper findings should prove instructive for further researchers looking to enhance the effectiveness of future cueing systems.

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“…In some descriptions of our participants, the attributes of self-management, integrity and active adjustment to a disease were also present. Ishii and Okuyama (2017) state that unpredictable and difficult to control PD symptoms have a negative impact on the management of everyday activities. This causes frustration, helplessness, and increased awareness of a lack of physical and cognitive control.…”

Section: Discussionmentioning

confidence: 99%

Lived experience of outpatients with Parkinson's disease: an interpretative phenomenological analysis

Tomagová¹,

Bóriková²,

Lepiešová³

et al. 2021

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Introduction:The chronic, degenerative and progressive character of Parkinson's disease (PD) is reflected in the living experience of patients -and it also has an impact on their dignity. Aim: The aim of the study was to increase the understanding of the lived experience of outpatients with PD and its impact on their dignity. Methods: The study design is explorative using interpretative phenomenological analysis (IPA). Semi-structured interviews were held with 11 participants with PD between February-May 2018. Interviews were conducted as individual face-to-face interviews, in privacy with no involvement of family members according to the interview protocol. Data analysis was performed according to IPA process using the ATLAS.ti 8.0 program. Results: Our study identified five themes that reflect the lived experience of outpatients with PD: Me and my Parkinson's: losses, acceptance and coping; The Need to Remain Self-sufficient versus the Fear of Dependence; How Do Others See Me: Scorn versus Acceptance; Lack of Information versus the Need to Be Informed; Lack of Respect versus the Accommodating Approach of Healthcare Professionals. We discovered their impact on dignity, especially in the areas concerning autonomy, self-esteem, self-worth, identity, respect, and other people's appreciation. Conclusions: Patients with PD are confronted with many serious changes on a daily basis, which significantly influence their dignity. This fact must be known and respected by health care professionals when providing patient-oriented care.

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Characteristics associated with freezing of gait in actual daily living in Parkinson’s disease

Cited by 11 publications

References 25 publications

Functional Correlates of Action Observation of Gait in Patients with Parkinson’s Disease

Functional Correlates of Action Observation of Gait in Patients with Parkinson’s Disease

A Technological Review of Wearable Cueing Devices Addressing Freezing of Gait in Parkinson’s Disease

Lived experience of outpatients with Parkinson's disease: an interpretative phenomenological analysis

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