The relationship between motor planning and freezing of gait in Parkinson's disease

ObjectiveTo examine how a cued change in motor plan influences Parkinson's disease (PD) patients with freezing of gait (FOG) (PD FOG; n=10), compared with those without FOG (PD non-FOG; n=10) and healthy controls (n=10).MethodsParticipants walked through a doorway in three experimental conditio...

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Veröffentlicht in:Journal of neurology, neurosurgery and psychiatry neurosurgery and psychiatry, 2012-01, Vol.83 (1), p.98-101
Hauptverfasser: Knobl, Patricia, Kielstra, Lauren, Almeida, Quincy
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container_title Journal of neurology, neurosurgery and psychiatry
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creator Knobl, Patricia
Kielstra, Lauren
Almeida, Quincy
description ObjectiveTo examine how a cued change in motor plan influences Parkinson's disease (PD) patients with freezing of gait (FOG) (PD FOG; n=10), compared with those without FOG (PD non-FOG; n=10) and healthy controls (n=10).MethodsParticipants walked through a doorway in three experimental conditions: no cue; cue before gait initiation; and cue after gait initiation. The light cue was presented at the end of the pathway and signified that individuals must walk to the cue, turn around and return to starting position.ResultsStep-to-step variability (a known precursor to FOG) revealed a significant main effect of group (F2,27=32.83, p
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The light cue was presented at the end of the pathway and signified that individuals must walk to the cue, turn around and return to starting position.ResultsStep-to-step variability (a known precursor to FOG) revealed a significant main effect of group (F2,27=32.83, p&lt;0.001), where PD FOG walked with greater step length variability than PD non-FOG and the control group. A significant interaction (F4,54=3.035, p=0.025) demonstrated that only the PD FOG group was most variable when the cue was present before gait initiation.ConclusionThis study concludes that motor planning deficits affect gait, specifically in individuals who experience FOG. This may have important implications for the design of therapeutic interventions in PD FOG.</description><identifier>ISSN: 0022-3050</identifier><identifier>EISSN: 1468-330X</identifier><identifier>DOI: 10.1136/jnnp-2011-300869</identifier><identifier>PMID: 21836031</identifier><identifier>CODEN: JNNPAU</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Aged ; Aged, 80 and over ; apraxia ; bimanual coordination ; Biological and medical sciences ; Case-Control Studies ; cognition ; Cues ; Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases ; Executive function ; Female ; freezing ; Gait ; Gait - physiology ; Humans ; Light ; Male ; Medical sciences ; Middle Aged ; motor plan ; Movement - physiology ; Neurology ; Parkinson Disease - physiopathology ; Parkinson's disease ; Planning ; proprioception ; Walking</subject><ispartof>Journal of neurology, neurosurgery and psychiatry, 2012-01, Vol.83 (1), p.98-101</ispartof><rights>2011, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2011 (c) 2011, Published by the BMJ Publishing Group Limited. 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The light cue was presented at the end of the pathway and signified that individuals must walk to the cue, turn around and return to starting position.ResultsStep-to-step variability (a known precursor to FOG) revealed a significant main effect of group (F2,27=32.83, p&lt;0.001), where PD FOG walked with greater step length variability than PD non-FOG and the control group. A significant interaction (F4,54=3.035, p=0.025) demonstrated that only the PD FOG group was most variable when the cue was present before gait initiation.ConclusionThis study concludes that motor planning deficits affect gait, specifically in individuals who experience FOG. This may have important implications for the design of therapeutic interventions in PD FOG.</description><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>apraxia</subject><subject>bimanual coordination</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>cognition</subject><subject>Cues</subject><subject>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases</subject><subject>Executive function</subject><subject>Female</subject><subject>freezing</subject><subject>Gait</subject><subject>Gait - physiology</subject><subject>Humans</subject><subject>Light</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>motor plan</subject><subject>Movement - physiology</subject><subject>Neurology</subject><subject>Parkinson Disease - physiopathology</subject><subject>Parkinson's disease</subject><subject>Planning</subject><subject>proprioception</subject><subject>Walking</subject><issn>0022-3050</issn><issn>1468-330X</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqFkU1v1DAQhi1ERZfCnROyhFAPKOCxYzs-Vis-qlZAYam4WXbitF4SJ9hZ8fHr65ClSFzqi2XNM6_G8yD0BMhLACZebUMYC0oACkZIJdQ9tIJSVAVj5Ot9tCKE0lzh5BA9TGlL5lOpB-iQQsUEYbBCnzfXDkfXmckPIV37EVs3_XAu4H6YhojHzoTgwxU2ocFtdO73_BhafGX8hH3AH0385kMawnHCjU_OJPcIHbSmS-7x_j5CX9683qzfFecf3p6uT84Ly2k1FdIAkZaTVkJprRXKSmklkyVUbcMbAaKRja2p4VI0ZUOZMlRWzjJHFRWiZkfoeMkd4_B959Kke59q1-WR3bBLWlFSEc7yuZMEUGXJFGTy2X_kdtjFkL-hQVZASwF8ziMLVcchpehaPUbfm_hLA9GzGT2b0bMZvZjJLU_3wTvbu-a24a-KDDzfAybVpmujCbVP_7i8M8X_BBUL59Pkft7WswYt8va4fn-51vwCLs8-bZS-yPyLhbf99u4xbwC3RbIe</recordid><startdate>20120101</startdate><enddate>20120101</enddate><creator>Knobl, Patricia</creator><creator>Kielstra, Lauren</creator><creator>Almeida, Quincy</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88I</scope><scope>8AF</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope><scope>7TK</scope></search><sort><creationdate>20120101</creationdate><title>The relationship between motor planning and freezing of gait in Parkinson's disease</title><author>Knobl, Patricia ; Kielstra, Lauren ; Almeida, Quincy</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b528t-7a107b50f714bbb69b77b737418fd5d616d7dbc2a576d4d239a278eb3e29266c3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>apraxia</topic><topic>bimanual coordination</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>cognition</topic><topic>Cues</topic><topic>Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. 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The light cue was presented at the end of the pathway and signified that individuals must walk to the cue, turn around and return to starting position.ResultsStep-to-step variability (a known precursor to FOG) revealed a significant main effect of group (F2,27=32.83, p&lt;0.001), where PD FOG walked with greater step length variability than PD non-FOG and the control group. A significant interaction (F4,54=3.035, p=0.025) demonstrated that only the PD FOG group was most variable when the cue was present before gait initiation.ConclusionThis study concludes that motor planning deficits affect gait, specifically in individuals who experience FOG. This may have important implications for the design of therapeutic interventions in PD FOG.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>21836031</pmid><doi>10.1136/jnnp-2011-300869</doi><tpages>4</tpages></addata></record>
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subjects Aged
Aged, 80 and over
apraxia
bimanual coordination
Biological and medical sciences
Case-Control Studies
cognition
Cues
Degenerative and inherited degenerative diseases of the nervous system. Leukodystrophies. Prion diseases
Executive function
Female
freezing
Gait
Gait - physiology
Humans
Light
Male
Medical sciences
Middle Aged
motor plan
Movement - physiology
Neurology
Parkinson Disease - physiopathology
Parkinson's disease
Planning
proprioception
Walking
title The relationship between motor planning and freezing of gait in Parkinson's disease
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