A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.
Identifieur interne : 000105 ( PubMed/Checkpoint ); précédent : 000104; suivant : 000106A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.
Auteurs : Taylor Chomiak [Canada] ; Alexander Watts ; Nicole Meyer ; Fernando V. Pereira ; Bin HuSource :
- Medicine [ 1536-5964 ] ; 2017.
English descriptors
- KwdEn :
- MESH :
- rehabilitation : Parkinson Disease.
- Aged, Algorithms, Attention, Female, Humans, Male, Middle Aged, Music, Physical Therapy Modalities, Pilot Projects, Prospective Studies, Psychomotor Performance, Smartphone, Walking.
Abstract
Deficits in motor movement automaticity in Parkinson's disease (PD), especially during multitasking, are early and consistent hallmarks of cognitive function decline, which increases fall risk and reduces quality of life. This study aimed to test the feasibility and potential efficacy of a wearable sensor-enabled technological platform designed for an in-home music-contingent stepping-in-place (SIP) training program to improve step automaticity during dual-tasking (DT).
DOI: 10.1097/MD.0000000000005934
PubMed: 28151878
Affiliations:
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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.</title><author><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name><affiliation wicri:level="4"><nlm:affiliation>Division of Translational Neuroscience, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Translational Neuroscience, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta</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="Watts, Alexander" sort="Watts, Alexander" uniqKey="Watts A" first="Alexander" last="Watts">Alexander Watts</name></author><author><name sortKey="Meyer, Nicole" sort="Meyer, Nicole" uniqKey="Meyer N" first="Nicole" last="Meyer">Nicole Meyer</name></author><author><name sortKey="Pereira, Fernando V" sort="Pereira, Fernando V" uniqKey="Pereira F" first="Fernando V" last="Pereira">Fernando V. Pereira</name></author><author><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin" last="Hu">Bin Hu</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2017">2017</date><idno type="RBID">pubmed:28151878</idno><idno type="pmid">28151878</idno><idno type="doi">10.1097/MD.0000000000005934</idno><idno type="wicri:Area/PubMed/Corpus">000067</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000067</idno><idno type="wicri:Area/PubMed/Curation">000067</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Curation">000067</idno><idno type="wicri:Area/PubMed/Checkpoint">000067</idno><idno type="wicri:explorRef" wicri:stream="Checkpoint" wicri:step="PubMed">000067</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.</title><author><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name><affiliation wicri:level="4"><nlm:affiliation>Division of Translational Neuroscience, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.</nlm:affiliation><country xml:lang="fr">Canada</country><wicri:regionArea>Division of Translational Neuroscience, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta</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="Watts, Alexander" sort="Watts, Alexander" uniqKey="Watts A" first="Alexander" last="Watts">Alexander Watts</name></author><author><name sortKey="Meyer, Nicole" sort="Meyer, Nicole" uniqKey="Meyer N" first="Nicole" last="Meyer">Nicole Meyer</name></author><author><name sortKey="Pereira, Fernando V" sort="Pereira, Fernando V" uniqKey="Pereira F" first="Fernando V" last="Pereira">Fernando V. Pereira</name></author><author><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin" last="Hu">Bin Hu</name></author></analytic><series><title level="j">Medicine</title><idno type="eISSN">1536-5964</idno><imprint><date when="2017" type="published">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Attention</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Parkinson Disease (rehabilitation)</term><term>Physical Therapy Modalities</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Psychomotor Performance</term><term>Smartphone</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Algorithms</term><term>Attention</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Music</term><term>Physical Therapy Modalities</term><term>Pilot Projects</term><term>Prospective Studies</term><term>Psychomotor Performance</term><term>Smartphone</term><term>Walking</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Deficits in motor movement automaticity in Parkinson's disease (PD), especially during multitasking, are early and consistent hallmarks of cognitive function decline, which increases fall risk and reduces quality of life. This study aimed to test the feasibility and potential efficacy of a wearable sensor-enabled technological platform designed for an in-home music-contingent stepping-in-place (SIP) training program to improve step automaticity during dual-tasking (DT).</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">28151878</PMID><DateCreated><Year>2017</Year><Month>02</Month><Day>02</Day></DateCreated><DateCompleted><Year>2017</Year><Month>02</Month><Day>27</Day></DateCompleted><DateRevised><Year>2017</Year><Month>02</Month><Day>27</Day></DateRevised><Article PubModel="Print"><Journal><ISSN IssnType="Electronic">1536-5964</ISSN><JournalIssue CitedMedium="Internet"><Volume>96</Volume><Issue>5</Issue><PubDate><Year>2017</Year><Month>Feb</Month></PubDate></JournalIssue><Title>Medicine</Title><ISOAbbreviation>Medicine (Baltimore)</ISOAbbreviation></Journal><ArticleTitle>A training approach to improve stepping automaticity while dual-tasking in Parkinson's disease: A prospective pilot study.