Impacto da doença de Parkinson na performance do equilíbrio em diferentes demandas atencionais

Terra, Marcelle Brandão; Rosa, Paula Cassetari; Torrecilha, Larissa Amaral; Costa, Bianca Teixeira; Ferraz, Henrique Ballalai; Santos, Silvana Soléo Ferreira dos

doi:10.1590/1809-2950/16659423042016

Cited by 15 publications

(6 citation statements)

References 28 publications

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“…In this context, vision plays a major role in postural control and contributes to regulating postural stability during quiet standing [ 31 ]. Our results did not contradict this statement nor previous results examining the tandem stance in pwPD [ 32 ], where visual deprivation increased postural instability, as evidence by higher COP displacement, velocity, ellipse area and RMS, in comparison to open eyes condition.…”

Section: Discussioncontrasting

confidence: 64%

Effect of a Concurrent Cognitive Task, with Stabilizing Visual Information and Withdrawal, on Body Sway Adaptation of Parkinsonian’s Patients in an Off-Medication State: A Controlled Study

Delafontaine

Hansen

Marolleau

et al. 2020

Sensors

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Background: In persons with Parkinson’s disease (pwPD) any additional somatosensory or distractor interference can influence the posture. When deprivation of vision and dual-task are associated, the effect on biomechanical performance is less consistent. The aim of this study was to evaluate the role of the visual deprivation and a cognitive task on the static balance in earlier stage PD subjects. Methods: Fifteen off-medication state pwPD (9 women and 6 men), 67.7 ± 7.3 years old, diagnosed PD since 5.4 ± 3.4 years, only Hoehn and Yahr state 2 and fifteen young control adults (7 women and 8 men) aged 24.9 ± 4.9 years, performed semi-tandem task under four randomized experimental conditions: eyes opened single-task, eyes closed single-task, eyes opened dual-task and eyes closed dual-task. The center of pressure (COP) was measured using a force plate and electromyography signals (EMG) of the ankle/hip muscles were recorded. Traditional parameters, including COP pathway length, ellipse area, mediolateral/anteroposterior root-mean-square and non-linear measurements were computed. The effect of vision privation, cognitive task, and vision X cognitive was investigated by a 2 (eyes opened/eyes closed) × 2 (postural task alone/with cognitive task) repeated-measures ANOVA after application of a Bonferroni pairwise correction for multiple comparisons. Significant interactions were further analyzed using post-hoc tests. Results: In pwPD, both COP pathway length (p < 0.01), ellipse area (p < 0.01) and mediolateral/anteroposterior root-mean-square (p < 0.01) were increased with the eyes closed, while the dual-task had no significant effect when compared to the single-task condition. Comparable results were observed in the control group for who COP pathway was longer in all conditions compared to eyes opened single-task (p < 0.01) and longer in conditions with eyes closed compared to eyes opened dual-task (p < 0.01). Similarly, all differences in EMG activity of pwPD were exclusively observed between eyes opened vs. eyes closed conditions, and especially for the forward leg’s soleus (p < 0.01) and backward tibialis anterior (p < 0.01). Conclusions: These results in pwPD without noticeable impairment of static balance encourage the assessment of both visual occlusion and dual-task conditions when the appearance of significant alteration during the dual-task could reveal the subtle worsening onset of the balance control.

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Section: Discussioncontrasting

confidence: 64%

Effect of a Concurrent Cognitive Task, with Stabilizing Visual Information and Withdrawal, on Body Sway Adaptation of Parkinsonian’s Patients in an Off-Medication State: A Controlled Study

Delafontaine

Hansen

Marolleau

et al. 2020

Sensors

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“…Terra and colleagues 28 It is worth noting that in the present study, and in agreement with the data in the literature, the elderly participants with PD had the longest completion time for the simple mobility test (TUG) and had the lowest ambulation scores, suggesting that they had the worst mobility and dynamic balance.…”

