PosturoV1, Main, Exploration, bibRecord, 000212

Responsiveness to rehabilitation of balance and gait impairment in elderly with peripheral neuropathy.

Identifieur interne : 000212 ( Main/Exploration ); précédent : 000211; suivant : 000213

Responsiveness to rehabilitation of balance and gait impairment in elderly with peripheral neuropathy.

Auteurs : Antonio Caronni [Italie] ; Michela Picardi [Italie] ; Giuseppe Pintavalle [Italie] ; Evdoxia Aristidou [Italie] ; Valentina Redaelli [Italie] ; Paola Antoniotti [Italie] ; Irma Sterpi [Italie] ; Peppino Tropea [Italie] ; Massimo Corbo [Italie]

Source :

Journal of biomechanics [ 1873-2380 ] ; 2019.

RBID : pubmed:31327524

Descripteurs français

KwdFr :
- Adulte d'âge moyen (MeSH), Démarche (MeSH), Exercice physique (physiologie), Femelle (MeSH), Humains (MeSH), Mâle (MeSH), Neuropathies périphériques (rééducation et réadaptation), Sujet âgé (MeSH), Sujet âgé de 80 ans ou plus (MeSH), Techniques de physiothérapie (MeSH), Tronc (MeSH), Équilibre postural (MeSH), Études rétrospectives (MeSH).
MESH :
- physiologie : Exercice physique.
- rééducation et réadaptation : Neuropathies périphériques.
- Adulte d'âge moyen, Démarche, Femelle, Humains, Mâle, Sujet âgé, Sujet âgé de 80 ans ou plus, Techniques de physiothérapie, Tronc, Équilibre postural, Études rétrospectives.

English descriptors

KwdEn :
- Aged (MeSH), Aged, 80 and over (MeSH), Exercise (physiology), Female (MeSH), Gait (MeSH), Humans (MeSH), Male (MeSH), Middle Aged (MeSH), Peripheral Nervous System Diseases (rehabilitation), Physical Therapy Modalities (MeSH), Postural Balance (MeSH), Retrospective Studies (MeSH), Torso (MeSH).
MESH :
- physiology : Exercise.
- rehabilitation : Peripheral Nervous System Diseases.
- Aged, Aged, 80 and over, Female, Gait, Humans, Male, Middle Aged, Physical Therapy Modalities, Postural Balance, Retrospective Studies, Torso.

Abstract

Elderly people with peripheral neuropathy of the lower limbs (PNLL) demonstrate a typical balance and gait impairment because of sensory ataxia. There is evidence that rehabilitation produces important gains on balance and gait. However, responsiveness to rehabilitation of balance and gait measures is unknown in PNLL. Aim of the current work is to evaluate the responsiveness to rehabilitation of balance, gait and sensory ataxia measures in elderly with PNLL. Twenty-five elderly with PNLL attending physiotherapy and occupational therapy during inpatient rehabilitation were recruited. Balance and gait measures (including static posturography, TUG test and the 10 m walking test) were administered on admission and discharge. An accelerometer secured to the trunk was used for TUG recording and static balance assessment. Static balance was tested with open and closed eyes, so as to assess sensory ataxia. Following rehabilitation, patients improved gait [admission vs discharge, mean(SD): 0.86(0.33) vs 0.98(0.32) m/s], TUG [18.7(7.8) vs 15.1(5.2) s] and turning [46.2(15.3) vs 53.3(15.3) °/s]. However, none of 12 static balance parameters derived from trunk acceleration significantly changed. Principal component analysis showed that before training, eyes closed and eyes open balance correlated with orthogonal components (one and two vs. three and four). After training, eyes open and eyes closed balance were more similar to each other being both correlated with component one. Responsiveness to rehabilitation is larger for gait than static balance measured by trunk acceleration. However, exercise can also have a beneficial effect on sensory ataxia by making eyes closed balance more similar to eyes open balance.

DOI: 10.1016/j.jbiomech.2019.07.007
PubMed: 31327524

Affiliations:

Links toward previous steps (curation, corpus...)

