Concurrent arm swing-stepping (CASS) can reveal gait start hesitation in Parkinson's patients with low self-efficacy and fear of falling.
Identifieur interne : 000443 ( PubMed/Corpus ); précédent : 000442; suivant : 000444Concurrent arm swing-stepping (CASS) can reveal gait start hesitation in Parkinson's patients with low self-efficacy and fear of falling.
Auteurs : Taylor Chomiak ; Fernando V. Pereira ; Terry W. Clark ; Alexandra Cihal ; Bin HuSource :
- Aging clinical and experimental research [ 1720-8319 ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- geographic : Canada.
- diagnosis : Parkinson Disease.
- methods : Exercise Test, Risk Assessment.
- physiopathology : Parkinson Disease.
- prevention & control : Accidental Falls.
- psychology : Parkinson Disease.
- Aged, Fear, Female, Gait, Humans, Male, Middle Aged, Predictive Value of Tests, Self Efficacy.
Abstract
Movement incoordination, freezing of gait, fear of falling, low self-efficacy, and multi-tasking can all contribute to falls in Parkinson's disease. How these multi-factorial risks interact in individual patients remain poorly understood.
DOI: 10.1007/s40520-014-0313-0
PubMed: 25577232
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pubmed:25577232Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Concurrent arm swing-stepping (CASS) can reveal gait start hesitation in Parkinson's patients with low self-efficacy and fear of falling.</title><author><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name><affiliation><nlm:affiliation>Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, 1AC60 HRIC, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada, tgchomia@ucalgary.ca.</nlm:affiliation></affiliation></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="Clark, Terry W" sort="Clark, Terry W" uniqKey="Clark T" first="Terry W" last="Clark">Terry W. Clark</name></author><author><name sortKey="Cihal, Alexandra" sort="Cihal, Alexandra" uniqKey="Cihal A" first="Alexandra" last="Cihal">Alexandra Cihal</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="2015">2015</date><idno type="RBID">pubmed:25577232</idno><idno type="pmid">25577232</idno><idno type="doi">10.1007/s40520-014-0313-0</idno><idno type="wicri:Area/PubMed/Corpus">000443</idno><idno type="wicri:explorRef" wicri:stream="PubMed" wicri:step="Corpus" wicri:corpus="PubMed">000443</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Concurrent arm swing-stepping (CASS) can reveal gait start hesitation in Parkinson's patients with low self-efficacy and fear of falling.</title><author><name sortKey="Chomiak, Taylor" sort="Chomiak, Taylor" uniqKey="Chomiak T" first="Taylor" last="Chomiak">Taylor Chomiak</name><affiliation><nlm:affiliation>Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, 1AC60 HRIC, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada, tgchomia@ucalgary.ca.</nlm:affiliation></affiliation></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="Clark, Terry W" sort="Clark, Terry W" uniqKey="Clark T" first="Terry W" last="Clark">Terry W. Clark</name></author><author><name sortKey="Cihal, Alexandra" sort="Cihal, Alexandra" uniqKey="Cihal A" first="Alexandra" last="Cihal">Alexandra Cihal</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">Aging clinical and experimental research</title><idno type="eISSN">1720-8319</idno><imprint><date when="2015" type="published">2015</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls (prevention & control)</term><term>Aged</term><term>Canada</term><term>Exercise Test (methods)</term><term>Fear</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson Disease (psychology)</term><term>Predictive Value of Tests</term><term>Risk Assessment (methods)</term><term>Self Efficacy</term></keywords><keywords scheme="MESH" type="geographic" xml:lang="en"><term>Canada</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Test</term><term>Risk Assessment</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="prevention & control" xml:lang="en"><term>Accidental Falls</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>Fear</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Predictive Value of Tests</term><term>Self Efficacy</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Movement incoordination, freezing of gait, fear of falling, low self-efficacy, and multi-tasking can all contribute to falls in Parkinson's disease. How these multi-factorial risks interact in individual patients remain poorly understood.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">25577232</PMID><DateCreated><Year>2015</Year><Month>07</Month><Day>24</Day></DateCreated><DateCompleted><Year>2016</Year><Month>03</Month><Day>01</Day></DateCompleted><DateRevised><Year>2015</Year><Month>07</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1720-8319</ISSN><JournalIssue CitedMedium="Internet"><Volume>27</Volume><Issue>4</Issue><PubDate><Year>2015</Year><Month>Aug</Month></PubDate></JournalIssue><Title>Aging clinical and experimental research</Title><ISOAbbreviation>Aging Clin Exp Res</ISOAbbreviation></Journal><ArticleTitle>Concurrent arm swing-stepping (CASS) can reveal gait start hesitation in Parkinson's patients with low self-efficacy and fear of falling.