Responsiveness to sensory cues using the Timed Up and Go test in patients with Parkinsonâ€™s disease: A prospective cohort study

Cioni, Matteo; Amata, Oriana; Seminara, Maria Rosaria; Marano, Pietro; Palermo, Filippo; Corallo, Viviana; Brugliera, Luigia

doi:10.2340/16501977-2003

Cited by 4 publications

(5 citation statements)

References 24 publications

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“…As compared to the other conditions, the laser line significantly reduced the number of FOG episodes . Cioni and colleagues compared the effectiveness of visual cues versus auditory cues, proving that both reduced the TUG time.…”

Section: Resultsmentioning

confidence: 98%

“…Moreover, a triple‐blind approach was not achievable in most studies, given the nature of the interventions (e.g., it is not possible to blind a patient wearing a laser shoe device or receiving aquatic therapy). Regarding randomization in crossover studies (i.e., those with no control group), it was considered to be present when the order of the intervention was randomized by appropriate methods. In addition, this type of study received a positive score (green) in the issues “similar groups” and “groups treated equally,” given that each subject acted as a control.…”

Section: Resultsmentioning

confidence: 99%

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Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

et al. 2019

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Freezing of gait is a disabling phenomenon that appears in a substantial number of Parkinson's disease (PD) patients as the disease evolves. It is considered to be one of the most relevant contributing factors to worsening of quality of life. Current pharmacological or surgical treatment options have limited efficacy. Thus, alternative nonpharmacological/nonsurgical approaches have emerged in recent years in an attempt to improve quality of life in PD. This systematic review summarizes studies of such therapies over the past 5 years. Thirty‐five studies were evaluated by use of a qualitative evaluation, while the methodological quality was assessed using validated tools. According to our results, there appear to be two broad categories of nonpharmacological therapies: those that seek a long‐lasting benefit and those that aim to achieve a transient effect to overcome the freezing of gait episode. Among the former, it is possible to differentiate between “passive” therapies, which include transcranial magnetic stimulation or transcranial direct current stimulation, and “active” therapies, which are based on different cognitive or physical training programs. Finally, “transient effect” therapies use different types of cues, such as visual, auditory, or proprioceptive stimuli, to attempt to shift the patient's habitual motor control to a goal‐directed one. In conclusion, a broad spectrum of nonpharmacological/nonsurgical approaches for freezing of gait has emerged in recent years with promising results. © 2019 International Parkinson and Movement Disorder Society

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Section: Resultsmentioning

confidence: 98%

Section: Resultsmentioning

confidence: 99%

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

et al. 2019

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“…This test was introduced by Podsiadlo and Richardson [ 10 ] in order to permit the evaluation of the global mobility of frail older people adopting a simple and short duration test. In fact, the TUG test is frequently used not only for the assessment of physical mobility in the elderly population [ 11 ], but also in pathological contexts, such as Parkinson’s disease [ 12 ], muscular dystrophy [ 13 ], and stroke [ 14 ]. The extensive experience gained in the use of the TUG test in subjects with motor difficulties provides a rationale for its use to evaluate mobility also in lower limb amputees, paying specific attention to the different motor tasks included in the test.…”

Section: Introductionmentioning

confidence: 99%

Use of a Single Wearable Sensor to Evaluate the Effects of Gait and Pelvis Asymmetries on the Components of the Timed Up and Go Test, in Persons with Unilateral Lower Limb Amputation

Valle

Casabona

Sapienza

et al. 2021

Sensors

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The Timed Up and Go (TUG) test quantifies physical mobility by measuring the total performance time. In this study, we quantified the single TUG subcomponents and, for the first time, explored the effects of gait cycle and pelvis asymmetries on them. Transfemoral (TF) and transtibial (TT) amputees were compared with a control group. A single wearable inertial sensor, applied to the back, captured kinematic data from the body and pelvis during the 10-m walk test and the TUG test. From these data, two categories of symmetry indexes (SI) were computed: One SI captured the differences between the antero-posterior accelerations of the two sides during the gait cycle, while another set of SI quantified the symmetry over the three-dimensional pelvis motions. Moreover, the total time of the TUG test, the time of each subcomponent, and the velocity of the turning subcomponents were measured. Only the TF amputees showed significant reductions in each SI category when compared to the controls. During the TUG test, the TF group showed a longer duration and velocity reduction mainly over the turning subtasks. However, for all the amputees there were significant correlations between the level of asymmetries and the velocity during the turning tasks. Overall, gait cycle and pelvis asymmetries had a specific detrimental effect on the turning performance instead of on linear walking.

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“…In the most basic use of the TUG test, the distance from the starting position to the turning point is 3 m, and the level of mobility is quantified by taking the time to travel the entire path (total time). The variety of the subcomponent tasks integrated in a single context makes the TUG test one of the most common tools for the assessment of a general level of physical mobility in the elderly and in a number of specific pathologies, such as Parkinson's disease [6,7], stroke [8], multiple sclerosis [9], muscular dystrophy [10], and cerebral palsy [11,12].…”

Section: Introductionmentioning

confidence: 99%

Age-Related Changes in Mobility Evaluated by the Timed Up and Go Test Instrumented through a Single Sensor

Mangano

Valle

Casabona

et al. 2020

Sensors

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Mobility across people with a large range of age was evaluated, for the first time, by using an instrumented timed up and go test (iTUG) based on signals acquired by a single wearable inertial sensor. Eighty healthy participants, from childhood to old age, performed the test, covering walking distances of 3 m and 7 m. Total time, temporal, and velocity parameters of linear and turning subcomponents of the test were quantified. While children, adults, and senior adults exhibited similar values for all the parameters, older adults showed increases in duration and reductions in velocity during the turning phases when compared with the other groups. an increase in velocity was observed during mid turning when the test was performed along the longer distance. Similarity across children, adults, and senior adults indicates that healthy individuals develop the abilities performed in the iTUG early, while the slowing down shown during the turning phases by the older adults may reflect the need to implement adaptive adjustments to face changes of direction. These results emphasize the idea that reducing equipment to a single sensor provides an appropriate quantification when the iTUG is used to investigate a broader age range or different levels of complexity.

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Responsiveness to sensory cues using the Timed Up and Go test in patients with Parkinsonâ€™s disease: A prospective cohort study

Abstract: The TUG test may be used to tailor the rehabilitation programme in patients with Parkinson's disease, identifying those who respond to visual and auditory cueing.

Cited by 4 publications

References 24 publications

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

Nonpharmacological, Nonsurgical Treatments for Freezing of Gait in Parkinson's Disease: A Systematic Review

Use of a Single Wearable Sensor to Evaluate the Effects of Gait and Pelvis Asymmetries on the Components of the Timed Up and Go Test, in Persons with Unilateral Lower Limb Amputation

Age-Related Changes in Mobility Evaluated by the Timed Up and Go Test Instrumented through a Single Sensor

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