کد مقاله کد نشریه سال انتشار مقاله انگلیسی نسخه تمام متن
4055528 1603851 2016 5 صفحه PDF دانلود رایگان
عنوان انگلیسی مقاله ISI
Effect of three cueing devices for people with Parkinson's disease with gait initiation difficulties
ترجمه فارسی عنوان
تأثیر سه دستگاه دیجیتالی برای افراد مبتلا به بیماری پارکینسون با مشکلات شروع راه رفتن
موضوعات مرتبط
علوم پزشکی و سلامت پزشکی و دندانپزشکی ارتوپدی، پزشکی ورزشی و توانبخشی
چکیده انگلیسی


• We compared three types of cueing device and the immediate effects on gait initiation.
• We recorded 100 freezing and 91 non-freezing trials.
• Step length and centre of mass velocity showed clear measurable differences.
• Both the Laser Cane and the walking stick could benefit people with PD.

BackgroundFreezing of gait (FOG) remains one of the most common debilitating aspects of Parkinson's disease and has been linked to injuries, falls and reduced quality of life. Although commercially available portable cueing devices exist claiming to assist with overcoming freezing; their immediate effectiveness in overcoming gait initiation failure is currently unknown. This study investigated the effects of three different types of cueing device in people with Parkinson's disease who experience freezing.MethodsTwenty participants with idiopathic Parkinson's disease who experienced freezing during gait but who were able to walk short distances indoors independently were recruited. At least three attempts at gait initiation were recorded using a 10 camera Qualisys motion analysis system and four force platforms. Test conditions were; Laser Cane, sound metronome, vibrating metronome, walking stick and no intervention.ResultsDuring testing 12 of the 20 participants had freezing episodes, from these participants 100 freezing and 91 non-freezing trials were recorded. Clear differences in the movement patterns were seen between freezing and non-freezing episodes. The Laser Cane was most effective cueing device at improving the forwards/backwards and side to side movement and had the least number of freezing episodes. The walking stick also showed significant improvements compared to the other conditions. The vibration metronome appeared to disrupt movement compared to the sound metronome at the same beat frequency.ConclusionThis study identified differences in the movement patterns between freezing episodes and non-freezing episodes, and identified immediate improvements during gait initiation when using the Laser Cane over the other interventions.

ناشر
Database: Elsevier - ScienceDirect (ساینس دایرکت)
Journal: Gait & Posture - Volume 44, February 2016, Pages 7–11
نویسندگان
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