HapticV1, Ncbi, Checkpoint, bibRecord, 002428

Haptic feedback from manual contact improves balance control in people with Parkinson’s disease

Identifieur interne : 002428 ( Ncbi/Checkpoint ); précédent : 002427; suivant : 002429

Haptic feedback from manual contact improves balance control in people with Parkinson’s disease

Auteurs : Ely Rabin [États-Unis] ; Jason Chen [États-Unis] ; Lisa Muratori [États-Unis] ; Joanne Difrancisco-Donoghue [États-Unis] ; William G. Werner [États-Unis]

Source :

Gait & posture [ 0966-6362 ] ; 2013.

RBID : PMC:3664138

English descriptors

KwdEn :
- Aged, Aged, 80 and over, Antiparkinson Agents (therapeutic use), Case-Control Studies, Cues, Feedback, Sensory (physiology), Female, Fingers, Humans, Male, Middle Aged, Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Postural Balance (physiology), Proprioception, Psychomotor Performance, Severity of Illness Index, Touch.
MESH :
- chemical , therapeutic use : Antiparkinson Agents.
- drug therapy : Parkinson Disease.
- physiology : Feedback, Sensory, Postural Balance.
- physiopathology : Parkinson Disease.
- Aged, Aged, 80 and over, Case-Control Studies, Cues, Female, Fingers, Humans, Male, Middle Aged, Proprioception, Psychomotor Performance, Severity of Illness Index, Touch.

Abstract

Parkinson’s disease (PD) degrades balance control. Haptic (touch and proprioception) feedback from light contact with a stationary surface inadequate to mechanically stabilize balance improves balance control in healthy people. In this study we tested whether PD impairs use of haptic cues independent of mechanical support to control balance. We measured postural sway in thirteen individuals with PD (H&Y 1–3, median=2, Q₁=2, Q₃=2) and thirteen age-matched controls balancing in a widened, sharpened Romberg stance in four conditions: eyes-closed, no manual contact; eyes-closed light-touch contact (<1N), eyes-closed, unrestricted contact; and eyes-open, no contact. To determine whether PD-severity affects any of these balance strategies, PD participants were tested on- and off-medication, and using the more- and less-affected body side in the stance and manual contact.

Individuals with PD simultaneously maintained non-supportive fingertip contact and balance in this task without practice. PD participants swayed more than control participants (ML CP p=0.010; shoulder p<0.001), but manual contact reduced sway. Non-supportive manual contact stabilized balance more than vision (p<0.05). PD-severity factors had no significant effect (p>0.05).

We conclude the effect of PD on balance is not specific to vision or haptic feedback. Nevertheless, haptic cues from manual contact, independent of mechanical support, improve balance control in individuals with PD. We discuss the implication that PD or associated dopaminergic pathways do not directly affect haptic feedback balance control mechanisms, including arm/posture coordination and proprioceptive integration.

Url:

http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3664138

DOI: 10.1016/j.gaitpost.2012.12.008
PubMed: 23313411
PubMed Central: 3664138

Affiliations:

Links to Exploration step

PMC:3664138

Le document en format XML

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<front><div type="abstract" xml:lang="en"><p id="P1">Parkinson’s disease (PD) degrades balance control. Haptic (touch and proprioception) feedback from light contact with a stationary surface inadequate to mechanically stabilize balance improves balance control in healthy people. In this study we tested whether PD impairs use of haptic cues independent of mechanical support to control balance. We measured postural sway in thirteen individuals with PD (H&Y 1–3, median=2, Q<sub>1</sub>
=2, Q<sub>3</sub>
=2) and thirteen age-matched controls balancing in a widened, sharpened Romberg stance in four conditions: eyes-closed, no manual contact; eyes-closed light-touch contact (<1N), eyes-closed, unrestricted contact; and eyes-open, no contact. To determine whether PD-severity affects any of these balance strategies, PD participants were tested on- and off-medication, and using the more- and less-affected body side in the stance and manual contact.</p>
<p id="P2">Individuals with PD simultaneously maintained non-supportive fingertip contact and balance in this task without practice. PD participants swayed more than control participants (ML CP <italic>p</italic>
=0.010; shoulder <italic>p</italic>
<0.001), but manual contact reduced sway. Non-supportive manual contact stabilized balance more than vision (<italic>p</italic>
<0.05). PD-severity factors had no significant effect (<italic>p</italic>
>0.05).</p>
<p id="P3">We conclude the effect of PD on balance is not specific to vision or haptic feedback. Nevertheless, haptic cues from manual contact, independent of mechanical support, improve balance control in individuals with PD. We discuss the implication that PD or associated dopaminergic pathways do not directly affect haptic feedback balance control mechanisms, including arm/posture coordination and proprioceptive integration.</p>
</div>
</front>
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<name sortKey="Chen, Jason" sort="Chen, Jason" uniqKey="Chen J" first="Jason" last="Chen">Jason Chen</name>
<name sortKey="Difrancisco Donoghue, Joanne" sort="Difrancisco Donoghue, Joanne" uniqKey="Difrancisco Donoghue J" first="Joanne" last="Difrancisco-Donoghue">Joanne Difrancisco-Donoghue</name>
<name sortKey="Muratori, Lisa" sort="Muratori, Lisa" uniqKey="Muratori L" first="Lisa" last="Muratori">Lisa Muratori</name>
<name sortKey="Werner, William G" sort="Werner, William G" uniqKey="Werner W" first="William G." last="Werner">William G. Werner</name>
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Serveur d'exploration sur les dispositifs haptiques

Haptic feedback from manual contact improves balance control in people with Parkinson’s disease

Haptic feedback from manual contact improves balance control in people with Parkinson’s disease

Source :

English descriptors

Abstract

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Links to Exploration step

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