Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease
Autor(a) principal: | |
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Data de Publicação: | 2017 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/50103 |
Resumo: | Imbalance and tripping over obstacles as a result of altered gait in older adults, especially in patients with Parkinson's disease (PD), are one of the most common causes of falls. During obstacle crossing, patients with PD modify their behavior in order to decrease the mechanical demands and enhance dynamic stability. Various descriptions of dynamic traits of gait that have been collected over longer periods, probably better synthesize the underlying structure and pattern of fluctuations in gait and can be more sensitive markers of aging or early neurological dysfunction and increased risk of falls. This confirmation challenges the clinimetric of different protocols and paradigms used for gait analysis up till now, in particular when analyzing obstacle crossing. The authors here present a critical review of current knowledge concerning the interplay between the cognition and gait in aging and PD, emphasizing the differences in gait behavior and adaptability while walking over different and challenging obstacle paradigms, and the implications of obstacle negotiation as a predictor of falls. Some evidence concerning the effectiveness of future rehabilitation protocols on reviving obstacle crossing behavior by trial and error relearning, taking advantage of dual-task paradigms, physical exercise, and virtual reality have been put forward in this article. |
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Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's diseaseGaitObstacle crossingCognitionBehaviorParkinson’s diseaseAgingFallsCiências Médicas::Medicina BásicaScience & TechnologyImbalance and tripping over obstacles as a result of altered gait in older adults, especially in patients with Parkinson's disease (PD), are one of the most common causes of falls. During obstacle crossing, patients with PD modify their behavior in order to decrease the mechanical demands and enhance dynamic stability. Various descriptions of dynamic traits of gait that have been collected over longer periods, probably better synthesize the underlying structure and pattern of fluctuations in gait and can be more sensitive markers of aging or early neurological dysfunction and increased risk of falls. This confirmation challenges the clinimetric of different protocols and paradigms used for gait analysis up till now, in particular when analyzing obstacle crossing. The authors here present a critical review of current knowledge concerning the interplay between the cognition and gait in aging and PD, emphasizing the differences in gait behavior and adaptability while walking over different and challenging obstacle paradigms, and the implications of obstacle negotiation as a predictor of falls. Some evidence concerning the effectiveness of future rehabilitation protocols on reviving obstacle crossing behavior by trial and error relearning, taking advantage of dual-task paradigms, physical exercise, and virtual reality have been put forward in this article.Supported by the projects NORTE-01–0145-FEDER-000026 (DeM-Deus Ex Machina) financed by the Regional Operational Program of the North (NORTE2020) PORTUGAL2020 and FEDER, and FP7 Marie Curie ITN Neural Engineering Transformative Technologies (NETT) projectinfo:eu-repo/semantics/publishedVersionDove Medical PressUniversidade do MinhoMollaei, NafisehBicho, EstelaSousa, NunoGago, Miguel Fernandes2017-11-072017-11-07T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/50103engMollaei, N., Bicho, E., Sousa, N., & Gago, M. F. (2017). Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease. Clinical interventions in aging, 12, 1843.1176-90921178-199810.2147/CIA.S14742829158667https://www.dovepress.com/different-protocols-for-analyzing-behavior-and-adaptability-in-obstacl-peer-reviewed-article-CIAinfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:23:32Zoai:repositorium.sdum.uminho.pt:1822/50103Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:17:18.377136Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
title |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
spellingShingle |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease Mollaei, Nafiseh Gait Obstacle crossing Cognition Behavior Parkinson’s disease Aging Falls Ciências Médicas::Medicina Básica Science & Technology |
title_short |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
title_full |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
title_fullStr |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
title_full_unstemmed |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
title_sort |
Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson's disease |
author |
Mollaei, Nafiseh |
author_facet |
Mollaei, Nafiseh Bicho, Estela Sousa, Nuno Gago, Miguel Fernandes |
author_role |
author |
author2 |
Bicho, Estela Sousa, Nuno Gago, Miguel Fernandes |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade do Minho |
dc.contributor.author.fl_str_mv |
Mollaei, Nafiseh Bicho, Estela Sousa, Nuno Gago, Miguel Fernandes |
dc.subject.por.fl_str_mv |
Gait Obstacle crossing Cognition Behavior Parkinson’s disease Aging Falls Ciências Médicas::Medicina Básica Science & Technology |
topic |
Gait Obstacle crossing Cognition Behavior Parkinson’s disease Aging Falls Ciências Médicas::Medicina Básica Science & Technology |
description |
Imbalance and tripping over obstacles as a result of altered gait in older adults, especially in patients with Parkinson's disease (PD), are one of the most common causes of falls. During obstacle crossing, patients with PD modify their behavior in order to decrease the mechanical demands and enhance dynamic stability. Various descriptions of dynamic traits of gait that have been collected over longer periods, probably better synthesize the underlying structure and pattern of fluctuations in gait and can be more sensitive markers of aging or early neurological dysfunction and increased risk of falls. This confirmation challenges the clinimetric of different protocols and paradigms used for gait analysis up till now, in particular when analyzing obstacle crossing. The authors here present a critical review of current knowledge concerning the interplay between the cognition and gait in aging and PD, emphasizing the differences in gait behavior and adaptability while walking over different and challenging obstacle paradigms, and the implications of obstacle negotiation as a predictor of falls. Some evidence concerning the effectiveness of future rehabilitation protocols on reviving obstacle crossing behavior by trial and error relearning, taking advantage of dual-task paradigms, physical exercise, and virtual reality have been put forward in this article. |
publishDate |
2017 |
dc.date.none.fl_str_mv |
2017-11-07 2017-11-07T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/50103 |
url |
http://hdl.handle.net/1822/50103 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Mollaei, N., Bicho, E., Sousa, N., & Gago, M. F. (2017). Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease. Clinical interventions in aging, 12, 1843. 1176-9092 1178-1998 10.2147/CIA.S147428 29158667 https://www.dovepress.com/different-protocols-for-analyzing-behavior-and-adaptability-in-obstacl-peer-reviewed-article-CIA |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
Dove Medical Press |
publisher.none.fl_str_mv |
Dove Medical Press |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
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Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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RCAAP |
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RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
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Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
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1799132625189732352 |