Attention modulates step initiation postural adjustments in Parkinson freezers.
Identifieur interne : 000588 ( PubMed/Curation ); précédent : 000587; suivant : 000589Attention modulates step initiation postural adjustments in Parkinson freezers.
Auteurs : Céline Tard [France] ; Kathy Dujardin [France] ; Jean-Louis Bourriez [France] ; Alain Destée [France] ; Philippe Derambure [France] ; Luc Defebvre [France] ; Arnaud Delval [France]Source :
- Parkinsonism & related disorders [ 1873-5126 ] ; 2014.
English descriptors
- KwdEn :
- Acoustic Stimulation (methods), Aged, Anticipation, Psychological (physiology), Attention (physiology), Female, Gait (physiology), Gait Disorders, Neurologic (diagnosis), Gait Disorders, Neurologic (physiopathology), Humans, Male, Middle Aged, Parkinson Disease (diagnosis), Parkinson Disease (physiopathology), Postural Balance (physiology), Reaction Time (physiology).
- MESH :
- diagnosis : Gait Disorders, Neurologic, Parkinson Disease.
- methods : Acoustic Stimulation.
- physiology : Anticipation, Psychological, Attention, Gait, Postural Balance, Reaction Time.
- physiopathology : Gait Disorders, Neurologic, Parkinson Disease.
- Aged, Female, Humans, Male, Middle Aged.
Abstract
In view of freezing of gait's circumstances of occurrence in Parkinson's disease, attentional resources appear to be involved in step initiation failure. Anticipatory postural adjustments (APAs) are essential because they allow unloading of the stepping leg and so create the conditions required for progression. Our main objective was to establish whether or not a change in attentional load during step initiation modulates APAs differently in patients with vs. without freezing of gait.
DOI: 10.1016/j.parkreldis.2013.11.016
PubMed: 24405757
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Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Dujardin, Kathy" sort="Dujardin, Kathy" uniqKey="Dujardin K" first="Kathy" last="Dujardin">Kathy Dujardin</name><affiliation wicri:level="1"><nlm:affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Bourriez, Jean Louis" sort="Bourriez, Jean Louis" uniqKey="Bourriez J" first="Jean-Louis" last="Bourriez">Jean-Louis Bourriez</name><affiliation wicri:level="1"><nlm:affiliation>Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Destee, Alain" sort="Destee, Alain" uniqKey="Destee A" first="Alain" last="Destée">Alain Destée</name><affiliation wicri:level="1"><nlm:affiliation>Université Lille Nord de France, UDSL, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Neurology and Movement Disorders Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Derambure, Philippe" sort="Derambure, Philippe" uniqKey="Derambure P" first="Philippe" last="Derambure">Philippe Derambure</name><affiliation wicri:level="1"><nlm:affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Defebvre, Luc" sort="Defebvre, Luc" uniqKey="Defebvre L" first="Luc" last="Defebvre">Luc Defebvre</name><affiliation wicri:level="1"><nlm:affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center</wicri:regionArea></affiliation></author><author><name sortKey="Delval, Arnaud" sort="Delval, Arnaud" uniqKey="Delval A" first="Arnaud" last="Delval">Arnaud Delval</name><affiliation wicri:level="1"><nlm:affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France. Electronic address: arnaud.delval@chru-lille.fr.</nlm:affiliation><country xml:lang="fr">France</country><wicri:regionArea>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center</wicri:regionArea></affiliation></author></analytic><series><title level="j">Parkinsonism & related disorders</title><idno type="eISSN">1873-5126</idno><imprint><date when="2014" type="published">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Acoustic Stimulation (methods)</term><term>Aged</term><term>Anticipation, Psychological (physiology)</term><term>Attention (physiology)</term><term>Female</term><term>Gait (physiology)</term><term>Gait Disorders, Neurologic (diagnosis)</term><term>Gait Disorders, Neurologic (physiopathology)</term><term>Humans</term><term>Male</term><term>Middle Aged</term><term>Parkinson Disease (diagnosis)</term><term>Parkinson Disease (physiopathology)</term><term>Postural Balance (physiology)</term><term>Reaction Time (physiology)</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Acoustic Stimulation</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Anticipation, Psychological</term><term>Attention</term><term>Gait</term><term>Postural Balance</term><term>Reaction Time</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Gait Disorders, Neurologic</term><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Humans</term><term>Male</term><term>Middle Aged</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">In view of freezing of gait's circumstances of occurrence in Parkinson's disease, attentional resources appear to be involved in step initiation failure. Anticipatory postural adjustments (APAs) are essential because they allow unloading of the stepping leg and so create the conditions required for progression. Our main objective was to establish whether or not a change in attentional load during step initiation modulates APAs differently in patients with vs. without freezing of gait.</div></front></TEI><pubmed><MedlineCitation Status="MEDLINE" Owner="NLM"><PMID Version="1">24405757</PMID><DateCreated><Year>2014</Year><Month>03</Month><Day>24</Day></DateCreated><DateCompleted><Year>2014</Year><Month>11</Month><Day>24</Day></DateCompleted><DateRevised><Year>2014</Year><Month>03</Month><Day>24</Day></DateRevised><Article PubModel="Print-Electronic"><Journal><ISSN IssnType="Electronic">1873-5126</ISSN><JournalIssue CitedMedium="Internet"><Volume>20</Volume><Issue>3</Issue><PubDate><Year>2014</Year><Month>Mar</Month></PubDate></JournalIssue><Title>Parkinsonism & related disorders</Title><ISOAbbreviation>Parkinsonism Relat. Disord.</ISOAbbreviation></Journal><ArticleTitle>Attention modulates step initiation postural adjustments in Parkinson freezers.</ArticleTitle><Pagination><MedlinePgn>284-9</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.1016/j.parkreldis.2013.11.016</ELocationID><ELocationID EIdType="pii" ValidYN="Y">S1353-8020(13)00416-1</ELocationID><Abstract><AbstractText Label="BACKGROUND" NlmCategory="BACKGROUND">In view of freezing of gait's circumstances of occurrence in Parkinson's disease, attentional resources appear to be involved in step initiation failure. Anticipatory postural adjustments (APAs) are essential because they allow unloading of the stepping leg and so create the conditions required for progression. Our main objective was to establish whether or not a change in attentional load during step initiation modulates APAs differently in patients with vs. without freezing of gait.</AbstractText><AbstractText Label="METHODS" NlmCategory="METHODS">Three groups of 15 subjects were recruited: elderly people and parkinsonian patients with or without freezing of gait. Attention was modulated before step execution by means of an auditory oddball discrimination task with event-related potential recording. The primary endpoint was the occurrence of inappropriate APAs following the attentional task, i.e. APAs not followed by a step after an intercurrent auditory stimulus.</AbstractText><AbstractText Label="RESULTS" NlmCategory="RESULTS">In parkinsonian patients with freezing of gait, inappropriate APAs were recorded in 63% of the trials and were observed more frequently than in patients without freezing of gait (51%) and elderly controls (48%). Furthermore, inappropriate APAs in freezers were longer and more ample than in parkinsonian non-freezers and controls. Lastly, postural preparation was impaired in the parkinsonian patients.</AbstractText><AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">Our results indicate that allocation of attentional resources during step preparation influences the release of APAs differently in freezers and non-freezers. Modulating attentional load is partly responsible for triggering an inappropriate motor program. This difficulty in focusing attention or resisting interference may contribute (at least in part) to the gait initiation failure observed in parkinsonian freezers.</AbstractText><CopyrightInformation>Copyright © 2013 Elsevier Ltd. All rights reserved.