</ArticleTitle><Pagination><MedlinePgn>e5934</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1097/MD.0000000000005934</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Deficits in motor movement automaticity in Parkinson's disease (PD), especially during multitasking, are early and consistent hallmarks of cognitive function decline, which increases fall risk and reduces quality of life. This study aimed to test the feasibility and potential efficacy of a wearable sensor-enabled technological platform designed for an in-home music-contingent stepping-in-place (SIP) training program to improve step automaticity during dual-tasking (DT).</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">This was a 4-week prospective intervention pilot study. The intervention uses a sensor system and algorithm that runs off the iPod Touch which calculates step height (SH) in real-time. These measurements were then used to trigger auditory (treatment group, music; control group, radio podcast) playback in real-time through wireless headphones upon maintenance of repeated large amplitude stepping. With small steps or shuffling, auditory playback stops, thus allowing participants to use anticipatory motor control to regain positive feedback. Eleven participants were recruited from an ongoing trial (Trial Number: ISRCTN06023392). Fear of falling (FES-I), general cognitive functioning (MoCA), self-reported freezing of gait (FOG-Q), and DT step automaticity were evaluated.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">While we found no significant effect of training on FES-I, MoCA, or FOG-Q, we did observe a significant group (music vs podcast) by training interaction in DT step automaticity (P<0.01).</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Wearable device technology can be used to enable musically-contingent SIP training to increase motor automaticity for people living with PD. The training approach described here can be implemented at home to meet the growing demand for self-management of symptoms by patients.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chomiak</LastName><ForeName>Taylor</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Division of Translational Neuroscience, Department of Clinical Neurosciences, Hotchkiss Brain Institute, Cumming School of Medicine, University of Calgary, Calgary, Alberta, Canada.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Watts</LastName><ForeName>Alexander</ForeName><Initials>A</Initials></Author><Author ValidYN="Y"><LastName>Meyer</LastName><ForeName>Nicole</ForeName><Initials>N</Initials></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Fernando V</ForeName><Initials>FV</Initials></Author><Author ValidYN="Y"><LastName>Hu</LastName><ForeName>Bin</ForeName><Initials>B</Initials></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D064888">Observational Study</PublicationType></PublicationTypeList></Article><MedlineJournalInfo><Country>United States</Country><MedlineTA>Medicine (Baltimore)</MedlineTA><NlmUniqueID>2985248R</NlmUniqueID><ISSNLinking>0025-7974</ISSNLinking></MedlineJournalInfo><CitationSubset>AIM</CitationSubset><CitationSubset>IM</CitationSubset><CommentsCorrectionsList><CommentsCorrections RefType="Cites"><RefSource>Neurobiol Dis. 2015 Oct;82:226-34</RefSource><PMID Version="1">26102020</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Trends Cogn Sci. 2015 Feb;19(2):86-91</RefSource><PMID Version="1">25534332</PMID></CommentsCorrections><CommentsCorrections RefType="Cites"><RefSource>Can Geriatr J. 2015 Sep 30;18(3):159-67</RefSource><PMID 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MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D009146" MajorTopicYN="N">Music</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000534" MajorTopicYN="Y">rehabilitation</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D026741" MajorTopicYN="Y">Physical Therapy Modalities</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010865" MajorTopicYN="N">Pilot Projects</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011446" MajorTopicYN="N">Prospective Studies</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D011597" MajorTopicYN="N">Psychomotor Performance</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D000068997" MajorTopicYN="Y">Smartphone</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D016138" MajorTopicYN="Y">Walking</DescriptorName></MeshHeading></MeshHeadingList><CoiStatement>The authors have no conflicts of interest to disclose.</CoiStatement></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="entrez"><Year>2017</Year><Month>2</Month><Day>3</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2017</Year><Month>2</Month><Day>6</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2017</Year><Month>2</Month><Day>28</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">28151878</ArticleId><ArticleId IdType="doi">10.1097/MD.0000000000005934</ArticleId><ArticleId IdType="pii">00005792-201702030-00032</ArticleId><ArticleId IdType="pmc">PMC5293441</ArticleId></ArticleIdList></PubmedData></pubmed><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><noCountry><name sortKey="Hu, Bin" sort="Hu, Bin" uniqKey="Hu B" first="Bin" last="Hu">Bin Hu</name><name sortKey="Meyer, Nicole" sort="Meyer, Nicole" uniqKey="Meyer N" first="Nicole" last="Meyer">Nicole Meyer</name><name sortKey="Pereira, Fernando V" sort="Pereira, Fernando V" uniqKey="Pereira F" first="Fernando V" last="Pereira">Fernando V. Pereira</name><name sortKey="Watts, Alexander" sort="Watts, Alexander" uniqKey="Watts A" first="Alexander" last="Watts">Alexander Watts</name></noCountry><country name="Canada"><region name="Alberta"><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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