Medication status and dual-tasking on turning strategies in Parkinson disease

Adamson, M.; Gilmore, Greydon; Stratton, Tyler W.; Baktash, Navid; Jog, Mandar

doi:10.1016/j.jns.2018.11.028

Cited by 6 publications

(11 citation statements)

References 22 publications

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“…The database search yielded a total of 735 studies; 53[8-11, 19, 20, 25-71] ultimately met the eligibility criteria and were included in the systematic review ( Figure 2 ). The rationales for the exclusion of studies during the full-text screening process were incorrect outcome (47%), without the control group (21%), non-peer review journal (16%), and non-musculoskeletal or nervous system diseases (16%).…”

Section: Resultsmentioning

confidence: 99%

“…In 24 studies[8, 9, 11, 25, 27-30, 34, 35, 38, 40, 42, 47, 49, 50, 55, 58, 62-65, 68, 70], the tasks were set the turning position with the center locations marked by cones, poles, stanchions, reflective markers, or tapes. Seven studies[31, 32, 39, 44, 51, 61, 71] defined the foot position of turning with a force plate.…”

Section: Resultsmentioning

confidence: 99%

“…Regarding strategy parameters, the turn type was likely to be disease dependent[51, 54, 67]. The patients with PD[8, 29] and CA[51] tended to avoid spin turn and select multi-step turn while turn type selection in patients with stroke was similar to controls[54]. Spin turn is known as efficient but unstable because the COM move out of the base of support.…”

Section: Discussionmentioning

confidence: 99%

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Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Ogawa

Takeda²,

Yoshino

et al. 2022

Preprint

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Background: Patients with nervous system and musculoskeletal diseases display gait disturbance that is a leading cause of falls. Identification of disease-specific movement hallmarks is therefore an essential first step in preventing falls. Since turning, a common daily activity, is a unique movement that requires inter-limb spatial coordination, turning may be a suitable observational target for the identification of disease-specific movement disorder. However, to date, few comprehensive systematic review regarding disease-specific alterations in turning movement is available. Research question: This systematic review with meta-analysis summarized the level of knowledge regarding movement disorders during turning in patients with nervous system and musculoskeletal diseases. Methods: A systematic review was conducted of papers throughout 2021 in accordance with PRISMA guideline. Including criteria were (1) were published in a peer-reviewed journal, (2) were written in English, (3) included adult patients who were diagnosed with musculoskeletal or nervous system diseases, (4) had a control group of age-matched healthy adults, and (5) outcomes included turning parameters. Results: Meta-analysis revealed a significantly larger step number, longer turn duration, and shorter step length in patients with Parkinson's disease (PD) than in controls during the 180 degree turn, suggesting that these biomechanical alterations may be, at least in part, movement disorders associated with PD. Notably, this review identified methodological heterogeneity for turning movement assessments, which limited the identification of disease-specific movement disorders. Significance: This work serves as a call to action for the establishment of a standard assessment protocol towards the identification of disease-specific turning movement disorders and effective disease screening.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Ogawa

Takeda²,

Yoshino

et al. 2022

Preprint

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“…Increased turning angle and speed were observed during 90 • and 180 • turning tasks at the preferred speed [28], 180 • turning tasks at comfortable and faster speeds [29], and 30 • to 180 • turning tasks at the self-selected preferred, slower, and faster speeds [15]. Thus, these turning characteristics may be a compensatory strategy for postural instability in PD patients [30].…”

Section: Differences Between Pd Patients and Controls And Freezers Amentioning

confidence: 91%

Turning Characteristics of the More-Affected Side in Parkinson’s Disease Patients with Freezing of Gait

Park

Youm

Lee

et al. 2020

Sensors

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This study investigated the turning characteristics of the more-affected limbs in Parkinson’s disease (PD) patients in comparison with that of a control group, and in PD patients with freezing of gait (FOG; freezers) in comparison with those without FOG (non-freezers) for 360° and 540° turning tasks at the maximum speed. A total of 12 freezers, 12 non-freezers, and 12 controls participated in this study. The PD patients showed significantly longer total durations, shorter inner and outer step lengths, and greater anterior–posterior (AP) root mean square (RMS) center of mass (COM) distances compared to those for the controls. The freezers showed significantly greater AP and medial-lateral (ML) RMS COM distances compared to those of non-freezers. The turning task toward the inner step of the more-affected side (IMA) in PD patients showed significantly greater step width, total steps, and AP and ML RMS COM distances than that toward the outer step of the more-affected side (OMA). The corresponding results for freezers revealed significantly higher total steps and shorter inner step length during the 540° turn toward the IMA than that toward the OMA. Therefore, PD patients and freezers exhibited greater turning difficulty in performing challenging turning tasks such as turning with an increased angle and speed and toward the more-affected side.

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“…Concerning the walking direction, it has been shown that subjects with PD report turning difficulties, which are associated with an augmented risk of falling [24][25][26][27]. These impairments are due to the central nervous system's involvement in body re-orientation when travelling in the new direction.…”

Section: Introductionmentioning

confidence: 99%

The Effect of a Secondary Task on Kinematics during Turning in Parkinson’s Disease with Mild to Moderate Impairment

Nardello¹,

Bertoli²,

Bombieri³

et al. 2020

Symmetry

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Patients with Parkinson’s disease (PD) show typical gait asymmetries. These peculiar motor impairments are exacerbated by added cognitive and/or mechanical loading. However, there is scarce literature that chains these two stimuli. The aim of this study was to investigate the combined effects of a dual task (cognitive task) and turning (mechanical task) on the spatiotemporal parameters in mild to moderate PD. Participants (nine patients with PD and nine controls (CRs)) were evaluated while walking at their self-selected pace without a secondary task (single task), and while repeating the days of the week backwards (dual task) along a straight direction and a 60° and 120° turn. As speculated, in single tasking, PD patients preferred to walk with a shorter stride length (p < 0.05) but similar timing parameters, compared to the CR group; in dual tasking, both groups walked slower with shorter strides. As the turn angle increased, the speed will be reduced (p < 0.001), whereas the ground–foot contact will become greater (p < 0.001) in all the participants. We showed that the combination of a simple cognitive task and a mechanical task (especially at larger angles) could represent an important training stimulus in PD at the early stages of the pathology.

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Medication status and dual-tasking on turning strategies in Parkinson disease

Cited by 6 publications

References 22 publications

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Identification of Disease-Specific Turning Movement Hallmarks: A Systematic Review towards Establishment of Disease Screening Algorithm

Turning Characteristics of the More-Affected Side in Parkinson’s Disease Patients with Freezing of Gait

The Effect of a Secondary Task on Kinematics during Turning in Parkinson’s Disease with Mild to Moderate Impairment

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