Section: Discussionsupporting

confidence: 92%

Mobility and dual task in healthy and neurological impaired older adults: cross-sectional study

Gomes

Silva

et al. 2020

BJD

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Purpose: compare the association between performance during the execution of dual tasks with cognitive function, mobility and clinical aspects and to present a proposal for a dual task evaluation on postural control in elderly participants. Materials and methods: Study cross-sectional. The participants were allocated into groups: healthy elderly group, individuals in the mild cognitive impairment group and individuals with Parkinson's disease. Motor evaluation was performed through the Foot Eight Walking and Timed Up and Go tests. Results: The Mild Cognitive Impairment Group presented a greater increase in time during the cognitive and motor tasks in Foot Eight Walking. For the cognitive Timed Up and Go, the Mild Cognitive Impairment Group presented longer times than the other groups, whereas the motor and simple Timed Up and Go required a longer time by the Parkinson's Disease Group. Conclusions: The nonrectilinear lane mobility test was useful as an evaluation method for the elderly participants and the strong correlation with already established mobility instruments is also highlighted.

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“…Scores z compostos dos quatro testes de memória de trabalho durante a estimulação ativa anodal esquerda (t11 = 3,9, p = 0,003, ds de Cohen = 0,52) e estimulação ativa anodal direita (t11 = 2,7, p = 0,019, ds de Cohen = 0,46) foram melhores que a atuação da estimulação falsa, mas não houve entre as duas condições ativas diferença significante (t11 = 0,60, p = 0,563). Os testes de acompanhamento de Wilcoxon revelaram que o desempenho do TBA após a estimulação anodal esquerda não foi significativamente diferente do desempenho do TBA após a estimulação simulada (z11 = 1,63, p =0,102, r =0, 24,d de Cohen =0,27), mas o desempenho do TBA após a estimulação anodal direita foi melhor do que a de simulação (z11 = 2,26, p = 0,024, r = 0,33, ds de Cohen = 0,46). Nenhum participante apresentou eventos adversos.…”

Section: Resultsunclassified

Fragilidade Em Idosos Segundo Classificação Internacional De Funcionalidade, Incapacidade E Saúde

Souza¹,

Vilela²,

Mesquita³

et al. 2020

Fisioterapia Na Atenção À Saúde 3

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Direitos para esta edição cedidos à Atena Editora pelos autores.Todo o conteúdo deste livro está licenciado sob uma Licença de Atribuição Creative Commons. Atribuição 4.0 Internacional (CC BY 4.0). O conteúdo dos artigos e seus dados em sua forma, correção e confiabilidade são de responsabilidade exclusiva dos autores, inclusive não representam necessariamente a posição oficial da Atena Editora. Permitido o download da obra e o compartilhamento desde que sejam atribuídos créditos aos autores, mas sem a possibilidade de alterá-la de nenhuma forma ou utilizá-la para fins comerciais.A Atena Editora não se responsabiliza por eventuais mudanças ocorridas nos endereços convencionais ou eletrônicos citados nesta obra.Todos os manuscritos foram previamente submetidos à avaliação cega pelos pares, membros do Conselho Editorial desta Editora, tendo sido aprovados para a publicação.

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Impacto da doença de Parkinson na performance do equilíbrio em diferentes demandas atencionais

Cited by 15 publications

References 28 publications

Effect of a Concurrent Cognitive Task, with Stabilizing Visual Information and Withdrawal, on Body Sway Adaptation of Parkinsonian’s Patients in an Off-Medication State: A Controlled Study

Effect of a Concurrent Cognitive Task, with Stabilizing Visual Information and Withdrawal, on Body Sway Adaptation of Parkinsonian’s Patients in an Off-Medication State: A Controlled Study

Mobility and dual task in healthy and neurological impaired older adults: cross-sectional study

Fragilidade Em Idosos Segundo Classificação Internacional De Funcionalidade, Incapacidade E Saúde

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