Movement Disorders (revue)

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Postural reactions to neck vibration in Parkinson's disease

Identifieur interne : 001033 ( PascalFrancis/Curation ); précédent : 001032; suivant : 001034

Postural reactions to neck vibration in Parkinson's disease

Auteurs : Peter Valkovic [Allemagne, Slovaquie] ; Siegbert Krafczyk [Allemagne] ; Marian Saling [Slovaquie] ; Jan Benetin [Slovaquie] ; Kai Botzel [Allemagne]

Source :

RBID : Pascal:06-0135494

Descripteurs français

English descriptors

Abstract

To test the hypothesis that reduced reactions to proprioceptive input signals contribute to postural instability in Parkinson's disease (PD), pulses of mechanical vibration were applied to the neck muscles of PD patients and healthy controls. This stimulus elicits postural reactions in standing subjects. Participating were 13 moderately affected PD patients, 13 severely affected PD patients, and 13 age-matched healthy subjects. Patients were tested on and off medication. Three-second-long pulses of vibration were regularly (10 times) applied to the posterior neck muscles while subjects kept their eyes open or closed. Postural responses to the stimuli were measured by static posturography. No intergroup difference in the pattern and latencies of responses was found. However, the amplitudes of the postural reactions (shift of center of foot pressure) were significantly larger in advanced PD patients; those of moderately affected PD patients did not differ from those of control subjects. Moreover, the size of postural responses in both latter groups decreased across the trial contrary to that of advanced PD patients. Comparison of the measures during on and off testing revealed no significant differences. These results indicate that neither afferent proprioceptive deficits nor central integrative functions but rather scaling and habituation of erroneous proprioceptive information are disturbed in the postural control of advanced PD. Nondopaminergic structures seem to be responsible for this impairment.
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A08 01  1  ENG  @1 Postural reactions to neck vibration in Parkinson's disease
A11 01  1    @1 VALKOVIC (Peter)
A11 02  1    @1 KRAFCZYK (Siegbert)
A11 03  1    @1 SALING (Marian)
A11 04  1    @1 BENETIN (Jan)
A11 05  1    @1 BOTZEL (Kai)
A14 01      @1 Department of Neurology, Ludwig-Maximilians University @2 Munich @3 DEU @Z 1 aut. @Z 2 aut. @Z 5 aut.
A14 02      @1 Second Department of Neurology, School of Medicine, Comenius University @2 Bratislava @3 SVK @Z 1 aut. @Z 3 aut. @Z 4 aut.
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C01 01    ENG  @0 To test the hypothesis that reduced reactions to proprioceptive input signals contribute to postural instability in Parkinson's disease (PD), pulses of mechanical vibration were applied to the neck muscles of PD patients and healthy controls. This stimulus elicits postural reactions in standing subjects. Participating were 13 moderately affected PD patients, 13 severely affected PD patients, and 13 age-matched healthy subjects. Patients were tested on and off medication. Three-second-long pulses of vibration were regularly (10 times) applied to the posterior neck muscles while subjects kept their eyes open or closed. Postural responses to the stimuli were measured by static posturography. No intergroup difference in the pattern and latencies of responses was found. However, the amplitudes of the postural reactions (shift of center of foot pressure) were significantly larger in advanced PD patients; those of moderately affected PD patients did not differ from those of control subjects. Moreover, the size of postural responses in both latter groups decreased across the trial contrary to that of advanced PD patients. Comparison of the measures during on and off testing revealed no significant differences. These results indicate that neither afferent proprioceptive deficits nor central integrative functions but rather scaling and habituation of erroneous proprioceptive information are disturbed in the postural control of advanced PD. Nondopaminergic structures seem to be responsible for this impairment.
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C03 02  X  ENG  @0 Vibration disease @5 02
C03 02  X  SPA  @0 Vibración enfermedad @5 02
C03 03  X  FRE  @0 Parkinson maladie @5 03
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C03 03  X  SPA  @0 Parkinson enfermedad @5 03
C03 04  X  FRE  @0 Cou @5 09
C03 04  X  ENG  @0 Neck @5 09
C03 04  X  SPA  @0 Cuello @5 09
C03 05  X  FRE  @0 Posture @5 10
C03 05  X  ENG  @0 Posture @5 10
C03 05  X  SPA  @0 Postura @5 10
C03 06  X  FRE  @0 Instabilité @5 11
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C03 06  X  SPA  @0 Inestabilidad @5 11
C03 07  X  FRE  @0 Proprioception @5 12
C03 07  X  ENG  @0 Proprioception @5 12
C03 07  X  SPA  @0 Propiocepción @5 12
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C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Système nerveux central pathologie @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 086
N44 01      @1 OTO
N82       @1 OTO

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Pascal:06-0135494

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<div type="abstract" xml:lang="en">To test the hypothesis that reduced reactions to proprioceptive input signals contribute to postural instability in Parkinson's disease (PD), pulses of mechanical vibration were applied to the neck muscles of PD patients and healthy controls. This stimulus elicits postural reactions in standing subjects. Participating were 13 moderately affected PD patients, 13 severely affected PD patients, and 13 age-matched healthy subjects. Patients were tested on and off medication. Three-second-long pulses of vibration were regularly (10 times) applied to the posterior neck muscles while subjects kept their eyes open or closed. Postural responses to the stimuli were measured by static posturography. No intergroup difference in the pattern and latencies of responses was found. However, the amplitudes of the postural reactions (shift of center of foot pressure) were significantly larger in advanced PD patients; those of moderately affected PD patients did not differ from those of control subjects. Moreover, the size of postural responses in both latter groups decreased across the trial contrary to that of advanced PD patients. Comparison of the measures during on and off testing revealed no significant differences. These results indicate that neither afferent proprioceptive deficits nor central integrative functions but rather scaling and habituation of erroneous proprioceptive information are disturbed in the postural control of advanced PD. Nondopaminergic structures seem to be responsible for this impairment.</div>
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<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>39</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>39</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Système nerveux central pathologie</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>40</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>40</s5>
</fC07>
<fN21>
<s1>086</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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