A new quantitative method for evaluating freezing of gait and dual-attention task deficits in Parkinson's disease.
Identifieur interne : 000844 ( Main/Exploration ); précédent : 000843; suivant : 000845A new quantitative method for evaluating freezing of gait and dual-attention task deficits in Parkinson's disease.
Auteurs : Taylor Chomiak [Canada] ; Fernando Vieira Pereira [Canada] ; Nicole Meyer [Canada] ; Natalie De Bruin [Canada] ; Lorelei Derwent [Canada] ; Kailie Luan [Canada] ; Alexandra Cihal [Canada] ; Lesley A. Brown [Canada] ; Bin Hu [Canada]Source :
- Journal of neural transmission (Vienna, Austria : 1996) [ 1435-1463 ] ; 2015.
English descriptors
- KwdEn :
- Aged, Attention, Biomechanical Phenomena, Cognition Disorders (diagnosis), Cognition Disorders (physiopathology), Computers, Handheld, Diagnosis, Differential, Female, Gait Disorders, Neurologic (diagnosis), Gait Disorders, Neurologic (physiopathology), Hip, Humans, Male, Middle Aged, Mobile Applications, Neuropsychological Tests, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Parkinson Disease (psychology), Self Report, Sensitivity and Specificity, Severity of Illness Index, Video Recording, Wireless Technology.
- MESH :
- diagnosis : Cognition Disorders, Gait Disorders, Neurologic, Parkinson Disease.
- physiopathology : Cognition Disorders, Gait Disorders, Neurologic, Parkinson Disease.
- psychology : Parkinson Disease.
- Aged, Attention, Biomechanical Phenomena, Computers, Handheld, Diagnosis, Differential, Female, Hip, Humans, Male, Middle Aged, Mobile Applications, Neuropsychological Tests, Self Report, Sensitivity and Specificity, Severity of Illness Index, Video Recording, Wireless Technology.
Abstract
People with Parkinson's disease (PD) can exhibit disabling gait symptoms such as freezing of gait especially when distracted by a secondary task. Quantitative measurement method of this type of cognitive-motor abnormality, however, remains poorly developed. Here we examined whether stepping-in-place (SIP) with a concurrent mental task (e.g., subtraction) can be used as a simple method for evaluating cognitive-motor deficits in PD. We used a 4th generation iPod Touch sensor system to capture hip flexion data and obtain step height (SH) measurements (z axis). The accuracy of the method was compared to and validated by kinematic video analysis software. We found a general trend of reduced SH for PD subjects relative to controls under all conditions. However, the SH of PD freezers was significantly worse than PD non-freezers and controls during concurrent serial 7 subtraction and SIP tasking. During serial 7 subtraction, SH was significantly associated with whether or not a PD patient was a self-reported freezer even when controlling for disease severity. Given that this SIP-based dual-task paradigm is not limited by space requirements and can be quantified using a mobile tracking device that delivers specifically designed auditory task instructions, the method reported here may be used to standardize clinical assessment of cognitive-motor deficits under a variety of dual-task conditions in PD.
DOI: 10.1007/s00702-015-1423-3
PubMed: 26206604
Affiliations:
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Le document en format XML
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Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Pereira, Fernando Vieira" sort="Pereira, Fernando Vieira" uniqKey="Pereira F" first="Fernando Vieira" last="Pereira">Fernando Vieira Pereira</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Meyer, Nicole" 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Lethbridge, AB, T1K 3M4, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Kinesiology, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4</wicri:regionArea><wicri:noRegion>T1K 3M4</wicri:noRegion></affiliation></author><author><name sortKey="Derwent, Lorelei" sort="Derwent, Lorelei" uniqKey="Derwent L" first="Lorelei" last="Derwent">Lorelei Derwent</name><affiliation wicri:level="1"><nlm:affiliation>Movement Disorders Clinic, Foothills Medical Centre, Alberta Health Services, Health Sciences Building, First Floor, Area 3, 1403 29 Street NW, Calgary, AB, T2N 2T9, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Movement Disorders Clinic, Foothills Medical Centre, Alberta Health Services, Health Sciences Building, First Floor, Area 3, 1403 29 Street NW, Calgary, AB, T2N 2T9</wicri:regionArea><wicri:noRegion>T2N 2T9</wicri:noRegion></affiliation></author><author><name sortKey="Luan, Kailie" sort="Luan, Kailie" uniqKey="Luan K" first="Kailie" last="Luan">Kailie Luan</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Cihal, Alexandra" sort="Cihal, Alexandra" uniqKey="Cihal A" first="Alexandra" last="Cihal">Alexandra Cihal</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author><author><name sortKey="Brown, Lesley A" sort="Brown, Lesley A" uniqKey="Brown L" first="Lesley A" last="Brown">Lesley A. Brown</name><affiliation wicri:level="1"><nlm:affiliation>Department of Kinesiology, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Kinesiology, University of Lethbridge, 4401 University Drive, Lethbridge, AB, T1K 3M4</wicri:regionArea><wicri:noRegion>T1K 3M4</wicri:noRegion></affiliation></author><author><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin" last="Hu">Bin Hu</name><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada. hub@ucalgary.ca.