Analysis of handgrip strength, pulling force using the upper limbs, and ground reaction forces in the task of boarding a bus between healthy elderly individuals and those with Parkinson’s disease

Miri, Andressa Leticia; Araújo, Hayslenne Andressa Gonçalves de Oliveira; Gil, André W.O.; Oliveira, Márcio de; Volpe, Renata; Angelo, Edylaine; Smaili, Suhaila Mahmoud

doi:10.1080/09593985.2022.2144781

Cited by 2 publications

(4 citation statements)

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“…Dual task (DT) -combination of ST described above and a cognitive task, which consisted of hearing a sequence of letters on two audio recordings. The first was the sequence "A F E F C J F B C J" and the second was the sequence "F C F B F D T F R O" 14 . The participant was instructed to climb the steps and say how many times of the letter "F" was pronounced in the recordings.…”

Section: Assessment Proceduresmentioning

confidence: 99%

“…The order of the ST and DT was equally randomized. According to Miri et al 14 , each task was performed twice with a one-minute rest interval between trials.…”

Section: Assessment Proceduresmentioning

confidence: 99%

“…The functional tasks were performed under the following conditions:Single task (ST) -Climbing the stairs with the aid of the handrails beginning with the individual's foot of choice.Dual task (DT) -combination of ST described above and a cognitive task, which consisted of hearing a sequence of letters on two audio recordings. The first was the sequence "A F E F C J F B C J" and the second was the sequence "F C F B F D T F R O"14 . The participant was instructed to climb the steps and say how many times of the letter "F" was pronounced in the recordings.…”

mentioning

confidence: 99%

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Does the fear of falls interfere with the task of boarding a bus in individuals with Parkinson’s disease?

Ishii,

Miri

et al. 2023

BJMB

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BACKGROUND: Individuals with Parkinson’s disease (PD) have motor impairment that leads to the fear of falling, which limits functional independence. AIM: To correlate the fear of falling with cognitive function, handgrip strength, upper limb pulling force and functional execution time on the task of boarding a bus in individuals with PD. METHOD: A cross-sectional study involving 31 individuals with idiopathic PD. Assessments were performed with the Mini Mental State Examination (MMSE) and the Falls Efficacy Scale (FES-I). Handgrip strength and upper limb pulling force were measured using dynamometers installed on a bus prototype. Execution time was determined on the single task (ST), which consisted of climbing a bus, as well as a dual task (DT) (detecting specific letters from an audio recording during the task). Correlations between variables were determined using Pearson’s correlation test, with the significance level set at 5% (p <0.05). RESULTS: Moderate correlations were found between the FES-I score and the following variables: MVC for right handgrip strength (r = -0.491), left handgrip strength (r = -0.522), right arm pulling force (r = -0.522) and left arm pulling force (r = -0.563) as well as execution time on the ST (r = 0.514) and DT (r = 0.445). Moreover, a weak correlation was found between the total FES-I score and MMSE (r = -0.377). CONCLUSION: Greater concern with regards to falling was correlated with lower handgrip strength and upper limb pulling force, and a greater time spent boarding a bus under ST and DT conditions.

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Section: Assessment Proceduresmentioning

confidence: 99%

“…The order of the ST and DT was equally randomized. According to Miri et al 14 , each task was performed twice with a one-minute rest interval between trials.…”

Section: Assessment Proceduresmentioning

confidence: 99%

mentioning

confidence: 99%

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Does the fear of falls interfere with the task of boarding a bus in individuals with Parkinson’s disease?

Ishii,

Miri

et al. 2023

BJMB

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“…Falls have a multifactorial etiology in PD and several risk factors have been identified [ 5 , 8 , 9 , 10 ]. Clinical aspects such as fall history, more severe/advanced disease, greater levodopa dosage, impaired postural control and cognitive deficits have been shown to increase the risk of falling in PD [ 8 , 11 ].…”

Section: Introductionmentioning

confidence: 99%

Combination of Clinical and Gait Measures to Classify Fallers and Non-Fallers in Parkinson’s Disease

Araújo

Smaili

Morris

et al. 2023

Sensors

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Although the multifactorial nature of falls in Parkinson’s disease (PD) is well described, optimal assessment for the identification of fallers remains unclear. Thus, we aimed to identify clinical and objective gait measures that best discriminate fallers from non-fallers in PD, with suggestions of optimal cutoff scores. METHODS: Individuals with mild-to-moderate PD were classified as fallers (n = 31) or non-fallers (n = 96) based on the previous 12 months’ falls. Clinical measures (demographic, motor, cognitive and patient-reported outcomes) were assessed with standard scales/tests, and gait parameters were derived from wearable inertial sensors (Mobility Lab v2); participants walked overground, at a self-selected speed, for 2 min under single and dual-task walking conditions (maximum forward digit span). Receiver operating characteristic curve analysis identified measures (separately and in combination) that best discriminate fallers from non-fallers; we calculated the area under the curve (AUC) and identified optimal cutoff scores (i.e., point closest-to-(0,1) corner). RESULTS: Single gait and clinical measures that best classified fallers were foot strike angle (AUC = 0.728; cutoff = 14.07°) and the Falls Efficacy Scale International (FES-I; AUC = 0.716, cutoff = 25.5), respectively. Combinations of clinical + gait measures had higher AUCs than combinations of clinical-only or gait-only measures. The best performing combination included the FES-I score, New Freezing of Gait Questionnaire score, foot strike angle and trunk transverse range of motion (AUC = 0.85). CONCLUSION: Multiple clinical and gait aspects must be considered for the classification of fallers and non-fallers in PD.

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Analysis of handgrip strength, pulling force using the upper limbs, and ground reaction forces in the task of boarding a bus between healthy elderly individuals and those with Parkinson’s disease

Cited by 2 publications

References 46 publications

Does the fear of falls interfere with the task of boarding a bus in individuals with Parkinson’s disease?

Does the fear of falls interfere with the task of boarding a bus in individuals with Parkinson’s disease?

Combination of Clinical and Gait Measures to Classify Fallers and Non-Fallers in Parkinson’s Disease

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