A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis
Autor(a) principal: | |
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Data de Publicação: | 2022 |
Outros Autores: | , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Institucional da UNESP |
Texto Completo: | http://dx.doi.org/10.1016/j.gaitpost.2022.07.250 http://hdl.handle.net/11449/241465 |
Resumo: | Background: Postural impairment is one of the most debilitating symptoms in people with Parkinson's disease (PD), which show faster and more variable oscillation during quiet stance than neurologically healthy individuals. Despite the center of pressure parameters can characterize PD's body sway, they are limited to uncover underlying mechanisms of postural stability and instability. Research question: Do a multiple domain analysis, including postural adaptability and rambling and trembling components, explain underlying postural stability and instability mechanisms in people with PD? Method: Twenty-four individuals (12 people with PD and 12 neurologically healthy peers) performed three 60-s trials of upright quiet standing on a force platform. Traditional and non-linear parameters (Detrended Fluctuation Analysis- DFA and Multiscale Entropy- MSE) and rambling and trembling trajectories were calculated for anterior-posterior (AP) and medial-lateral (ML) directions. Results: PDG's postural control was worse compared to CG, displaying longer displacement, higher velocity, and RMS. Univariate analyses revealed largely longer displacement and RMS only for the AP direction and largely higher velocity for both AP and ML directions. Also, PD individuals showed lower AP complexity, higher AP and ML DFA, and increased AP and ML displacement, velocity, and RMS of rambling and trembling components compared to neurologically healthy individuals. Significance: Based upon these results, people with PD have a lower capacity to adapt posture and impaired both rambling and trembling components compared to neurologically healthy individuals. These findings provide new insights to explain the larger, faster, and more variable sway in people with PD. |
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A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysisAdaptabilityDetrended fluctuation analysisMultiscale entropyParkinson's DiseasePostureRambling and trembling analysisBackground: Postural impairment is one of the most debilitating symptoms in people with Parkinson's disease (PD), which show faster and more variable oscillation during quiet stance than neurologically healthy individuals. Despite the center of pressure parameters can characterize PD's body sway, they are limited to uncover underlying mechanisms of postural stability and instability. Research question: Do a multiple domain analysis, including postural adaptability and rambling and trembling components, explain underlying postural stability and instability mechanisms in people with PD? Method: Twenty-four individuals (12 people with PD and 12 neurologically healthy peers) performed three 60-s trials of upright quiet standing on a force platform. Traditional and non-linear parameters (Detrended Fluctuation Analysis- DFA and Multiscale Entropy- MSE) and rambling and trembling trajectories were calculated for anterior-posterior (AP) and medial-lateral (ML) directions. Results: PDG's postural control was worse compared to CG, displaying longer displacement, higher velocity, and RMS. Univariate analyses revealed largely longer displacement and RMS only for the AP direction and largely higher velocity for both AP and ML directions. Also, PD individuals showed lower AP complexity, higher AP and ML DFA, and increased AP and ML displacement, velocity, and RMS of rambling and trembling components compared to neurologically healthy individuals. Significance: Based upon these results, people with PD have a lower capacity to adapt posture and impaired both rambling and trembling components compared to neurologically healthy individuals. These findings provide new insights to explain the larger, faster, and more variable sway in people with PD.Conselho Nacional de Desenvolvimento Científico e Tecnológico (CNPq)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), SPREVAL Rehabilitation Research Center Faculty of Rehabilitation Sciences Hasselt UniversitySão Paulo State University (Unesp) School of Technology and Sciences Department of Physical Education Physical Education Exercise and Immunometabolism Research Group Presidente Prudente, SPSão Paulo State University (Unesp) - Institute of Biosciences Department of Physical Education, Campus Rio ClaroSão Paulo State University (Unesp) School of Sciences Department of Physical Education Human Movement Research Laboratory (MOVI-LAB), SPSão Paulo State University (Unesp) School of Technology and Sciences Department of Physical Education Physical Education Exercise and Immunometabolism Research Group Presidente Prudente, SPSão Paulo State University (Unesp) - Institute of Biosciences Department of Physical Education, Campus Rio ClaroCNPq: 152981/2019-5FAPESP: 2017/19516-8Universidade Estadual Paulista (UNESP)Hasselt UniversityCosta, Elisa de Carvalho [UNESP]Santinelli, Felipe Balistieri [UNESP]Moretto, Gabriel Felipe [UNESP]Figueiredo, Caique [UNESP]von Ah Morano, Ana Elisa [UNESP]Barela, José Angelo [UNESP]Barbieri, Fabio Augusto [UNESP]2023-03-01T21:04:35Z2023-03-01T21:04:35Z2022-09-01info:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/article130-136http://dx.doi.org/10.1016/j.gaitpost.2022.07.250Gait and Posture, v. 97, p. 130-136.1879-22190966-6362http://hdl.handle.net/11449/24146510.1016/j.gaitpost.2022.07.2502-s2.0-85135416211Scopusreponame:Repositório Institucional da UNESPinstname:Universidade Estadual Paulista (UNESP)instacron:UNESPengGait and Postureinfo:eu-repo/semantics/openAccess2024-06-18T18:17:54Zoai:repositorio.unesp.br:11449/241465Repositório InstitucionalPUBhttp://repositorio.unesp.br/oai/requestopendoar:29462024-08-05T15:49:29.116985Repositório Institucional da UNESP - Universidade Estadual Paulista (UNESP)false |
