Progressive resistance training improves gait initiation in individuals with Parkinson's disease

Hass, Chris J.; Buckley, Thomas A.; Pitsikoulis, Chris; Barthélemy, Ernest J.

doi:10.1016/j.gaitpost.2011.12.022

Cited by 123 publications

(97 citation statements)

References 31 publications

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“…Na segunda fase, observa-se novamente um aumento progressivo com a idade no deslocamento COPAP_2 e COPML_2. Um deslocamento COPML_2 maior nos adultos nessa fase parece estar associado a uma base de apoio mais larga do que a das crianças, porém como a VELML_2 não é estatisticamente diferente entre os grupos, isso sugere que o adulto desloca mediolateralmente o COP nessa fase de forma mais controlada 1,2,3,4 Na fase 3, deslocamento COPAP_2 no grupo G5 apresentou valores significativamente maiores que no grupo G15 e G3. Esse resultado é consistente com o fato de que as crianças de 5 anos são maiores do que as crianças de 1 e 3 anos e já realizam o passo com mais segurança e dinamismo 1,2,3,4 ..…”

Section: Discussionunclassified

Inicialização Do Passo Na Locomoção Infantil: Estudo Piloto

Nora¹,

Costa²,

Paiva³

et al. 2018

Anais Do v Congresso Brasileiro De Eletromiografia E Cinesiologia E X Simpósio De Engenharia Biomédica

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ResumoObjetivo: Descrever o processo de inicialização do passo em crianças típicas que se encontram na fase de aquisição do andar independente a partir do comportamento do centro de pressão (COP) durante o processo de aquisição do andar independente em crianças. Participantes foram classificados em 5 grupos: G1 (grupo de 15 e 16 meses de idade: 20 crianças), G3 (grupo de 3 anos: 20 crianças),e G5 (grupo de 5 anos: 20 crianças). Variáveis: Deslocamento anteroposterior (COPAP) e mediolateral (COPML) do COP e velocidade média anteroposterior (VELAP) e mediolateral (VELML) do COP durante a inicialização do passo e nas suas três fases: 1antecipatória, 2-1º passo, 3-2º passo. Resultados: COPAP_1, COPAP_2, COPML_1 e COPML_2 foram menores no grupo G1 quando comparadas aos grupos G3 e G5. VELAP_1 no grupo G1 foi maior que no grupo G5, enquanto VELML_1 no grupo G1 foi menor que nos grupos G3 e G5. Conclusão: O ajuste antecipatório é modesto em crianças com pouca experiência com o andar independente, o que sugere uma estratégia distinta da do adulto a fim de garantir o equilíbrio na inicialização do passo. Palavras-chave: inicialização do passo; centro de pressão; desenvolvimento da marcha; dinamometria. AbstractObjective: Describe, from the behavior of the center of pressure (COP), how the acquisition of independent gait in children influences the gait initiation. Participants were classified into 5 groups: G1 (group of 15 and 16 months of age: 20 children), G3 (group of 3 years: 20 children) and G5 (group of 5 years: 20 children). Variables: Anteroposterior (COPAP) and mediolateral (COPML) displacements and anteroposterior (VELAP) and mediolateral (VELML) mean velocities of the COP during the gait initiation and its three phases: 1-antecipatory, 2-first step, 3-second step. Results: COPAP_1, COPAP_2, COPML_1 e COPML_2 were smaller in the G1 group compared to the G3 and G5 groups. VELAP_1 in the G1 group was larger than in the G5 group, whereas VELML_1 in the G1 group was smaller than in the G3 and G5 groups. Conclusion: Anticipatory adjustment is modest in children with little experience with independent gait, which suggests a different strategy to the adult to ensure balance in gait initiation.Key-words: gait Initiation; center of pressure; gait development; dynamometry. IntroduçãoNo andar, o centro de massa está sempre fora da superfície de apoio, exceto durante a fase de apoio duplo e, se considerada uma velocidade constante de deslocamento, tem-se uma condição de equilíbrio dinâmico. O termo "dinâmico" indica que o membro em balanço tem uma trajetória que atingirá uma nova condição de equilíbrio durante a próxima fase de apoio 1 . A inicialização do passo é definida como a transição da postura quase estática de pé ao primeiro passo do movimento cíclico da marcha. Este processo é mediado por um programa motor central que envolve ajustes preparatórios necessários para propulsionar o corpo para a frente. É uma tarefa que desafia o sistema de controle postural (equilíbrio), enquanto a pessoa se move a partir do equilíbri...