to stream Main, to step Corpus: 000205
to stream Main, to step Curation: 000205

Le document en format XML

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<term>Exercise (physiology)</term>
<term>Female (MeSH)</term>
<term>Gait (MeSH)</term>
<term>Humans (MeSH)</term>
<term>Male (MeSH)</term>
<term>Middle Aged (MeSH)</term>
<term>Peripheral Nervous System Diseases (rehabilitation)</term>
<term>Physical Therapy Modalities (MeSH)</term>
<term>Postural Balance (MeSH)</term>
<term>Retrospective Studies (MeSH)</term>
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<term>Démarche (MeSH)</term>
<term>Exercice physique (physiologie)</term>
<term>Femelle (MeSH)</term>
<term>Humains (MeSH)</term>
<term>Mâle (MeSH)</term>
<term>Neuropathies périphériques (rééducation et réadaptation)</term>
<term>Sujet âgé (MeSH)</term>
<term>Sujet âgé de 80 ans ou plus (MeSH)</term>
<term>Techniques de physiothérapie (MeSH)</term>
<term>Tronc (MeSH)</term>
<term>Équilibre postural (MeSH)</term>
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<front><div type="abstract" xml:lang="en">Elderly people with peripheral neuropathy of the lower limbs (PNLL) demonstrate a typical balance and gait impairment because of sensory ataxia. There is evidence that rehabilitation produces important gains on balance and gait. However, responsiveness to rehabilitation of balance and gait measures is unknown in PNLL. Aim of the current work is to evaluate the responsiveness to rehabilitation of balance, gait and sensory ataxia measures in elderly with PNLL. Twenty-five elderly with PNLL attending physiotherapy and occupational therapy during inpatient rehabilitation were recruited. Balance and gait measures (including static posturography, TUG test and the 10 m walking test) were administered on admission and discharge. An accelerometer secured to the trunk was used for TUG recording and static balance assessment. Static balance was tested with open and closed eyes, so as to assess sensory ataxia. Following rehabilitation, patients improved gait [admission vs discharge, mean(SD): 0.86(0.33) vs 0.98(0.32) m/s], TUG [18.7(7.8) vs 15.1(5.2) s] and turning [46.2(15.3) vs 53.3(15.3) °/s]. However, none of 12 static balance parameters derived from trunk acceleration significantly changed. Principal component analysis showed that before training, eyes closed and eyes open balance correlated with orthogonal components (one and two vs. three and four). After training, eyes open and eyes closed balance were more similar to each other being both correlated with component one. Responsiveness to rehabilitation is larger for gait than static balance measured by trunk acceleration. However, exercise can also have a beneficial effect on sensory ataxia by making eyes closed balance more similar to eyes open balance.</div>
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<Abstract><AbstractText>Elderly people with peripheral neuropathy of the lower limbs (PNLL) demonstrate a typical balance and gait impairment because of sensory ataxia. There is evidence that rehabilitation produces important gains on balance and gait. However, responsiveness to rehabilitation of balance and gait measures is unknown in PNLL. Aim of the current work is to evaluate the responsiveness to rehabilitation of balance, gait and sensory ataxia measures in elderly with PNLL. Twenty-five elderly with PNLL attending physiotherapy and occupational therapy during inpatient rehabilitation were recruited. Balance and gait measures (including static posturography, TUG test and the 10 m walking test) were administered on admission and discharge. An accelerometer secured to the trunk was used for TUG recording and static balance assessment. Static balance was tested with open and closed eyes, so as to assess sensory ataxia. Following rehabilitation, patients improved gait [admission vs discharge, mean(SD): 0.86(0.33) vs 0.98(0.32) m/s], TUG [18.7(7.8) vs 15.1(5.2) s] and turning [46.2(15.3) vs 53.3(15.3) °/s]. However, none of 12 static balance parameters derived from trunk acceleration significantly changed. Principal component analysis showed that before training, eyes closed and eyes open balance correlated with orthogonal components (one and two vs. three and four). After training, eyes open and eyes closed balance were more similar to each other being both correlated with component one. Responsiveness to rehabilitation is larger for gait than static balance measured by trunk acceleration. However, exercise can also have a beneficial effect on sensory ataxia by making eyes closed balance more similar to eyes open balance.</AbstractText>
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<AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Caronni</LastName>
<ForeName>Antonio</ForeName>
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<ForeName>Giuseppe</ForeName>
<Initials>G</Initials>
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<Author ValidYN="Y"><LastName>Aristidou</LastName>
<ForeName>Evdoxia</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.</Affiliation>
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<ForeName>Valentina</ForeName>
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<Author ValidYN="Y"><LastName>Antoniotti</LastName>
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<Author ValidYN="Y"><LastName>Sterpi</LastName>
<ForeName>Irma</ForeName>
<Initials>I</Initials>
<AffiliationInfo><Affiliation>Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.</Affiliation>
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<Author ValidYN="Y"><LastName>Tropea</LastName>
<ForeName>Peppino</ForeName>
<Initials>P</Initials>
<AffiliationInfo><Affiliation>Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.</Affiliation>
</AffiliationInfo>
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<Author ValidYN="Y"><LastName>Corbo</LastName>
<ForeName>Massimo</ForeName>
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<AffiliationInfo><Affiliation>Department of Neurorehabilitation Sciences, Casa di Cura del Policlinico, Milan, Italy.</Affiliation>
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Responsiveness to rehabilitation of balance and gait impairment in elderly with peripheral neuropathy.

Responsiveness to rehabilitation of balance and gait impairment in elderly with peripheral neuropathy.

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