dc.title.none.fl_str_mv |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
title |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
spellingShingle |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis Costa, Elisa de Carvalho [UNESP] Adaptability Detrended fluctuation analysis Multiscale entropy Parkinson's Disease Posture Rambling and trembling analysis |
title_short |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
title_full |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
title_fullStr |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
title_full_unstemmed |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
title_sort |
A multiple domain postural control assessment in people with Parkinson's disease: traditional, non-linear, and rambling and trembling trajectories analysis |
author |
Costa, Elisa de Carvalho [UNESP] |
author_facet |
Costa, Elisa de Carvalho [UNESP] Santinelli, Felipe Balistieri [UNESP] Moretto, Gabriel Felipe [UNESP] Figueiredo, Caique [UNESP] von Ah Morano, Ana Elisa [UNESP] Barela, José Angelo [UNESP] Barbieri, Fabio Augusto [UNESP] |
author_role |
author |
author2 |
Santinelli, Felipe Balistieri [UNESP] Moretto, Gabriel Felipe [UNESP] Figueiredo, Caique [UNESP] von Ah Morano, Ana Elisa [UNESP] Barela, José Angelo [UNESP] Barbieri, Fabio Augusto [UNESP] |
author2_role |
author author author author author author |
dc.contributor.none.fl_str_mv |
Universidade Estadual Paulista (UNESP) Hasselt University |
dc.contributor.author.fl_str_mv |
Costa, Elisa de Carvalho [UNESP] Santinelli, Felipe Balistieri [UNESP] Moretto, Gabriel Felipe [UNESP] Figueiredo, Caique [UNESP] von Ah Morano, Ana Elisa [UNESP] Barela, José Angelo [UNESP] Barbieri, Fabio Augusto [UNESP] |
dc.subject.por.fl_str_mv |
Adaptability Detrended fluctuation analysis Multiscale entropy Parkinson's Disease Posture Rambling and trembling analysis |
topic |
Adaptability Detrended fluctuation analysis Multiscale entropy Parkinson's Disease Posture Rambling and trembling analysis |
description |
Background: Postural impairment is one of the most debilitating symptoms in people with Parkinson's disease (PD), which show faster and more variable oscillation during quiet stance than neurologically healthy individuals. Despite the center of pressure parameters can characterize PD's body sway, they are limited to uncover underlying mechanisms of postural stability and instability. Research question: Do a multiple domain analysis, including postural adaptability and rambling and trembling components, explain underlying postural stability and instability mechanisms in people with PD? Method: Twenty-four individuals (12 people with PD and 12 neurologically healthy peers) performed three 60-s trials of upright quiet standing on a force platform. Traditional and non-linear parameters (Detrended Fluctuation Analysis- DFA and Multiscale Entropy- MSE) and rambling and trembling trajectories were calculated for anterior-posterior (AP) and medial-lateral (ML) directions. Results: PDG's postural control was worse compared to CG, displaying longer displacement, higher velocity, and RMS. Univariate analyses revealed largely longer displacement and RMS only for the AP direction and largely higher velocity for both AP and ML directions. Also, PD individuals showed lower AP complexity, higher AP and ML DFA, and increased AP and ML displacement, velocity, and RMS of rambling and trembling components compared to neurologically healthy individuals. Significance: Based upon these results, people with PD have a lower capacity to adapt posture and impaired both rambling and trembling components compared to neurologically healthy individuals. These findings provide new insights to explain the larger, faster, and more variable sway in people with PD. |
publishDate |
2022 |
dc.date.none.fl_str_mv |
2022-09-01 2023-03-01T21:04:35Z 2023-03-01T21:04:35Z |
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.gaitpost.2022.07.250 Gait and Posture, v. 97, p. 130-136. 1879-2219 0966-6362 http://hdl.handle.net/11449/241465 10.1016/j.gaitpost.2022.07.250 2-s2.0-85135416211 |
url |
http://dx.doi.org/10.1016/j.gaitpost.2022.07.250 http://hdl.handle.net/11449/241465 |
identifier_str_mv |
Gait and Posture, v. 97, p. 130-136. 1879-2219 0966-6362 10.1016/j.gaitpost.2022.07.250 2-s2.0-85135416211 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
Gait and Posture |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
130-136 |
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_ |
1808128568419418112 |