Spiral Analysis in Subjects with Parkinson's Disease before and after Levodopa Treatment: A New Protocol with Stereophotogrammetric Systems

Purpose A method for the quantification of handwritten spirals in patients with Parkinson's disease (PD) pre and post levodopa treatment is reported. Methods Fifteen PD patients (mean age: 66.80±9.75 years) were assessed in the absence of medication (OFF condition) and under levodopa administra...

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Veröffentlicht in:Journal of applied biomaterials & functional materials 2014-01, Vol.12 (2), p.107-112
Hauptverfasser: Galli, Manuela, Vimercati, Sara L., Manetti, Elena, Cimolin, Veronica, Albertini, Giorgio, De Pandis, Maria F.
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container_end_page 112
container_issue 2
container_start_page 107
container_title Journal of applied biomaterials & functional materials
container_volume 12
creator Galli, Manuela
Vimercati, Sara L.
Manetti, Elena
Cimolin, Veronica
Albertini, Giorgio
De Pandis, Maria F.
description Purpose A method for the quantification of handwritten spirals in patients with Parkinson's disease (PD) pre and post levodopa treatment is reported. Methods Fifteen PD patients (mean age: 66.80±9.75 years) were assessed in the absence of medication (OFF condition) and under levodopa administration (ON condition). The control group was composed of 15 age-matched healthy (H) individuals (mean age: 63.70±9.40). They were asked to hand draw a spiral at self-selected speed, without resting their forearm on the table. The participants drew on a paper sheet, using a normal pen. The trace of the pen was determined from the 3D coordinates of passive markers placed on the pen and on the sheet, acquired with an optoelectronic system and some parameters were identified and computed. Results The method revealed to be significant in highlighting the differences between H and PD subjects and in detecting pharmacologic effect. PD patients are impaired in spiral drawing execution and levodopa improves drawing performance, evidenced by spatio-temporal parameters and velocity profiles. Conclusions The protocol is easily employable in clinic analysis because of its simplicity, the short duration of the test, and the natural test conditions. These characteristics suggest the applicability of this protocol to other fields of motor and cognitive assessments.
doi_str_mv 10.5301/jabfm.2012.9265
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Methods Fifteen PD patients (mean age: 66.80±9.75 years) were assessed in the absence of medication (OFF condition) and under levodopa administration (ON condition). The control group was composed of 15 age-matched healthy (H) individuals (mean age: 63.70±9.40). They were asked to hand draw a spiral at self-selected speed, without resting their forearm on the table. The participants drew on a paper sheet, using a normal pen. The trace of the pen was determined from the 3D coordinates of passive markers placed on the pen and on the sheet, acquired with an optoelectronic system and some parameters were identified and computed. Results The method revealed to be significant in highlighting the differences between H and PD subjects and in detecting pharmacologic effect. PD patients are impaired in spiral drawing execution and levodopa improves drawing performance, evidenced by spatio-temporal parameters and velocity profiles. Conclusions The protocol is easily employable in clinic analysis because of its simplicity, the short duration of the test, and the natural test conditions. 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Methods Fifteen PD patients (mean age: 66.80±9.75 years) were assessed in the absence of medication (OFF condition) and under levodopa administration (ON condition). The control group was composed of 15 age-matched healthy (H) individuals (mean age: 63.70±9.40). They were asked to hand draw a spiral at self-selected speed, without resting their forearm on the table. The participants drew on a paper sheet, using a normal pen. The trace of the pen was determined from the 3D coordinates of passive markers placed on the pen and on the sheet, acquired with an optoelectronic system and some parameters were identified and computed. Results The method revealed to be significant in highlighting the differences between H and PD subjects and in detecting pharmacologic effect. PD patients are impaired in spiral drawing execution and levodopa improves drawing performance, evidenced by spatio-temporal parameters and velocity profiles. Conclusions The protocol is easily employable in clinic analysis because of its simplicity, the short duration of the test, and the natural test conditions. 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subjects Adult
Aged
Antiparkinson Agents - therapeutic use
Female
Humans
Levodopa - therapeutic use
Linear Models
Male
Middle Aged
Parkinson Disease - drug therapy
Parkinson Disease - physiopathology
Photogrammetry
Severity of Illness Index
title Spiral Analysis in Subjects with Parkinson's Disease before and after Levodopa Treatment: A New Protocol with Stereophotogrammetric Systems
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