</ArticleTitle><Pagination><MedlinePgn>457-63</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1007/s40520-014-0313-0</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">Movement incoordination, freezing of gait, fear of falling, low self-efficacy, and multi-tasking can all contribute to falls in Parkinson's disease. How these multi-factorial risks interact in individual patients remain poorly understood.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Concurrent arm swing-stepping is a simple motor test in which subjects are first asked to swing their arms before being instructed to initiate the secondary task of leg stepping-in-place. We postulated that in patients with multiple fall risks, sensorimotor impairments in upper- and lower-limb movement control can render concurrent arm swing-stepping a demanding dual task, thereby triggering gait hesitation. A total of 31 subjects with Parkinson's disease were enrolled in the study.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">It was found that concurrent arm swing-stepping induced hesitation primarily in Parkinson's disease patients with low fall-related self-efficacy and a fear of falling. By contrast, concurrent arm swing-stepping led to limb incoordination in both patients and in healthy elderly controls. The calculated specificity and sensitivity of the concurrent arm swing-stepping test was 100 and 42 % for hesitation and 12 and 77 % for incoordination.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">These results suggest that the concurrent arm swing-stepping test can be used in conjunction with conventional psychometric assessments to facilitate multi-factorial assessment of potential fall risk.</AbstractText></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Chomiak</LastName><ForeName>Taylor</ForeName><Initials>T</Initials><AffiliationInfo><Affiliation>Department of Clinical Neurosciences, Hotchkiss Brain Institute, University of Calgary, 1AC60 HRIC, 3330 Hospital Drive NW, Calgary, AB, T2N 4N1, Canada, tgchomia@ucalgary.ca.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Pereira</LastName><ForeName>Fernando V</ForeName><Initials>FV</Initials></Author><Author ValidYN="Y"><LastName>Clark</LastName><ForeName>Terry W</ForeName><Initials>TW</Initials></Author><Author ValidYN="Y"><LastName>Cihal</LastName><ForeName>Alexandra</ForeName><Initials>A</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="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2015</Year><Month>01</Month><Day>11</Day></ArticleDate></Article><MedlineJournalInfo><Country>Germany</Country><MedlineTA>Aging Clin Exp Res</MedlineTA><NlmUniqueID>101132995</NlmUniqueID><ISSNLinking>1594-0667</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000058" MajorTopicYN="N">Accidental Falls</DescriptorName><QualifierName UI="Q000517" MajorTopicYN="Y">prevention & control</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D002170" MajorTopicYN="N" Type="Geographic">Canada</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005080" MajorTopicYN="N">Exercise Test</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005239" MajorTopicYN="Y">Fear</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="Y">Gait</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D006801" MajorTopicYN="N">Humans</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008297" MajorTopicYN="N">Male</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D008875" MajorTopicYN="N">Middle Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D010300" MajorTopicYN="Y">Parkinson Disease</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="N">physiopathology</QualifierName><QualifierName UI="Q000523" MajorTopicYN="N">psychology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011237" MajorTopicYN="N">Predictive Value of Tests</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D018570" MajorTopicYN="N">Risk Assessment</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020377" MajorTopicYN="N">Self Efficacy</DescriptorName></MeshHeading></MeshHeadingList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year><Month>07</Month><Day>24</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2014</Year><Month>12</Month><Day>30</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2015</Year><Month>1</Month><Day>12</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2015</Year><Month>1</Month><Day>13</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2016</Year><Month>3</Month><Day>2</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">25577232</ArticleId><ArticleId IdType="doi">10.1007/s40520-014-0313-0</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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