Autor: |
Kal EC; Division of Physiotherapy, College of Health, Medicine and Life Sciences, Brunel University London, UK.; Centre for Cognitive Neuroscience, Brunel University London, UK., Ellmers TJ; Centre for Cognitive Neuroscience, Brunel University London, UK.; Neuro-otology Unit, Department of Brain Sciences, Imperial College London, UK., Fielding AE; Institute of Psychiatry, Psychology, and Neuroscience, King's College London, UK., Hardeman L; Department of Human Movement Sciences, Faculty of Behavioural and Movement Sciences, VU University Amsterdam, the Netherlands., Coito J; Division of Physiotherapy, College of Health, Medicine and Life Sciences, Brunel University London, UK., Joyce L; Division of Physiotherapy, College of Health, Medicine and Life Sciences, Brunel University London, UK., Young WR; Neuro-otology Unit, Department of Brain Sciences, Imperial College London, UK. |
Abstrakt: |
Freezing of gait (FOG) can severely compromise daily functioning in people with Parkinson's disease. Inability to initiate a step from FOG is likely underpinned, at least in part, by a deficient preparatory weight-shift. Conscious attempts to weight-shift in preparation to step can improve success of initiating forward steps following FOG. However, FOG often occurs during turning, where weight-shifting is more complex and risk of falling is higher. We explored the effectiveness of a dance-based ('cha-cha') weight-shifting strategy to re-initiate stepping following FOG during turning. Results suggest that this simple movement strategy can enhance turning steps following FOG, without compromising safety. |