Analysis of trunk rolling in Parkinson's disease patients using a mattress mobility detection system.

Autor: Chiang SL; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan., Lin CH; School of Gerontology Health Management & Master Program in Long-Term Care, College of Nursing, Taipei Medical University, Taiwan., Hsu YD; Department of Neurology, Tri-Service General Hospital, National Defense Medical Center, Taipei, Taiwan., Wei SH; Department of Physical Therapy and Assistive Technology, National Yang Ming University, Taipei, Taiwan., Sung WH; Department of Physical Therapy and Assistive Technology, National Yang Ming University, Taipei, Taiwan., Lu LH; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan., Chang ST; School of Medicine, National Defense Medical Center, Taipei, Taiwan; Department of Physical Medicine and Rehabilitation, Taichung Veterans General Hospital, Taichung, Taiwan., Ho TY; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan., Shen YP; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan., Chen LC; Department of Physical Medicine and Rehabilitation, Tri-Service General Hospital, School of Medicine, National Defense Medical Center, Taipei, Taiwan., Lin CH; School of Nursing & School of Medicine, National Defense Medical Center, Taipei, Taiwan; Department of Nursing, Tri-Service General Hospital Songshan Branch, Taipei, Taiwan. Electronic address: chlin@mail.ndmctsgh.edu.tw.
Jazyk: angličtina
Zdroj: Computer methods and programs in biomedicine [Comput Methods Programs Biomed] 2018 Aug; Vol. 162, pp. 157-163. Date of Electronic Publication: 2018 May 02.
DOI: 10.1016/j.cmpb.2018.04.029
Abstrakt: Background and Objective: Parkinson's disease (PD) is a neurodegenerative condition characterized by motor dysfunction and various types of non-motor impairments. The reaction time and movement time are reported to become more severe delayed in worse PD patients. Most tools for evaluating motor impairment are limited by relying on subjective observations and being qualitative in design. The aim of this study was to investigate trunk rolling performance in PD patients by using a recently developed system to detect turning in bed.
Methods: The study included 20 PD patients and 42 healthy controls. A mattress mobility detection system was employed for quantitative measurements. Each test session consisted of subjects starting by lying in a supine position on a bed and rolling 10 times onto their left side and 10 times onto their right side. Strain gauges mounted under the feet of the bed recorded changes in the center of pressure (CoP).
Results: For turning back, the patients compared with the controls had significantly longer movement time (P = 0.017), longer time to peak counteraction (P = 0.001), larger ratio of peak counteraction to movement time (P = 0.006), shorter CoP displacement (P < 0.0001), slower turning speed (P = 0.000), weaker peak counteraction (P = 0.013), and smaller ratio of peak counteraction to weight (P = 0.032). Results for turning over were similar except there was no significant difference in the ratio of peak counteraction to weight.
Conclusions: The mattress mobility detection system was useful for objectively assessing trunk rolling performance of PD patients. Improved assessment of trunk function in PD patients could lead to better treatments and improved rehabilitation procedures.
(Copyright © 2018 Elsevier B.V. All rights reserved.)
Databáze: MEDLINE
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