دورية أكاديمية
Objective measures to investigate turning impairments and freezing of gait in people with Parkinson's disease
| العنوان: | Objective measures to investigate turning impairments and freezing of gait in people with Parkinson's disease |
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| المؤلفون: | Bertoli M., Della Croce U., Cereatti A., Mancini M. |
| المساهمون: | Bertoli, M., Della Croce, U., Cereatti, A., Mancini, M. |
| بيانات النشر: | Elsevier |
| سنة النشر: | 2019 |
| المجموعة: | PORTO@iris (Publications Open Repository TOrino - Politecnico di Torino) |
| مصطلحات موضوعية: | Dual-task, Freezing of gait, Inertial measurement unit, Parkinson's disease, Turning, Aged, 80 and over, Analysis of Variance, Female, Gait, Gait Disorder, Neurologic, Human, Male, Middle Aged, Parkinson Disease, Walking |
| الوصف: | Background: Turning is impaired in people with Parkinson's Disease (PD) and it is a common trigger for freezing of gait (FoG). Recent evidence suggests that people with PD who freeze (PD+FoG) have worse turning performance than those who don't have freezing (non-freezers, PD-FoG), and the freezing episodes are exacerbated by increasing the turn angular amplitude. Research question: We investigated the difference between turning 180° while walking versus turning 360° in place, in both single- and dual-task conditions, by means of objective measures in people with PD with and without FoG. Methods: Twenty-four PD+FoG and eighteen PD-FoG performed 180° turns while walking and 360° turns in place during single- and dual-task conditions. Quantitative measures of turning and the dual-task cost were computed. Differences were investigated between groups and within turning types using ANOVA. Associations between turn measures and clinical scales were examined with Spearman correlations. Results: Turn duration and the number of steps were greater, and peak angular velocity slower, in PD+FoG compared to PD-FoG (p < 0.001). Dual-task costs were similar across groups, but turn duration showed significant interaction (p = 0.03). Posture Instability and Gait Disability (PIGD) subscore was associated with all turn measures in PD-FoG; whereas PIGD was mainly associated with turning while walking in PD+FoG. Significance: Objective measures of turning revealed differences between people with and without FoG, specifically, people with FoG showed more impairments in 360° turning in place compared to 180° turning while walking. However, as the turning challenges were increased by adding a dual-task, results from PD+FoG were similar to those from PD-FoG. |
| نوع الوثيقة: | article in journal/newspaper |
| اللغة: | English |
| العلاقة: | info:eu-repo/semantics/altIdentifier/wos/WOS:000510415700030; volume:74; firstpage:187; lastpage:193; numberofpages:7; journal:GAIT & POSTURE; http://hdl.handle.net/11583/2849791Test; info:eu-repo/semantics/altIdentifier/scopus/2-s2.0-85072286224 |
| DOI: | 10.1016/j.gaitpost.2019.09.001 |
| الإتاحة: | https://doi.org/10.1016/j.gaitpost.2019.09.001Test http://hdl.handle.net/11583/2849791Test |
| حقوق: | info:eu-repo/semantics/closedAccess |
| رقم الانضمام: | edsbas.ECE17D33 |
| قاعدة البيانات: | BASE |
| DOI: | 10.1016/j.gaitpost.2019.09.001 |
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