Effect of three cueing devices for people with Parkinson's disease with gait initiation difficulties

McCandless, Paula; Evans, Brenda Joy; Janssen, Jessie; Selfe, James; Churchill, Andrew; Richards, Jim

doi:10.1016/j.gaitpost.2015.11.006

Cited by 59 publications

(63 citation statements)

References 28 publications

(34 reference statements)

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…Cueing using laser shoes was associated with a significant reduction in the number and duration of FOG episodes, both "off" and "on" medication [160]. Besides, in McCandless et al's study, rhythmic tactile stimulation (pulsed vibration) was provided at an adjustable tempo of 10 to 280 beats/minute via a vibration clip attached anteriorly over the right side of the user's pelvis [161]. Results showed an immediate positive effect on the mean percentage of Off-FOG episodes during the walking task in 20 PD patients.…”

Section: Physiotherapymentioning

confidence: 99%

Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments

Gao

Tan

et al. 2020

Transl Neurodegener

120

View full text Add to dashboard Cite

Background: Freezing of gait (FOG) is a common, disabling symptom of Parkinson's disease (PD), but the mechanisms and treatments of FOG remain great challenges for clinicians and researchers. The main focus of this review is to summarize the possible mechanisms underlying FOG, the risk factors for screening and predicting the onset of FOG, and the clinical trials involving various therapeutic strategies. In addition, the limitations and recommendations for future research design are also discussed. Main body: In the mechanism section, we briefly introduced the physiological process of gait control and hypotheses about the mechanism of FOG. In the risk factor section, gait disorders, PIGD phenotype, lower striatal DAT uptake were found to be independent risk factors of FOG with consistent evidence. In the treatment section, we summarized the clinical trials of pharmacological and non-pharmacological treatments. Despite the limited effectiveness of current medications for FOG, especially levodopa resistant FOG, there were some drugs that showed promise such as istradefylline and rasagiline. Non-pharmacological treatments encompass invasive brain and spinal cord stimulation, noninvasive repetitive transcranial magnetic stimulation (rTMS) or transcranial direct current stimulation (tDCS) and vagus nerve stimulation (VNS), and physiotherapeutic approaches including cues and other training strategies. Several novel therapeutic strategies seem to be effective, such as rTMS over supplementary motor area (SMA), dual-site DBS, spinal cord stimulation (SCS) and VNS. Of physiotherapy, wearable cueing devices seem to be generally effective and promising.Conclusion: FOG model hypotheses are helpful for better understanding and characterizing FOG and they provide clues for further research exploration. Several risk factors of FOG have been identified, but need combinatorial optimization for predicting FOG more precisely. Although firm conclusions cannot be drawn on therapeutic efficacy, the literature suggested that some therapeutic strategies showed promise.

show abstract

Section: Physiotherapymentioning

confidence: 99%

Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments

Gao

Tan

et al. 2020

Transl Neurodegener

120

View full text Add to dashboard Cite

show abstract

“…The use of a walking stick or a laser cane improves the forward/backward and side to side movements comparing to the use of a vibrating metronome [6,11]. Gait patterns of PD patients walking straight on a level ground without assistance were well investigated [2,4,12,13].…”

Section: Introductionmentioning

confidence: 99%

Gait Study of Parkinson's Disease Subjects using Haptic Cues with A Motorized Walker

Zhang¹,

Artan²,

Gu³

et al. 2018

Preprint

View full text Add to dashboard Cite

Gait abnormalities are one of the distinguishing symptoms of patients with Parkinson's disease (PD) that contribute to fall risk. Our study compares the gait parameters of people with PD when they walk through a predefined course without assistance, with a conventional walker, and with a motorized walker under different speed cues. Six PD subjects were recruited at the New York Institute of Technology College of Osteopathic Medicine to participate in this study. Spatial posture and gait data of the test subjects were collected via a VICON motion capture system. We developed a framework to process and extract gait features and applied statistical analysis on these features to examine the significance of the findings. The results showed that motorized walkers with haptic cues significantly improved gait symmetry of PD subjects. Specifically, the asymmetry index of the gait cycle time was reduced from 6.7% when walking without assistance to 0.56% and below when using a walker. Furthermore, the double support time of a gait cycle was reduced by 4.88% compared to walking without assistance.

show abstract

“…A growing body of research has demonstrated that individuals with PD can benefit from various cueing devices [ 6 , 7 , 8 ]. Individuals with PD increased their pedaling rate under auditory cueing (provided by a metronome) and visual cueing (presented as central road markers) conditions [ 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

“…Individuals with PD can benefit from haptic (touch and proprioception) feedback to improve balance. Haptic cues from the use of a walking stick [ 11 ], and visual cues from a laser cane reduce forward/backward and side to side movements [ 6 ]. Gait patterns of PD patients walking straight on a level ground without assistance were well investigated [ 2 , 4 , 12 , 13 ].…”

Section: Introductionmentioning

confidence: 99%

Gait Study of Parkinson’s Disease Subjects Using Haptic Cues with A Motorized Walker

Zhang

Artan

et al. 2018

Sensors

View full text Add to dashboard Cite

Gait abnormalities are one of the distinguishing symptoms of patients with Parkinson’s disease (PD) that contribute to fall risk. Our study compares the gait parameters of people with PD when they walk through a predefined course under different haptic speed cue conditions (1) without assistance, (2) pushing a conventional rolling walker, and (3) holding onto a self-navigating motorized walker under different speed cues. Six people with PD were recruited at the New York Institute of Technology College of Osteopathic Medicine to participate in this study. Spatial posture and gait data of the test subjects were collected via a VICON motion capture system. We developed a framework to process and extract gait features and applied statistical analysis on these features to examine the significance of the findings. The results showed that the motorized walker providing a robust haptic cue significantly improved gait symmetry of PD subjects. Specifically, the asymmetry index of the gait cycle time was reduced from 6.7% when walking without assistance to 0.56% and below when using a walker. Furthermore, the double support time of a gait cycle was reduced by 4.88% compared to walking without assistance.

show abstract

Effect of three cueing devices for people with Parkinson's disease with gait initiation difficulties

Cited by 59 publications

References 28 publications

Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments

Freezing of gait in Parkinson’s disease: pathophysiology, risk factors and treatments

Gait Study of Parkinson's Disease Subjects using Haptic Cues with A Motorized Walker

Gait Study of Parkinson’s Disease Subjects Using Haptic Cues with A Motorized Walker

Contact Info

Product

Resources

About