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Department of Clinical Neurosciences, Faculty of Medicine, Hotchkiss Brain Institute, University of Calgary, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1</wicri:regionArea><orgName type="university">Université de Calgary</orgName><placeName><settlement type="city">Calgary</settlement><region type="state">Alberta</region></placeName></affiliation></author></analytic><series><title level="j">Journal of neural transmission (Vienna, Austria : 1996)</title><idno type="eISSN">1435-1463</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Attention</term><term>Biomechanical Phenomena</term><term>Cognition Disorders (diagnosis)</term><term>Cognition Disorders (physiopathology)</term><term>Computers, Handheld</term><term>Diagnosis, Differential</term><term>Female</term><term>Gait Disorders, Neurologic (diagnosis)</term><term>Gait Disorders, Neurologic (physiopathology)</term><term>Hip</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mobile Applications</term><term>Neuropsychological Tests</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Self Report</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term><term>Video Recording</term><term>Wireless Technology</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Cognition Disorders</term><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Cognition Disorders</term><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="psychology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Attention</term><term>Biomechanical Phenomena</term><term>Computers, Handheld</term><term>Diagnosis, Differential</term><term>Female</term><term>Hip</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Mobile Applications</term><term>Neuropsychological Tests</term><term>Self Report</term><term>Sensitivity and Specificity</term><term>Severity of Illness Index</term><term>Video Recording</term><term>Wireless Technology</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">People with Parkinson's disease (PD) can exhibit disabling gait symptoms such as freezing of gait especially when distracted by a secondary task. Quantitative measurement method of this type of cognitive-motor abnormality, however, remains poorly developed. Here we examined whether stepping-in-place (SIP) with a concurrent mental task (e.g., subtraction) can be used as a simple method for evaluating cognitive-motor deficits in PD. We used a 4th generation iPod Touch sensor system to capture hip flexion data and obtain step height (SH) measurements (z axis). The accuracy of the method was compared to and validated by kinematic video analysis software. We found a general trend of reduced SH for PD subjects relative to controls under all conditions. However, the SH of PD freezers was significantly worse than PD non-freezers and controls during concurrent serial 7 subtraction and SIP tasking. During serial 7 subtraction, SH was significantly associated with whether or not a PD patient was a self-reported freezer even when controlling for disease severity. Given that this SIP-based dual-task paradigm is not limited by space requirements and can be quantified using a mobile tracking device that delivers specifically designed auditory task instructions, the method reported here may be used to standardize clinical assessment of cognitive-motor deficits under a variety of dual-task conditions in PD.</div></front></TEI><affiliations><list><country><li>Canada</li></country><region><li>Alberta</li></region><settlement><li>Calgary</li></settlement><orgName><li>Université de Calgary</li></orgName></list><tree><country name="Canada"><region name="Alberta"><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name></region><name sortKey="Brown, Lesley A" sort="Brown, Lesley A" uniqKey="Brown L" first="Lesley A" last="Brown">Lesley A. Brown</name><name sortKey="Cihal, Alexandra" sort="Cihal, Alexandra" uniqKey="Cihal A" first="Alexandra" last="Cihal">Alexandra Cihal</name><name sortKey="De Bruin, Natalie" sort="De Bruin, Natalie" uniqKey="De Bruin N" first="Natalie" last="De Bruin">Natalie De Bruin</name><name sortKey="Derwent, Lorelei" sort="Derwent, Lorelei" uniqKey="Derwent L" first="Lorelei" last="Derwent">Lorelei Derwent</name><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin" last="Hu">Bin Hu</name><name sortKey="Luan, Kailie" sort="Luan, Kailie" uniqKey="Luan K" first="Kailie" last="Luan">Kailie Luan</name><name sortKey="Meyer, Nicole" sort="Meyer, Nicole" uniqKey="Meyer N" first="Nicole" last="Meyer">Nicole Meyer</name><name sortKey="Pereira, Fernando Vieira" sort="Pereira, Fernando Vieira" uniqKey="Pereira F" first="Fernando Vieira" last="Pereira">Fernando Vieira Pereira</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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