Manual transport in Parkinson's disease

We analyze hand dexterity in Parkinson's disease patients (PD) and control subjects using a natural manual transport task (moving an object from one place to another). Eight PD patients and 10 control subjects carried out the task repeatedly at maximum speed both in off and on medicated status....

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Veröffentlicht in:Movement disorders 2003-05, Vol.18 (5), p.565-572
Hauptverfasser: Hejduková, Blanka, Hosseini, Nasser, Johnels, Bo, Ingvarsson, Pall E., Steg, Göran, Olsson, Torsten
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container_end_page 572
container_issue 5
container_start_page 565
container_title Movement disorders
container_volume 18
creator Hejduková, Blanka
Hosseini, Nasser
Johnels, Bo
Ingvarsson, Pall E.
Steg, Göran
Olsson, Torsten
description We analyze hand dexterity in Parkinson's disease patients (PD) and control subjects using a natural manual transport task (moving an object from one place to another). Eight PD patients and 10 control subjects carried out the task repeatedly at maximum speed both in off and on medicated status. The movement parameters and the grip and load forces were recorded. Using the force and velocity signals, 10 subsequent phases of the transport movement were defined and their durations were measured. The difference between the control group and the test group in off and on was established statistically using non‐parametric methods. There was slowed reaching and a striking disturbance of establishing the precision grip in PD. The transport capabilities were impaired differentially. Although acceleration and reaching sufficient height of the lift were disturbed in PD subjects, transport of the object toward the target position was almost normal. A partial disturbance was observed when cancelling the grip. Dopaminergic medication improved only specific hand skills, especially establishment of the precision grip and one of the four transport phases. A long movement path was more sensitive for movement disturbance in Parkinson's disease than a short one.© 2003 Movement Disorder Society
doi_str_mv 10.1002/mds.10402
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subjects Aged
Antiparkinson Agents - pharmacology
Antiparkinson Agents - therapeutic use
Automatic Data Processing
Biological and medical sciences
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Female
Functional Laterality - physiology
Hand - physiopathology
Hand Strength - physiology
Humans
Male
manual transport
Medical sciences
Middle Aged
movement phases
Neurology
Parkinson Disease - drug therapy
Parkinson Disease - physiopathology
Parkinson's disease
Psychomotor Performance - drug effects
Psychomotor Performance - physiology
Time Factors
title Manual transport in Parkinson's disease
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