Parkinsonian gait ameliorated with a moving handrail, not with a banister.
Identifieur interne : 000281 ( PubMed/Checkpoint ); précédent : 000280; suivant : 000282Parkinsonian gait ameliorated with a moving handrail, not with a banister.
Auteurs : Ely Rabin [États-Unis] ; Aleksandr Demin [États-Unis] ; Stefania Pirrotta [États-Unis] ; Jason Chen [États-Unis] ; Hemal Patel [États-Unis] ; Ankur Bhambri [États-Unis] ; Estella Noyola [États-Unis] ; James R. Lackner [États-Unis] ; Paul Dizio [États-Unis] ; Joanne Difrancisco-Donoghue [États-Unis] ; William Werner [États-Unis]Source :
- Archives of physical medicine and rehabilitation [ 1532-821X ] ; 2015.
English descriptors
- KwdEn :
- MESH :
- rehabilitation : Parkinson Disease.
- Aged, Aged, 80 and over, Female, Gait, Humans, Male, Middle Aged, Physical Therapy Modalities, Self-Help Devices, Walking.
Abstract
To determine whether haptic (touch and proprioception) cues from touching a moving handrail while walking can ameliorate the gait symptoms of Parkinson disease (PD), such as slowness and small stride length.
DOI: 10.1016/j.apmr.2014.07.427
PubMed: 25286436
Affiliations:
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<author><name sortKey="Dizio, Paul" sort="Dizio, Paul" uniqKey="Dizio P" first="Paul" last="Dizio">Paul Dizio</name>
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<author><name sortKey="Difrancisco Donoghue, Joanne" sort="Difrancisco Donoghue, Joanne" uniqKey="Difrancisco Donoghue J" first="Joanne" last="Difrancisco-Donoghue">Joanne Difrancisco-Donoghue</name>
<affiliation wicri:level="2"><nlm:affiliation>Department of Osteopathic Manual Manipulation, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</nlm:affiliation>
<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
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<author><name sortKey="Werner, William" sort="Werner, William" uniqKey="Werner W" first="William" last="Werner">William Werner</name>
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<country xml:lang="fr">États-Unis</country>
<placeName><region type="state">État de New York</region>
</placeName>
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<series><title level="j">Archives of physical medicine and rehabilitation</title>
<idno type="eISSN">1532-821X</idno>
<imprint><date when="2015" type="published">2015</date>
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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term>
<term>Aged, 80 and over</term>
<term>Female</term>
<term>Gait</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (rehabilitation)</term>
<term>Physical Therapy Modalities</term>
<term>Self-Help Devices</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>Aged, 80 and over</term>
<term>Female</term>
<term>Gait</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Physical Therapy Modalities</term>
<term>Self-Help Devices</term>
<term>Walking</term>
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<front><div type="abstract" xml:lang="en">To determine whether haptic (touch and proprioception) cues from touching a moving handrail while walking can ameliorate the gait symptoms of Parkinson disease (PD), such as slowness and small stride length.</div>
</front>
</TEI>
<pubmed><MedlineCitation Owner="NLM" Status="MEDLINE"><PMID Version="1">25286436</PMID>
<DateCreated><Year>2015</Year>
<Month>03</Month>
<Day>27</Day>
</DateCreated>
<DateCompleted><Year>2015</Year>
<Month>06</Month>
<Day>01</Day>
</DateCompleted>
<Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1532-821X</ISSN>
<JournalIssue CitedMedium="Internet"><Volume>96</Volume>
<Issue>4</Issue>
<PubDate><Year>2015</Year>
<Month>Apr</Month>
</PubDate>
</JournalIssue>
<Title>Archives of physical medicine and rehabilitation</Title>
<ISOAbbreviation>Arch Phys Med Rehabil</ISOAbbreviation>
</Journal>
<ArticleTitle>Parkinsonian gait ameliorated with a moving handrail, not with a banister.</ArticleTitle>
<Pagination><MedlinePgn>735-41</MedlinePgn>
</Pagination>
<ELocationID EIdType="doi" ValidYN="Y">10.1016/j.apmr.2014.07.427</ELocationID>
<ELocationID EIdType="pii" ValidYN="Y">S0003-9993(14)01120-4</ELocationID>
<Abstract><AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To determine whether haptic (touch and proprioception) cues from touching a moving handrail while walking can ameliorate the gait symptoms of Parkinson disease (PD), such as slowness and small stride length.</AbstractText>
<AbstractText Label="DESIGN" NlmCategory="METHODS">Nonrandomized, controlled before-after trial.</AbstractText>
