Haptic feedback from manual contact improves balance control in people with Parkinson’s disease
Identifieur interne : 001228 ( Pmc/Checkpoint ); précédent : 001227; suivant : 001229Haptic feedback from manual contact improves balance control in people with Parkinson’s disease
Auteurs : Ely Rabin [États-Unis] ; Jason Chen [États-Unis] ; Lisa Muratori [États-Unis] ; Joanne Difrancisco-Donoghue [États-Unis] ; William G. Werner [États-Unis]Source :
- Gait & posture [ 0966-6362 ] ; 2013.
Abstract
Parkinson’s disease (PD) degrades balance control. Haptic (touch and proprioception) feedback from light contact with a stationary surface inadequate to mechanically stabilize balance improves balance control in healthy people. In this study we tested whether PD impairs use of haptic cues independent of mechanical support to control balance. We measured postural sway in thirteen individuals with PD (H&Y 1–3, median=2, Q1=2, Q3=2) and thirteen age-matched controls balancing in a widened, sharpened Romberg stance in four conditions: eyes-closed, no manual contact; eyes-closed light-touch contact (<1N), eyes-closed, unrestricted contact; and eyes-open, no contact. To determine whether PD-severity affects any of these balance strategies, PD participants were tested on- and off-medication, and using the more- and less-affected body side in the stance and manual contact.
Individuals with PD simultaneously maintained non-supportive fingertip contact and balance in this task without practice. PD participants swayed more than control participants (ML CP
We conclude the effect of PD on balance is not specific to vision or haptic feedback. Nevertheless, haptic cues from manual contact, independent of mechanical support, improve balance control in individuals with PD. We discuss the implication that PD or associated dopaminergic pathways do not directly affect haptic feedback balance control mechanisms, including arm/posture coordination and proprioceptive integration.
Url:
DOI: 10.1016/j.gaitpost.2012.12.008
PubMed: 23313411
PubMed Central: 3664138
Affiliations:
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<front><div type="abstract" xml:lang="en"><p id="P1">Parkinson’s disease (PD) degrades balance control. Haptic (touch and proprioception) feedback from light contact with a stationary surface inadequate to mechanically stabilize balance improves balance control in healthy people. In this study we tested whether PD impairs use of haptic cues independent of mechanical support to control balance. We measured postural sway in thirteen individuals with PD (H&Y 1–3, median=2, Q<sub>1</sub>
=2, Q<sub>3</sub>
=2) and thirteen age-matched controls balancing in a widened, sharpened Romberg stance in four conditions: eyes-closed, no manual contact; eyes-closed light-touch contact (<1N), eyes-closed, unrestricted contact; and eyes-open, no contact. To determine whether PD-severity affects any of these balance strategies, PD participants were tested on- and off-medication, and using the more- and less-affected body side in the stance and manual contact.</p>
<p id="P2">Individuals with PD simultaneously maintained non-supportive fingertip contact and balance in this task without practice. PD participants swayed more than control participants (ML CP <italic>p</italic>
=0.010; shoulder <italic>p</italic>
<0.001), but manual contact reduced sway. Non-supportive manual contact stabilized balance more than vision (<italic>p</italic>
<0.05). PD-severity factors had no significant effect (<italic>p</italic>
>0.05).</p>
<p id="P3">We conclude the effect of PD on balance is not specific to vision or haptic feedback. Nevertheless, haptic cues from manual contact, independent of mechanical support, improve balance control in individuals with PD. We discuss the implication that PD or associated dopaminergic pathways do not directly affect haptic feedback balance control mechanisms, including arm/posture coordination and proprioceptive integration.</p>
</div>
</front>
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<pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<front><journal-meta><journal-id journal-id-type="nlm-journal-id">9416830</journal-id>
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<article-categories><subj-group subj-group-type="heading"><subject>Article</subject>
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<title-group><article-title>Haptic feedback from manual contact improves balance control in people with Parkinson’s disease</article-title>
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New York College of Osteopathic Medicine (NYCOM), Northern Boulevard, Old Westbury, NY 11568, United States</aff>
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Academic Health Care Center of NYCOM, Northern Boulevard, Old Westbury, NY 11568, United States</aff>
<aff id="A3"><label>3</label>
Department of Physical Therapy, Stony Brook University, HSC, SHTM, LV2 Stony Brook, New York 11794-8201</aff>
<author-notes><corresp id="cor1">Corresponding author: Ely Rabin, Department of Neuroscience, NYCOM, Northern Boulevard, Old Westbury, NY 11568, United States, (516)686-3773 <email>erabin@nyit.edu</email>
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<pub-date pub-type="nihms-submitted"><day>8</day>
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<abstract><p id="P1">Parkinson’s disease (PD) degrades balance control. Haptic (touch and proprioception) feedback from light contact with a stationary surface inadequate to mechanically stabilize balance improves balance control in healthy people. In this study we tested whether PD impairs use of haptic cues independent of mechanical support to control balance. We measured postural sway in thirteen individuals with PD (H&Y 1–3, median=2, Q<sub>1</sub>
=2, Q<sub>3</sub>
=2) and thirteen age-matched controls balancing in a widened, sharpened Romberg stance in four conditions: eyes-closed, no manual contact; eyes-closed light-touch contact (<1N), eyes-closed, unrestricted contact; and eyes-open, no contact. To determine whether PD-severity affects any of these balance strategies, PD participants were tested on- and off-medication, and using the more- and less-affected body side in the stance and manual contact.</p>
<p id="P2">Individuals with PD simultaneously maintained non-supportive fingertip contact and balance in this task without practice. PD participants swayed more than control participants (ML CP <italic>p</italic>
=0.010; shoulder <italic>p</italic>
<0.001), but manual contact reduced sway. Non-supportive manual contact stabilized balance more than vision (<italic>p</italic>
<0.05). PD-severity factors had no significant effect (<italic>p</italic>
>0.05).</p>
<p id="P3">We conclude the effect of PD on balance is not specific to vision or haptic feedback. Nevertheless, haptic cues from manual contact, independent of mechanical support, improve balance control in individuals with PD. We discuss the implication that PD or associated dopaminergic pathways do not directly affect haptic feedback balance control mechanisms, including arm/posture coordination and proprioceptive integration.</p>
</abstract>
<kwd-group><kwd>Parkinson’s disease</kwd>
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<kwd>touch</kwd>
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<kwd>proprioception</kwd>
</kwd-group>
<funding-group><award-group><funding-source country="United States">National Institute of Child Health & Human Development : NICHD</funding-source>
<award-id>R03 HD058150 || HD</award-id>
</award-group>
</funding-group>
</article-meta>
</front>
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<affiliations><list><country><li>États-Unis</li>
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