Light and heavy touch reduces postural sway and modifies axial tone in Parkinson’s disease
Identifieur interne : 002331 ( Main/Exploration ); précédent : 002330; suivant : 002332Light 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 :
- Neurorehabilitation and neural repair [ 1545-9683 ] ; 2012.
English descriptors
- KwdEn :
- Activities of Daily Living, Aged, Analysis of Variance, Dopamine Agents (therapeutic use), Hand Strength (physiology), Hip (physiopathology), Humans, Levodopa (therapeutic use), Male, Middle Aged, Parkinson Disease (complications), Parkinson Disease (drug therapy), Physical Therapy Modalities, Postural Balance (drug effects), Postural Balance (physiology), Posture (physiology), Pressure, Sensation Disorders (etiology), Sensation Disorders (rehabilitation), Severity of Illness Index, Torque, Touch (drug effects), Touch (physiology).
- MESH :
- chemical , therapeutic use : Dopamine Agents, Levodopa.
- complications : Parkinson Disease.
- drug effects : Postural Balance, Touch.
- drug therapy : Parkinson Disease.
- etiology : Sensation Disorders.
- physiology : Hand Strength, Postural Balance, Posture, Touch.
- physiopathology : Hip.
- rehabilitation : Sensation Disorders.
- Activities of Daily Living, Aged, Analysis of Variance, Humans, Male, Middle Aged, Physical Therapy Modalities, Pressure, Severity of Illness Index, Torque.
Abstract
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.
To investigate the effect of light and heavy touch on postural stability and hip tone in subjects with PD.
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.
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).
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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Le document en format XML
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<term>Analysis of Variance</term>
<term>Dopamine Agents (therapeutic use)</term>
<term>Hand Strength (physiology)</term>
<term>Hip (physiopathology)</term>
<term>Humans</term>
<term>Levodopa (therapeutic use)</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Physical Therapy Modalities</term>
<term>Postural Balance (drug effects)</term>
<term>Postural Balance (physiology)</term>
<term>Posture (physiology)</term>
<term>Pressure</term>
<term>Sensation Disorders (etiology)</term>
<term>Sensation Disorders (rehabilitation)</term>
<term>Severity of Illness Index</term>
<term>Torque</term>
<term>Touch (drug effects)</term>
<term>Touch (physiology)</term>
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<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Postural Balance</term>
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<keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Sensation Disorders</term>
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<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Hand Strength</term>
<term>Postural Balance</term>
<term>Posture</term>
<term>Touch</term>
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<term>Analysis of Variance</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
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<front><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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<tree><country name="États-Unis"><region name="Oregon"><name sortKey="Franzen, Erika" sort="Franzen, Erika" uniqKey="Franzen E" first="Erika" last="Franzén">Erika Franzén</name>
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<name sortKey="Gurfinkel, Victor" sort="Gurfinkel, Victor" uniqKey="Gurfinkel V" first="Victor" last="Gurfinkel">Victor Gurfinkel</name>
<name sortKey="Horak, Fay" sort="Horak, Fay" uniqKey="Horak F" first="Fay" last="Horak">Fay Horak</name>
<name sortKey="Paquette, Caroline" sort="Paquette, Caroline" uniqKey="Paquette C" first="Caroline" last="Paquette">Caroline Paquette</name>
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<country name="Suède"><region name="Svealand"><name sortKey="Franzen, Erika" sort="Franzen, Erika" uniqKey="Franzen E" first="Erika" last="Franzén">Erika Franzén</name>
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