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Section: Discussionunclassified

Inicialização Do Passo Na Locomoção Infantil: Estudo Piloto

Nora¹,

Costa²,

Paiva³

et al. 2018

Anais Do v Congresso Brasileiro De Eletromiografia E Cinesiologia E X Simpósio De Engenharia Biomédica

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“…21,26 Hence, RT may be very important for improving functional outcomes related to mobility in this population. 27 Following bouts of intensive physiotherapy treatment, it may not be economically feasible for many patients with PD to continue seeing a physiotherapist throughout the year. Thus, to lessen the burden on municipal health and welfare services, and to promote independent living, we suggest that people with PD are relegated to supervised RT 2 to 3 times a year and that they perform home-based exercises in the interregnum between supervised training.…”

Section: Discussionmentioning

confidence: 99%

Strength and Functional Capacity of a 70-Year-Old Patient Diagnosed with Parkinson Disease Following 1 Year of Combined Supervised Progressive Resistance Training and Home-Based Training: A Case Report

Gjøvaag¹,

Sylliaas²

2017

HACCE

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ABSTRACT:The value of resistance training (RT) for people with Parkinson disease (PD) is disputed, but recent research shows promising results regarding effects of intensive RT. The main aim of this case report was to develop a combined model consisting of home-based training (HT) and supervised RT as a 1-year follow-up to evaluate changes in functional capacities of a patient with PD. The intervention consisted of 8 weeks of supervised progressive RT, followed by 12 weeks of individual HT. This sequence was then repeated, for a total follow-up of 12 months. Functional capacities were assessed between all training periods with a battery of clinical measures. During the second HT period, functional outcomes and muscle strength were better preserved compared with the first HT period. These results are important regarding how to design and implement efficient exercise regimens for patients with PD and show that progressive RT twice a week for 2 months combined with home training in periods is effective in improving muscular strength and functional capacities.

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“…We also assessed the GRF of each limb during quiet standing (1 second before movement onset). The CoP behaviour (duration, A-P and M-L displacement and mean velocity) was also assessed in three different phases [6,12]: Anticipatory Postural Adjustment phase (APA, from the first change in the vertical GRF until the most posterior and lateral position of the CoP towards the leading limb); the Weight Transfer phase (WT, from the end of the previous phase until the peak medial and posterior CoP position towards the stance limb); the Locomotor phase (LP, from the end of the previous phase until stance limb toe-off). While PA and total duration were determined using kinematic variables, APA, WT and LP were determined using the CoP behaviour.…”

Section: Data Acquisitionmentioning

confidence: 99%

“…Two major CoP behaviours are observed when vibration is applied during upright standing: (i) a CoP displacement towards (lower limb), or opposite (trunk muscles) to the vibrated muscles (i.e. : a forward CoP displacement is observed when tibialis anterior and upper trapezius are stimulated) [9][10][11][12]); (ii) a CoP over recovery in relation to its initial position after vibration cessation [10,13,14]: i.e. after the cessation of vibration on the soleous the CoP moves excessively backwards compared to its initial position [10].…”

Section: Introductionmentioning

confidence: 99%

The role of proprioception in the sagittal setting of anticipatory postural adjustments during gait initiation

Pereira¹,

Pelicioni²,

Gobbi³

2018

Hum Mov.

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Purpose. Previous studies have studied the role of proprioception on the setting of anticipatory postural adjustments (APA) during gait initiation. However, these studies did not investigate the role of proprioception in the sagittal APA setting. We aimed to investigate the role of proprioception manipulation to induce APA sagittal adaptations on gait initiation. Methods. Fourteen healthy adults performed gait initiation without, and with, vibration applied before movement onset, and during movement. In addition, the effects of two different vibration frequencies (80 and 120Hz) were tested. Vibration was applied bilaterally on the tibialis anterior, rectus femoris and trapezius superior. The first step characteristics, ground reaction forces and CoP behaviour were assessed. Results. Vibration improved gait initiation performance regardless of the moment it was applied. CoP velocity during the initial phase of APA was increased by vibration only when it was applied before movement. When vibration was applied to disturb the movement, no effects on the CoP behaviour were observed. Manipulation of vibration frequency had no effects. Conclusions. Rather than proprioception manipulation, the results suggest that post-vibratory effects and attentional mechanisms were responsible for our results. Taken together, the results show that sagittal APA setting is robust to proprioception manipulation.

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Progressive resistance training improves gait initiation in individuals with Parkinson's disease

Cited by 123 publications

References 31 publications

Inicialização Do Passo Na Locomoção Infantil: Estudo Piloto

Inicialização Do Passo Na Locomoção Infantil: Estudo Piloto

Strength and Functional Capacity of a 70-Year-Old Patient Diagnosed with Parkinson Disease Following 1 Year of Combined Supervised Progressive Resistance Training and Home-Based Training: A Case Report

The role of proprioception in the sagittal setting of anticipatory postural adjustments during gait initiation

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