The relationship between intermittent limit cycles and postural instability associated with Parkinson's disease.
| Autor: | Chagdes JR; Department of Mechanical and Manufacturing Engineering, Miami University, Oxford, OH 45056, USA., Huber JE; Department of Speech, Language, and Hearing Sciences, Purdue University, West Lafayette, IN 47907, USA., Saletta M; Department of Communication Sciences and Disorders, University of Iowa, Iowa City, IA 52242, USA., Darling-White M; Department of Speech, Language, and Hearing Sciences, University of Arizona, Tucson, AZ 85721, USA., Raman A; School of Mechanical Engineering, Purdue University, West Lafayette, IN 47907, USA., Rietdyk S; Department of Health and Kinesiology, Purdue University, West Lafayette, IN 47907, USA., Zelaznik HN; Department of Health and Kinesiology, Purdue University, West Lafayette, IN 47907, USA., Haddad JM; Department of Health and Kinesiology, Purdue University, West Lafayette, IN 47907, USA. |
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| Jazyk: | angličtina |
| Zdroj: | Journal of sport and health science [J Sport Health Sci] 2016 Mar; Vol. 5 (1), pp. 14-24. Date of Electronic Publication: 2016 Jan 11. |
| DOI: | 10.1016/j.jshs.2016.01.005 |
| Abstrakt: | Background: Many disease-specific factors such as muscular weakness, increased muscle stiffness, varying postural strategies, and changes in postural reflexes have been shown to lead to postural instability and fall risk in people with Parkinson's disease (PD). Recently, analytical techniques, inspired by the dynamical systems perspective on movement control and coordination, have been used to examine the mechanisms underlying the dynamics of postural declines and the emergence of postural instabilities in people with PD. Methods: A wavelet-based technique was used to identify limit cycle oscillations (LCOs) in the anterior-posterior (AP) postural sway of people with mild PD ( n = 10) compared to age-matched controls ( n = 10). Participants stood on a foam and on a rigid surface while completing a dual task (speaking). Results: There was no significant difference in the root mean square of center of pressure between groups. Three out of 10 participants with PD demonstrated LCOs on the foam surface, while none in the control group demonstrated LCOs. An inverted pendulum model of bipedal stance was used to demonstrate that LCOs occur due to disease-specific changes associated with PD: time-delay and neuromuscular feedback gain. Conclusion: Overall, the LCO analysis and mathematical model appear to capture the subtle postural instabilities associated with mild PD. In addition, these findings provide insights into the mechanisms that lead to the emergence of unstable posture in patients with PD. |
| Databáze: | MEDLINE |
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