Does Nordic Walking restore the temporal organization of gait variability in Parkinson’s disease?
| العنوان: | Does Nordic Walking restore the temporal organization of gait variability in Parkinson’s disease? |
|---|---|
| المؤلفون: | Gaëtan Stoquart, Thierry Lejeune, Christine Detrembleur, Anne Jeanjean, Thibault Warlop, Maïté Buxes Lopez |
| المساهمون: | UCL - SSS/IREC/CARS - Computer Assisted Robotic Surgery, UCL - (SLuc) Service de médecine physique et de réadaptation motrice, UCL - (SLuc) Service de neurologie, UCL - SSS/IONS/NEUR - Clinical Neuroscience, UCL - SSS/IREC/NMSK - Neuro-musculo-skeletal Lab |
| المصدر: | Journal of NeuroEngineering and Rehabilitation, Vol. 14, no. 1, p. 17 [1-11] (2017) Journal of NeuroEngineering and Rehabilitation |
| بيانات النشر: | BioMed Central Ltd., 2017. |
| سنة النشر: | 2017 |
| مصطلحات موضوعية: | Male, 030506 rehabilitation, medicine.medical_specialty, Parkinson's disease, STRIDE, Poison control, Gait disorders, Health Informatics, Walking, Hypokinesia, 03 medical and health sciences, 0302 clinical medicine, Physical medicine and rehabilitation, Gait (human), Rhythm, medicine, Humans, Gait Disorders, Neurologic, Aged, business.industry, Research, Rehabilitation, Repeated measures design, Gait variability, Parkinson Disease, Middle Aged, medicine.disease, Exercise Therapy, Cross-Sectional Studies, Fractals, Nonlinear dynamics, Female, medicine.symptom, Cues, Accelerometers, 0305 other medical science, Cadence, business, human activities, 030217 neurology & neurosurgery, Psychomotor Performance, Locomotion |
| الوصف: | BACKGROUND: Gait disorders of Parkinson's disease (PD) are characterized by the breakdown of the temporal organization of stride duration variability that was tightly associated to dynamic instability in PD. Activating the upper body during walking, Nordic Walking (NW) may be used as an external cueing to improve spatiotemporal parameters of gait, such as stride length or gait variability, in PD. The aim of this study was to evaluate the beneficial effects of NW on temporal organization of gait variability and spatiotemporal gait variables in PD. METHODS: Fourteen mild to moderate PD participants and ten age-matched healthy subjects performed 2 × 12 min overground walking sessions (with and without pole in a randomized order) at a comfortable speed. Gait speed, cadence, step length and temporal organization (i.e. long-range autocorrelations; LRA) of stride duration variability were studied on 512 consecutive gait cycles using a unidimensional accelerometer placed on the malleola of the most affected side in PD patients and of the dominant side in healthy controls. The presence of LRA was determined using the Rescaled Range Analysis (Hurst exponent) and the Power Spectral Density (α exponent). To assess NW and disease influences on gait, paired t-tests, Z-score and a two-way (pathological condition x walking condition) ANOVA repeated measure were used. RESULTS: Leading to significant improvement of LRA, NW enhances step length and reduces gait cadence without any change in gait speed in PD. Interestingly, LRA and step length collected from the NW session are similar to that of the healthy population. CONCLUSION: This cross-sectional controlled study demonstrates that NW may constitute a powerful way to struggle against the randomness of PD gait and the typical gait hypokinesia. Involving a voluntary intersegmental coordination, such improvement could also be due to the upper body rhythmic movements acting as rhythmical external cue to bypass their defective basal ganglia circuitries. ETHICS COMMITTEE'S REFERENCE NUMBER: B403201318916 TRIAL REGISTRATION: NCT02419768. |
| اللغة: | English |
| الوصول الحر: | https://explore.openaire.eu/search/publication?articleId=doi_dedup___::8325035bc4f5aff41b409010ad05b749Test https://hdl.handle.net/2078.1/182975Test |
| حقوق: | OPEN |
| رقم الانضمام: | edsair.doi.dedup.....8325035bc4f5aff41b409010ad05b749 |
| قاعدة البيانات: | OpenAIRE |
| الوصف غير متاح. |