Compensatory Postural Adjustments in an Oculus Virtual Reality Environment and the Risk of Falling in Alzheimer's Disease

Autor: Miguel F. Gago, Darya Yelshyna, Estela Bicho, Hélder David Silva, Luís Rocha, Maria Lurdes Rodrigues, Nuno Sousa
Jazyk: angličtina
Rok vydání: 2016
Předmět:
Zdroj: Dementia and Geriatric Cognitive Disorders Extra, Vol 6, Iss 2, Pp 252-267 (2016)
Druh dokumentu: article
ISSN: 1664-5464
DOI: 10.1159/000447124
Popis: Background/Aims: Alzheimer's disease (AD) patients have an impaired ability to quickly reweight central sensory dependence in response to unexpected body perturbations. Herein, we aim to study provoked compensatory postural adjustments (CPAs) in a conflicting sensory paradigm with unpredictable visual displacements using virtual reality goggles. Methods: We used kinematic time-frequency analyses of two frequency bands: a low-frequency band (LB; 0.3-1.5 Hz; mechanical strategy) and a high-frequency band (HB; 1.5-3.5 Hz; cognitive strategy). We enrolled 19 healthy subjects (controls) and 21 AD patients, divided according to their previous history of falls. Results: The AD faller group presented higher-power LB CPAs, reflecting their worse inherent postural stability. The AD patients had a time lag in their HB CPA reaction. Conclusion: The slower reaction by CPA in AD may be a reflection of different cognitive resources including body schema self-perception, visual motion, depth perception, or a different state of fear and/or anxiety.
Databáze: Directory of Open Access Journals