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Light and heavy touch reduces postural sway and modifies axial tone in Parkinson’s disease

Identifieur interne : 002331 ( Main/Exploration ); précédent : 002330; suivant : 002332

Light and heavy touch reduces postural sway and modifies axial tone in Parkinson’s disease

Auteurs : Erika Franzén [États-Unis, Suède] ; Caroline Paquette [États-Unis] ; Victor Gurfinkel [États-Unis] ; Fay Horak [États-Unis]

Source :

RBID : PMC:4074017

English descriptors

Abstract

Background

Light touch with a stable object reduces postural sway by increasing axial postural tone in healthy subjects. However, it is unknown whether subjects with Parkinson’s disease (PD), who have more postural sway and higher axial postural tone than healthy subjects, can benefit from haptic touch.

Objective

To investigate the effect of light and heavy touch on postural stability and hip tone in subjects with PD.

Methods

Fourteen subjects with mid-stage PD, and 14 healthy control subjects were evaluated during quiet standing with eyes closed with their arms: 1) crossed, 2) lightly touching a fixed rigid bar in front of them and 3) firmly gripping the bar. Postural sway was measured with a forceplate and axial hip tone was quantified using a unique device that measures the resistance of the hips to yaw rotation while maintaining active stance.

Results

Subjects with PD significantly decreased their postural sway with light or heavy touch (p<0.001 vs. arms crossed), similarly as control subjects. Without touch, hip tone was larger in PD subjects. With touch, however, tone values were similar in both groups. This change in hip tone with touch was highly correlated with the initial amount of tone (PD: r=− 0.72 to −0.95 and controls: r=−0.74 to−0.85).

Conclusions

We showed, for the first time, that subjects with PD benefit from touch similarly to control subjects and that despite higher axial postural tone, PD subjects are able to modulate their tone with touch. Future studies should investigate the complex relationship between touch and postural tone.


Url:
DOI: 10.1177/1545968312437942
PubMed: 22415944
PubMed Central: 4074017


Affiliations:


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<div type="abstract" xml:lang="en">
<sec id="S1">
<title>Background</title>
<p id="P1">Light touch with a stable object reduces postural sway by increasing axial postural tone in healthy subjects. However, it is unknown whether subjects with Parkinson’s disease (PD), who have more postural sway and higher axial postural tone than healthy subjects, can benefit from haptic touch.</p>
</sec>
<sec id="S2">
<title>Objective</title>
<p id="P2">To investigate the effect of light and heavy touch on postural stability and hip tone in subjects with PD.</p>
</sec>
<sec id="S3">
<title>Methods</title>
<p id="P3">Fourteen subjects with mid-stage PD, and 14 healthy control subjects were evaluated during quiet standing with eyes closed with their arms: 1) crossed, 2) lightly touching a fixed rigid bar in front of them and 3) firmly gripping the bar. Postural sway was measured with a forceplate and axial hip tone was quantified using a unique device that measures the resistance of the hips to yaw rotation while maintaining active stance.</p>
</sec>
<sec id="S4">
<title>Results</title>
<p id="P4">Subjects with PD significantly decreased their postural sway with light or heavy touch (p<0.001 vs. arms crossed), similarly as control subjects. Without touch, hip tone was larger in PD subjects. With touch, however, tone values were similar in both groups. This change in hip tone with touch was highly correlated with the initial amount of tone (PD: r=− 0.72 to −0.95 and controls: r=−0.74 to−0.85).</p>
</sec>
<sec id="S5">
<title>Conclusions</title>
<p id="P5">We showed, for the first time, that subjects with PD benefit from touch similarly to control subjects and that despite higher axial postural tone, PD subjects are able to modulate their tone with touch. Future studies should investigate the complex relationship between touch and postural tone.</p>
</sec>
</div>
</front>
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<name sortKey="Franzen, Erika" sort="Franzen, Erika" uniqKey="Franzen E" first="Erika" last="Franzén">Erika Franzén</name>
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