<AbstractText Label="SETTING" NlmCategory="METHODS">Physical therapy clinic.</AbstractText>
<AbstractText Label="PARTICIPANTS" NlmCategory="METHODS">People with PD (n=16) and healthy age-matched control subjects (n=16) with no neurologic disorders volunteered. No participants withdrew.</AbstractText>
<AbstractText Label="INTERVENTIONS" NlmCategory="METHODS">We compared gait using a moving handrail as a novel assistive aid (speed self-selected) versus a banister and unassisted walking. Participants with PD were tested on and off dopaminergic medication.</AbstractText>
<AbstractText Label="MAIN OUTCOME MEASURES" NlmCategory="METHODS">Mean gait speed, stride length, stride duration, double-support duration, and medial-lateral excursion.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">With the moving handrail, participants with PD increased gait speed relative to unassisted gait by 16% (.166m/s, P=.009, d=.76; 95% confidence interval [CI], .054-.278m/s) and increased stride length by 10% (.053m, P=.022, d=.37; 95% CI, .009-.097m) without significantly changing stride or double-support duration. The banister reduced speed versus unassisted gait by 11% (-.097m/s, P=.040, d=.40; 95% CI, .002-.193m/s) and reduced stride length by 8% (.32m, P=.004, d=.26; 95% CI, .010-.054m), whereas it increased stride duration by 3% (.023s, P=.022, d=.21; 95% CI, .004-.041s) and double-support duration by 35% (.044s, P=.031, d=.58; 95% CI, .005-.083s). All medication × condition interactions were P>.05.</AbstractText>
<AbstractText Label="CONCLUSIONS" NlmCategory="CONCLUSIONS">Using haptic speed cues from the moving handrail, people with PD walked faster by spontaneously (ie, without specific instruction) increasing stride length without altering cadence; banisters slowed gait. Haptic cues from the moving handrail can be used by people with PD to engage biomechanical and neural mechanisms for interpreting tactile and proprioception changes related to gait speed to control gait better than static cues afforded by banisters.</AbstractText>
<CopyrightInformation>Copyright © 2015 American Congress of Rehabilitation Medicine. Published by Elsevier Inc. All rights reserved.</CopyrightInformation>
</Abstract>
<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Rabin</LastName>
<ForeName>Ely</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY. Electronic address: erabin@nyit.edu.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Demin</LastName>
<ForeName>Aleksandr</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Pirrotta</LastName>
<ForeName>Stefania</ForeName>
<Initials>S</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Chen</LastName>
<ForeName>Jason</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Baylor College of Medicine, Physical Medicine and Rehabilitation, Houston, TX.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Patel</LastName>
<ForeName>Hemal</ForeName>
<Initials>H</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Bhambri</LastName>
<ForeName>Ankur</ForeName>
<Initials>A</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Noyola</LastName>
<ForeName>Estella</ForeName>
<Initials>E</Initials>
<AffiliationInfo><Affiliation>Department of Biomedical Sciences, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Lackner</LastName>
<ForeName>James R</ForeName>
<Initials>JR</Initials>
<AffiliationInfo><Affiliation>Ashton Graybiel Spatial Orientation Laboratory, Brandeis University, Waltham, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>DiZio</LastName>
<ForeName>Paul</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Ashton Graybiel Spatial Orientation Laboratory, Brandeis University, Waltham, MA.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>DiFrancisco-Donoghue</LastName>
<ForeName>Joanne</ForeName>
<Initials>J</Initials>
<AffiliationInfo><Affiliation>Department of Osteopathic Manual Manipulation, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
<Author ValidYN="Y"><LastName>Werner</LastName>
<ForeName>William</ForeName>
<Initials>W</Initials>
<AffiliationInfo><Affiliation>Department of Physical Therapy, New York Institute of Technology, Old Westbury, NY.</Affiliation>
</AffiliationInfo>
</Author>
</AuthorList>
<Language>eng</Language>
<GrantList CompleteYN="Y"><Grant><GrantID>R03 HD058150-01A2</GrantID>
<Acronym>HD</Acronym>
<Agency>NICHD NIH HHS</Agency>
<Country>United States</Country>
</Grant>
</GrantList>
<PublicationTypeList><PublicationType UI="D016430">Clinical Trial</PublicationType>
<PublicationType UI="D016428">Journal Article</PublicationType>
