The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease
Autor(a) principal: | |
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Data de Publicação: | 2021 |
Outros Autores: | , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.humov.2021.102878 http://hdl.handle.net/11449/233655 |
Resumo: | Background: Obstacle circumvention is a challenging task in Parkinson's disease (PD). Body segments adjustments, such as changing the direction of the trunk, followed by a change in the direction of the head, and modifications in the positioning of the feet, are necessary to circumvent an obstacle during walking. For that, individuals need to identify the distance to the obstacle, its characteristics (such as its dimension), and perform well-coordinated movements. However, PD is characterized by rigidity, which may be increased in the axial axis and compromise the task execution. Also, worsening sensory integration in PD may increase the time to perform these body segments adjustments, thus impairing the movement coordination when starting obstacle circumvention near to the obstacle. Aim: To determine if the starting distance (1.5 m, 3 m, or 5 m) from the obstacle could modify the intersegmental coordination (specifically, the coordination between head, trunk, and pelvis) during the obstacle circumvention steps in individuals with PD. Methods: Fourteen individuals with a diagnosis of idiopathic PD and 15 neurologically healthy individuals (CG) from the community were included in this study. The participants were evaluated in three different gait conditions, according to the starting distance from the obstacle: 1.5 m, 3 m, and 5 m away from the obstacle. Vector coding technique was employed to establish the coupling between head, trunk, and pelvis in the steps immediately before and during obstacle circumvention. Three-way ANOVA's (group, distance, and step) were calculated with the level of significance at p < 0.05. Results: For all couplings of coordination, there were no effects of distance. However, significant main effects of group and steps (p < 0.05) were found for all couplings with different patterns of coordination: head/pelvis (group: in-phase and anti-phase variables; steps: anti-phase variable), head/trunk (group: trunk variable; steps: in-phase and anti-phase variables) and trunk/pelvis (group: anti-phase; steps: trunk and pelvis). Finally, only head/trunk coupling showed an interaction between group*steps. Individuals with PD showed 7.95% lower head movement (p < 0.024) and 14.85% greater trunk movement than CG (p < 0.002). Also, individuals with PD performed 17.56% greater head movement in the step before the circumvention compared to the step during circumvention (p < 0.044). Conclusion: The starting distance from the obstacle did not influence the pattern of axial intersegmental coordination in both groups. However, how these segments interact in the preparation and during the obstacle circumvention are opposite in individuals with PD. While on the previous step to obstacle circumvention, the head movement was greater than the trunk, during the obstacle circumvention step, individuals with PD rotated the trunk more. |
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The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's diseaseCoordinationLocomotionMotor controlMovement disordersBackground: Obstacle circumvention is a challenging task in Parkinson's disease (PD). Body segments adjustments, such as changing the direction of the trunk, followed by a change in the direction of the head, and modifications in the positioning of the feet, are necessary to circumvent an obstacle during walking. For that, individuals need to identify the distance to the obstacle, its characteristics (such as its dimension), and perform well-coordinated movements. However, PD is characterized by rigidity, which may be increased in the axial axis and compromise the task execution. Also, worsening sensory integration in PD may increase the time to perform these body segments adjustments, thus impairing the movement coordination when starting obstacle circumvention near to the obstacle. Aim: To determine if the starting distance (1.5 m, 3 m, or 5 m) from the obstacle could modify the intersegmental coordination (specifically, the coordination between head, trunk, and pelvis) during the obstacle circumvention steps in individuals with PD. Methods: Fourteen individuals with a diagnosis of idiopathic PD and 15 neurologically healthy individuals (CG) from the community were included in this study. The participants were evaluated in three different gait conditions, according to the starting distance from the obstacle: 1.5 m, 3 m, and 5 m away from the obstacle. Vector coding technique was employed to establish the coupling between head, trunk, and pelvis in the steps immediately before and during obstacle circumvention. Three-way ANOVA's (group, distance, and step) were calculated with the level of significance at p < 0.05. Results: For all couplings of coordination, there were no effects of distance. However, significant main effects of group and steps (p < 0.05) were found for all couplings with different patterns of coordination: head/pelvis (group: in-phase and anti-phase variables; steps: anti-phase variable), head/trunk (group: trunk variable; steps: in-phase and anti-phase variables) and trunk/pelvis (group: anti-phase; steps: trunk and pelvis). Finally, only head/trunk coupling showed an interaction between group*steps. Individuals with PD showed 7.95% lower head movement (p < 0.024) and 14.85% greater trunk movement than CG (p < 0.002). Also, individuals with PD performed 17.56% greater head movement in the step before the circumvention compared to the step during circumvention (p < 0.044). Conclusion: The starting distance from the obstacle did not influence the pattern of axial intersegmental coordination in both groups. However, how these segments interact in the preparation and during the obstacle circumvention are opposite in individuals with PD. While on the previous step to obstacle circumvention, the head movement was greater than the trunk, during the obstacle circumvention step, individuals with PD rotated the trunk more.Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES)Fundação de Amparo à Pesquisa do Estado de São Paulo (FAPESP)São Paulo State University (UNESP) School of Sciences Department of Physical Education Human Movement Research Laboratory (MOVI-LAB) Graduate Program in Movement SciencesFederal University of Espírito Santo (UFES) Center of Physical Education and Sports (CEFD)São Paulo State University (UNESP) School of Sciences Department of Physical Education Human Movement Research Laboratory (MOVI-LAB) Graduate Program in Movement SciencesCAPES: 001FAPESP: 2014/20549-0Universidade Estadual Paulista (UNESP)Center of Physical Education and Sports (CEFD)Silveira-Ciola, Aline Prieto [UNESP]Simieli, Lucas [UNESP]Rinaldi, Natália MadalenaBarbieri, Fabio Augusto [UNESP]2022-05-01T09:31:08Z2022-05-01T09:31:08Z2021-12-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articlehttp://dx.doi.org/10.1016/j.humov.2021.102878Human Movement Science, v. 80.1872-76460167-9457http://hdl.handle.net/11449/23365510.1016/j.humov.2021.1028782-s2.0-85116833374Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengHuman Movement Scienceinfo:eu-repo/semantics/openAccess2024-04-24T18:53:11Zoai:repositorio.unesp.br:11449/233655Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-04-24T18:53:11Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
title |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
spellingShingle |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease Silveira-Ciola, Aline Prieto [UNESP] Coordination Locomotion Motor control Movement disorders |
title_short |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
title_full |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
title_fullStr |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
title_full_unstemmed |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
title_sort |
The starting distance of obstacle circumvention did not affect intersegmental coordination in individuals with Parkinson's disease |
author |
Silveira-Ciola, Aline Prieto [UNESP] |
author_facet |
Silveira-Ciola, Aline Prieto [UNESP] Simieli, Lucas [UNESP] Rinaldi, Natália Madalena Barbieri, Fabio Augusto [UNESP] |
author_role |
author |
author2 |
Simieli, Lucas [UNESP] Rinaldi, Natália Madalena Barbieri, Fabio Augusto [UNESP] |
author2_role |
author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Center of Physical Education and Sports (CEFD) |
dc.contributor.author.fl_str_mv |
Silveira-Ciola, Aline Prieto [UNESP] Simieli, Lucas [UNESP] Rinaldi, Natália Madalena Barbieri, Fabio Augusto [UNESP] |
dc.subject.por.fl_str_mv |
Coordination Locomotion Motor control Movement disorders |
topic |
Coordination Locomotion Motor control Movement disorders |
description |
Background: Obstacle circumvention is a challenging task in Parkinson's disease (PD). Body segments adjustments, such as changing the direction of the trunk, followed by a change in the direction of the head, and modifications in the positioning of the feet, are necessary to circumvent an obstacle during walking. For that, individuals need to identify the distance to the obstacle, its characteristics (such as its dimension), and perform well-coordinated movements. However, PD is characterized by rigidity, which may be increased in the axial axis and compromise the task execution. Also, worsening sensory integration in PD may increase the time to perform these body segments adjustments, thus impairing the movement coordination when starting obstacle circumvention near to the obstacle. Aim: To determine if the starting distance (1.5 m, 3 m, or 5 m) from the obstacle could modify the intersegmental coordination (specifically, the coordination between head, trunk, and pelvis) during the obstacle circumvention steps in individuals with PD. Methods: Fourteen individuals with a diagnosis of idiopathic PD and 15 neurologically healthy individuals (CG) from the community were included in this study. The participants were evaluated in three different gait conditions, according to the starting distance from the obstacle: 1.5 m, 3 m, and 5 m away from the obstacle. Vector coding technique was employed to establish the coupling between head, trunk, and pelvis in the steps immediately before and during obstacle circumvention. Three-way ANOVA's (group, distance, and step) were calculated with the level of significance at p < 0.05. Results: For all couplings of coordination, there were no effects of distance. However, significant main effects of group and steps (p < 0.05) were found for all couplings with different patterns of coordination: head/pelvis (group: in-phase and anti-phase variables; steps: anti-phase variable), head/trunk (group: trunk variable; steps: in-phase and anti-phase variables) and trunk/pelvis (group: anti-phase; steps: trunk and pelvis). Finally, only head/trunk coupling showed an interaction between group*steps. Individuals with PD showed 7.95% lower head movement (p < 0.024) and 14.85% greater trunk movement than CG (p < 0.002). Also, individuals with PD performed 17.56% greater head movement in the step before the circumvention compared to the step during circumvention (p < 0.044). Conclusion: The starting distance from the obstacle did not influence the pattern of axial intersegmental coordination in both groups. However, how these segments interact in the preparation and during the obstacle circumvention are opposite in individuals with PD. While on the previous step to obstacle circumvention, the head movement was greater than the trunk, during the obstacle circumvention step, individuals with PD rotated the trunk more. |
publishDate |
2021 |
dc.date.none.fl_str_mv |
2021-12-01 2022-05-01T09:31:08Z 2022-05-01T09:31:08Z |
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://dx.doi.org/10.1016/j.humov.2021.102878 Human Movement Science, v. 80. 1872-7646 0167-9457 http://hdl.handle.net/11449/233655 10.1016/j.humov.2021.102878 2-s2.0-85116833374 |
url |
http://dx.doi.org/10.1016/j.humov.2021.102878 http://hdl.handle.net/11449/233655 |
identifier_str_mv |
Human Movement Science, v. 80. 1872-7646 0167-9457 10.1016/j.humov.2021.102878 2-s2.0-85116833374 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Human Movement Science |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.source.none.fl_str_mv |
Scopus reponame:Repositório Institucional da UNESP instname:Universidade Estadual Paulista (UNESP) instacron:UNESP |
instname_str |
Universidade Estadual Paulista (UNESP) |
instacron_str |
UNESP |
institution |
UNESP |
reponame_str |
Repositório Institucional da UNESP |
collection |
Repositório Institucional da UNESP |
repository.name.fl_str_mv |
Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP) |
repository.mail.fl_str_mv |
|
_version_ |
1803046555168538624 |