Stance Postural Strategies in Patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy.
Identifieur interne : 000696 ( Main/Corpus ); précédent : 000695; suivant : 000697Stance Postural Strategies in Patients with Chronic Inflammatory Demyelinating Polyradiculoneuropathy.
Auteurs : Steno Rinalduzzi ; Marco Serafini ; Marco Capozza ; Neri Accornero ; Paolo Missori ; Carlo Trompetto ; Francesco Fattapposta ; Antonio CurràSource :
- PloS one [ 1932-6203 ] ; 2016.
English descriptors
- KwdEn :
- Adult (MeSH), Aged (MeSH), Biomechanical Phenomena (MeSH), Feedback, Sensory (MeSH), Female (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Models, Biological (MeSH), Muscle Weakness (etiology), Muscle Weakness (physiopathology), Muscle, Skeletal (innervation), Muscle, Skeletal (physiopathology), Neural Conduction (MeSH), Physical Therapy Modalities (MeSH), Polyradiculoneuropathy, Chronic Inflammatory Demyelinating (complications), Polyradiculoneuropathy, Chronic Inflammatory Demyelinating (physiopathology), Postural Balance (MeSH), Posture (MeSH), Sensation Disorders (etiology), Sensation Disorders (therapy), Somatosensory Disorders (etiology), Somatosensory Disorders (therapy), Vision, Ocular (MeSH), Young Adult (MeSH).
- MESH :
- complications : Polyradiculoneuropathy, Chronic Inflammatory Demyelinating.
- etiology : Muscle Weakness, Sensation Disorders, Somatosensory Disorders.
- innervation : Muscle, Skeletal.
- physiopathology : Muscle Weakness, Muscle, Skeletal, Polyradiculoneuropathy, Chronic Inflammatory Demyelinating.
- therapy : Sensation Disorders, Somatosensory Disorders.
- Adult, Aged, Biomechanical Phenomena, Feedback, Sensory, Female, Humans, Male, Middle Aged, Models, Biological, Neural Conduction, Physical Therapy Modalities, Postural Balance, Posture, Vision, Ocular, Young Adult.
Abstract
INTRODUCTION
Polyneuropathy leads to postural instability and an increased risk of falling. We investigated how impaired motor impairment and proprioceptive input due to neuropathy influences postural strategies.
METHODS
Platformless bisegmental posturography data were recorded in healthy subjects and patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Each subject stood on the floor, wore a head and a hip electromagnetic tracker. Sway amplitude and velocity were recorded and the mean direction difference (MDD) in the velocity vector between trackers was calculated as a flexibility index.
RESULTS
Head and hip postural sway increased more in patients with CIDP than in healthy controls. MDD values reflecting hip strategies also increased more in patients than in controls. In the eyes closed condition MDD values in healthy subjects decreased but in patients remained unchanged.
DISCUSSION
Sensori-motor impairment changes the balance between postural strategies that patients adopt to maintain upright quiet stance. Motor impairment leads to hip postural strategy overweight (eyes open), and prevents strategy re-balancing when the sensory context predominantly relies on proprioceptive input (eyes closed).
DOI: 10.1371/journal.pone.0151629
PubMed: 26977594
PubMed Central: PMC4792479
Links to Exploration step
pubmed:26977594Le document en format XML
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<author><name sortKey="Fattapposta, Francesco" sort="Fattapposta, Francesco" uniqKey="Fattapposta F" first="Francesco" last="Fattapposta">Francesco Fattapposta</name>
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<term>Aged (MeSH)</term>
<term>Biomechanical Phenomena (MeSH)</term>
<term>Feedback, Sensory (MeSH)</term>
<term>Female (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Models, Biological (MeSH)</term>
<term>Muscle Weakness (etiology)</term>
<term>Muscle Weakness (physiopathology)</term>
<term>Muscle, Skeletal (innervation)</term>
<term>Muscle, Skeletal (physiopathology)</term>
<term>Neural Conduction (MeSH)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating (complications)</term>
<term>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating (physiopathology)</term>
<term>Postural Balance (MeSH)</term>
<term>Posture (MeSH)</term>
<term>Sensation Disorders (etiology)</term>
<term>Sensation Disorders (therapy)</term>
<term>Somatosensory Disorders (etiology)</term>
<term>Somatosensory Disorders (therapy)</term>
<term>Vision, Ocular (MeSH)</term>
<term>Young Adult (MeSH)</term>
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</keywords>
<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Muscle Weakness</term>
<term>Sensation Disorders</term>
<term>Somatosensory Disorders</term>
</keywords>
<keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Muscle, Skeletal</term>
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<keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Muscle Weakness</term>
<term>Muscle, Skeletal</term>
<term>Polyradiculoneuropathy, Chronic Inflammatory Demyelinating</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Sensation Disorders</term>
<term>Somatosensory Disorders</term>
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<term>Aged</term>
<term>Biomechanical Phenomena</term>
<term>Feedback, Sensory</term>
<term>Female</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Models, Biological</term>
<term>Neural Conduction</term>
<term>Physical Therapy Modalities</term>
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<front><div type="abstract" xml:lang="en"><p><b>INTRODUCTION</b>
</p>
<p>Polyneuropathy leads to postural instability and an increased risk of falling. We investigated how impaired motor impairment and proprioceptive input due to neuropathy influences postural strategies.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>METHODS</b>
</p>
<p>Platformless bisegmental posturography data were recorded in healthy subjects and patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Each subject stood on the floor, wore a head and a hip electromagnetic tracker. Sway amplitude and velocity were recorded and the mean direction difference (MDD) in the velocity vector between trackers was calculated as a flexibility index.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>RESULTS</b>
</p>
<p>Head and hip postural sway increased more in patients with CIDP than in healthy controls. MDD values reflecting hip strategies also increased more in patients than in controls. In the eyes closed condition MDD values in healthy subjects decreased but in patients remained unchanged.</p>
</div>
<div type="abstract" xml:lang="en"><p><b>DISCUSSION</b>
</p>
<p>Sensori-motor impairment changes the balance between postural strategies that patients adopt to maintain upright quiet stance. Motor impairment leads to hip postural strategy overweight (eyes open), and prevents strategy re-balancing when the sensory context predominantly relies on proprioceptive input (eyes closed).</p>
</div>
</front>
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<Abstract><AbstractText Label="INTRODUCTION" NlmCategory="BACKGROUND">Polyneuropathy leads to postural instability and an increased risk of falling. We investigated how impaired motor impairment and proprioceptive input due to neuropathy influences postural strategies.</AbstractText>
<AbstractText Label="METHODS" NlmCategory="METHODS">Platformless bisegmental posturography data were recorded in healthy subjects and patients with chronic inflammatory demyelinating polyradiculoneuropathy (CIDP). Each subject stood on the floor, wore a head and a hip electromagnetic tracker. Sway amplitude and velocity were recorded and the mean direction difference (MDD) in the velocity vector between trackers was calculated as a flexibility index.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Head and hip postural sway increased more in patients with CIDP than in healthy controls. MDD values reflecting hip strategies also increased more in patients than in controls. In the eyes closed condition MDD values in healthy subjects decreased but in patients remained unchanged.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">Sensori-motor impairment changes the balance between postural strategies that patients adopt to maintain upright quiet stance. Motor impairment leads to hip postural strategy overweight (eyes open), and prevents strategy re-balancing when the sensory context predominantly relies on proprioceptive input (eyes closed).</AbstractText>
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