Action observation treatment improves autonomy in daily activities in Parkinson's disease patients: Results from a pilot study

Buccino, Giovanni; Gatti, Roberto; Giusti, Mariana; Negrotti, Anna; Rossi, Alice S.; Calzetti, S; Cappa, Stefano F.

doi:10.1002/mds.23745

Cited by 80 publications

(97 citation statements)

References 7 publications

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“…15 Observation and practice of everyday actions improved functional independence. 16 Observation of actors depicting strategies to overcome freezing of gait (and practicing those strategies) led to fewer self-reported episodes of freezing in comparison to a control condition, an effect that persisted at four-weeks follow-up. 17 While these studies suggest that action observation training is beneficial in PD, several questions remain.…”

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confidence: 96%

“…17 While these studies suggest that action observation training is beneficial in PD, several questions remain. First, it is unknown whether observation of biological motion alone is sufficient for improving motor function (as in Pelosin et al 15 ), or if practice of the observed movements is required (as in Buccino et al 16 and Pelosin et al 17 ). Second, previous studies have used control conditions such as sequences of static landscape images 16 that make it difficult to isolate treatment effects to the observation of biological motion rather than non-biological motion.…”

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confidence: 99%

“…First, it is unknown whether observation of biological motion alone is sufficient for improving motor function (as in Pelosin et al 15 ), or if practice of the observed movements is required (as in Buccino et al 16 and Pelosin et al 17 ). Second, previous studies have used control conditions such as sequences of static landscape images 16 that make it difficult to isolate treatment effects to the observation of biological motion rather than non-biological motion. Third, it is unknown if the effects of action observation training lead to objective changes in spatiotemporal aspects of walking that generalize to naturalistic settings.…”

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confidence: 99%

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Randomized Controlled Trial of a Home-Based Action Observation Intervention to Improve Walking in Parkinson Disease

Jaywant

Ellis

Roy

et al. 2016

Archives of Physical Medicine and Rehabilitation

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Objective To examine the feasibility and efficacy of a home-based gait observation intervention for improving walking in Parkinson disease (PD). Design Participants were randomized to an intervention or control condition. A baseline walking assessment, a training period at home, and a post-training assessment were conducted. Setting The laboratory and participants' home and community environments. Participants 23 non-demented individuals with PD experiencing walking difficulty. Intervention In the Gait Observation (intervention) condition, participants viewed videos of healthy and parkinsonian gait. In the Landscape Observation (control) condition, participants viewed videos of moving water. These tasks were completed daily for eight days. Main Outcome Measures Spatiotemporal walking variables were assessed using accelerometers in the laboratory (baseline and post-training assessments) and continuously at home during the training period. Variables included daily activity, walking speed, stride length, stride frequency, leg swing time, and gait asymmetry. Questionnaires including the 39-item Parkinson's Disease Questionnaire (PDQ-39) were administered to determine self-reported change in walking, as well as feasibility. Results At post-training assessment, only the Gait Observation group reported significantly improved mobility (PDQ-39). No improvements were seen in accelerometer-derived walking data. Participants found the at-home training tasks and accelerometer feasible to use. Conclusion Participants found procedures feasible and reported improved mobility, suggesting that observational training holds promise in the rehabilitation of walking in PD. Observational training alone, however, may not be sufficient to enhance walking in PD. A more challenging and adaptive task, and the use of explicit perceptual learning and practice of actions, may be required to effect change.

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confidence: 96%

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confidence: 99%

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confidence: 99%

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Randomized Controlled Trial of a Home-Based Action Observation Intervention to Improve Walking in Parkinson Disease

Jaywant

Ellis

Roy

et al. 2016

Archives of Physical Medicine and Rehabilitation

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“…On the basis of these findings, the authors concluded that action observation has a positive impact on recovery of motor functions after stroke by reactivation of motor areas within the action observation-action execution matching system, the putative human correlate of the monkey MNS. In a randomized controlled study, the effectiveness of AOT in patients with PD has been investigated to complement pharmacology in the treatment of these patients [28]. For this trial, participants in the case group observed videos depicting everyday life actions, including postural actions and walking, whereas those in the control group observed movies devoid of specific motor content.…”

Section: When Does Action Observation Treatment Work?mentioning

confidence: 99%

Action observation treatment: a novel tool in neurorehabilitation

Buccino

2014

Phil. Trans. R. Soc. B

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285

203

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This review focuses on a novel rehabilitation approach known as action observation treatment (AOT). It is now a well-accepted notion in neurophysiology that the observation of actions performed by others activates in the perceiver the same neural structures responsible for the actual execution of those same actions. Areas endowed with this action observation-action execution matching mechanism are defined as the mirror neuron system. AOT exploits this neurophysiological mechanism for the recovery of motor impairment. During one typical session, patients observe a daily action and afterwards execute it in context. So far, this approach has been successfully applied in the rehabilitation of upper limb motor functions in chronic stroke patients, in motor recovery of Parkinson's disease patients, including those presenting with freezing of gait, and in children with cerebral palsy. Interestingly, this approach also improved lower limb motor functions in post-surgical orthopaedic patients. AOT is well grounded in basic neuroscience, thus representing a valid model of translational medicine in the field of neurorehabilitation. Moreover, the results concerning its effectiveness have been collected in randomized controlled studies, thus being an example of evidence-based clinical practice.

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“…104 It has also recently been investigated in school-aged children (6-11 years) with CP 105 and in school-aged children (5-15 years) with UCP. 76,106 It has not been investigated in a population of infants with asymBI.…”

Section: Proposed Impact Of Action Observation On Cortical Reorganisamentioning

confidence: 99%

Early reach to grasp development of infants with asymmetric brain injury on the Grasp and Reach Assessment of Brisbane (GRAB)

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Action observation treatment improves autonomy in daily activities in Parkinson's disease patients: Results from a pilot study

Cited by 80 publications

References 7 publications

Randomized Controlled Trial of a Home-Based Action Observation Intervention to Improve Walking in Parkinson Disease

Randomized Controlled Trial of a Home-Based Action Observation Intervention to Improve Walking in Parkinson Disease

Action observation treatment: a novel tool in neurorehabilitation

Early reach to grasp development of infants with asymmetric brain injury on the Grasp and Reach Assessment of Brisbane (GRAB)

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