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Tard</LastName><ForeName>Céline</ForeName><Initials>C</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Dujardin</LastName><ForeName>Kathy</ForeName><Initials>K</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Bourriez</LastName><ForeName>Jean-Louis</ForeName><Initials>JL</Initials><AffiliationInfo><Affiliation>Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Destée</LastName><ForeName>Alain</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Derambure</LastName><ForeName>Philippe</ForeName><Initials>P</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Defebvre</LastName><ForeName>Luc</ForeName><Initials>L</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Neurology and Movement Disorders Department, Lille University Medical Center, France.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Delval</LastName><ForeName>Arnaud</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Université Lille Nord de France, UDSL, France; Troubles cognitifs dégénératifs et vasculaires, EA1046, Lille 2, France; Clinical Neurophysiology Department, Lille University Medical Center, France. Electronic address: arnaud.delval@chru-lille.fr.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType><PublicationType UI="D016449">Randomized Controlled Trial</PublicationType><PublicationType UI="D013485">Research Support, Non-U.S. Gov't</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2013</Year><Month>12</Month><Day>25</Day></ArticleDate></Article><MedlineJournalInfo><Country>England</Country><MedlineTA>Parkinsonism Relat Disord</MedlineTA><NlmUniqueID>9513583</NlmUniqueID><ISSNLinking>1353-8020</ISSNLinking></MedlineJournalInfo><CitationSubset>IM</CitationSubset><MeshHeadingList><MeshHeading><DescriptorName UI="D000161" MajorTopicYN="N">Acoustic Stimulation</DescriptorName><QualifierName UI="Q000379" MajorTopicYN="N">methods</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D000368" MajorTopicYN="N">Aged</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D059031" MajorTopicYN="N">Anticipation, Psychological</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D001288" MajorTopicYN="N">Attention</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D005260" MajorTopicYN="N">Female</DescriptorName></MeshHeading><MeshHeading><DescriptorName UI="D005684" MajorTopicYN="N">Gait</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D020233" MajorTopicYN="N">Gait Disorders, Neurologic</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></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="N">Parkinson Disease</DescriptorName><QualifierName UI="Q000175" MajorTopicYN="N">diagnosis</QualifierName><QualifierName UI="Q000503" MajorTopicYN="Y">physiopathology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D004856" MajorTopicYN="N">Postural Balance</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="Y">physiology</QualifierName></MeshHeading><MeshHeading><DescriptorName UI="D011930" MajorTopicYN="N">Reaction Time</DescriptorName><QualifierName UI="Q000502" MajorTopicYN="N">physiology</QualifierName></MeshHeading></MeshHeadingList><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">Attention</Keyword><Keyword MajorTopicYN="N">Freezing of gait</Keyword><Keyword MajorTopicYN="N">Gait initiation</Keyword><Keyword MajorTopicYN="N">Parkinson's disease</Keyword><Keyword MajorTopicYN="N">Postural adjustments</Keyword></KeywordList></MedlineCitation><PubmedData><History><PubMedPubDate PubStatus="received"><Year>2013</Year><Month>06</Month><Day>06</Day></PubMedPubDate><PubMedPubDate PubStatus="revised"><Year>2013</Year><Month>09</Month><Day>13</Day></PubMedPubDate><PubMedPubDate PubStatus="accepted"><Year>2013</Year><Month>11</Month><Day>27</Day></PubMedPubDate><PubMedPubDate PubStatus="entrez"><Year>2014</Year><Month>1</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="pubmed"><Year>2014</Year><Month>1</Month><Day>11</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate><PubMedPubDate PubStatus="medline"><Year>2014</Year><Month>12</Month><Day>15</Day><Hour>6</Hour><Minute>0</Minute></PubMedPubDate></History><PublicationStatus>ppublish</PublicationStatus><ArticleIdList><ArticleId IdType="pubmed">24405757</ArticleId><ArticleId IdType="pii">S1353-8020(13)00416-1</ArticleId><ArticleId IdType="doi">10.1016/j.parkreldis.2013.11.016</ArticleId></ArticleIdList></PubmedData></pubmed></record>Pour manipuler ce document sous Unix (Dilib)
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