<PublicationType UI="D052061">Research Support, N.I.H., Extramural</PublicationType>
</PublicationTypeList>
<ArticleDate DateType="Electronic"><Year>2014</Year>
<Month>10</Month>
<Day>05</Day>
</ArticleDate>
</Article>
<MedlineJournalInfo><Country>United States</Country>
<MedlineTA>Arch Phys Med Rehabil</MedlineTA>
<NlmUniqueID>2985158R</NlmUniqueID>
<ISSNLinking>0003-9993</ISSNLinking>
</MedlineJournalInfo>
<CitationSubset>AIM</CitationSubset>
<CitationSubset>IM</CitationSubset>
<MeshHeadingList><MeshHeading><DescriptorName MajorTopicYN="N" UI="D000368">Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D000369">Aged, 80 and over</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D005260">Female</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D005684">Gait</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D006801">Humans</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008297">Male</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D008875">Middle Aged</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="N" UI="D010300">Parkinson Disease</DescriptorName>
<QualifierName MajorTopicYN="Y" UI="Q000534">rehabilitation</QualifierName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D026741">Physical Therapy Modalities</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D012656">Self-Help Devices</DescriptorName>
</MeshHeading>
<MeshHeading><DescriptorName MajorTopicYN="Y" UI="D016138">Walking</DescriptorName>
</MeshHeading>
</MeshHeadingList>
<KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Assistive devices</Keyword>
<Keyword MajorTopicYN="N">Gait disorders, neurologic</Keyword>
<Keyword MajorTopicYN="N">Parkinson disease</Keyword>
<Keyword MajorTopicYN="N">Proprioception</Keyword>
<Keyword MajorTopicYN="N">Rehabilitation</Keyword>
<Keyword MajorTopicYN="N">Touch</Keyword>
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<PubmedData><History><PubMedPubDate PubStatus="received"><Year>2014</Year>
<Month>3</Month>
<Day>20</Day>
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<PubMedPubDate PubStatus="revised"><Year>2014</Year>
<Month>6</Month>
<Day>26</Day>
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<PubMedPubDate PubStatus="accepted"><Year>2014</Year>
<Month>7</Month>
<Day>24</Day>
</PubMedPubDate>
<PubMedPubDate PubStatus="aheadofprint"><Year>2014</Year>
<Month>10</Month>
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<PubMedPubDate PubStatus="pubmed"><Year>2014</Year>
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<PubMedPubDate PubStatus="medline"><Year>2015</Year>
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</History>
<PublicationStatus>ppublish</PublicationStatus>
<ArticleIdList><ArticleId IdType="pubmed">25286436</ArticleId>
<ArticleId IdType="pii">S0003-9993(14)01120-4</ArticleId>
<ArticleId IdType="doi">10.1016/j.apmr.2014.07.427</ArticleId>
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<affiliations><list><country><li>États-Unis</li>
</country>
<region><li>Massachusetts</li>
<li>Texas</li>
<li>État de New York</li>
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<tree><country name="États-Unis"><region name="État de New York"><name sortKey="Rabin, Ely" sort="Rabin, Ely" uniqKey="Rabin E" first="Ely" last="Rabin">Ely Rabin</name>
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<name sortKey="Bhambri, Ankur" sort="Bhambri, Ankur" uniqKey="Bhambri A" first="Ankur" last="Bhambri">Ankur Bhambri</name>
<name sortKey="Chen, Jason" sort="Chen, Jason" uniqKey="Chen J" first="Jason" last="Chen">Jason Chen</name>
<name sortKey="Demin, Aleksandr" sort="Demin, Aleksandr" uniqKey="Demin A" first="Aleksandr" last="Demin">Aleksandr Demin</name>
<name sortKey="Difrancisco Donoghue, Joanne" sort="Difrancisco Donoghue, Joanne" uniqKey="Difrancisco Donoghue J" first="Joanne" last="Difrancisco-Donoghue">Joanne Difrancisco-Donoghue</name>
<name sortKey="Dizio, Paul" sort="Dizio, Paul" uniqKey="Dizio P" first="Paul" last="Dizio">Paul Dizio</name>
<name sortKey="Lackner, James R" sort="Lackner, James R" uniqKey="Lackner J" first="James R" last="Lackner">James R. Lackner</name>
<name sortKey="Noyola, Estella" sort="Noyola, Estella" uniqKey="Noyola E" first="Estella" last="Noyola">Estella Noyola</name>
<name sortKey="Patel, Hemal" sort="Patel, Hemal" uniqKey="Patel H" first="Hemal" last="Patel">Hemal Patel</name>
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<name sortKey="Werner, William" sort="Werner, William" uniqKey="Werner W" first="William" last="Werner">William Werner</name>
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