دورية أكاديمية

Trend change analysis of postural balance in Parkinson's disease discriminates between medication state.

التفاصيل البيبلوغرافية
العنوان: Trend change analysis of postural balance in Parkinson's disease discriminates between medication state.
المؤلفون: Wodarski P; Faculty of Biomedical Engineering, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland., Jurkojć J; Faculty of Biomedical Engineering, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland., Chmura M; Faculty of Biomedical Engineering, Department of Biomechatronics, Silesian University of Technology, Gliwice, Poland., Warmerdam E; Division of Surgery, Saarland University, 66421, Homburg, Germany., Romijnders R; Department of Neurology, Kiel University, 24105, Kiel, Germany., Hobert MA; Department of Neurology, Kiel University, 24105, Kiel, Germany., Maetzler W; Department of Neurology, Kiel University, 24105, Kiel, Germany., Cygoń K; Skyfi Sp. z o.o, Gliwice, Poland., Hansen C; Department of Neurology, Kiel University, 24105, Kiel, Germany. C.Hansen@neurologie.uni-kiel.de.
المصدر: Journal of neuroengineering and rehabilitation [J Neuroeng Rehabil] 2024 Jun 28; Vol. 21 (1), pp. 112. Date of Electronic Publication: 2024 Jun 28.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: BioMed Central Country of Publication: England NLM ID: 101232233 Publication Model: Electronic Cited Medium: Internet ISSN: 1743-0003 (Electronic) Linking ISSN: 17430003 NLM ISO Abbreviation: J Neuroeng Rehabil Subsets: MEDLINE
أسماء مطبوعة: Original Publication: [London] : BioMed Central, 2004-
مواضيع طبية MeSH: Parkinson Disease*/physiopathology , Parkinson Disease*/diagnosis , Parkinson Disease*/drug therapy , Postural Balance*/physiology, Humans ; Male ; Female ; Aged ; Middle Aged ; Adult ; Antiparkinson Agents/therapeutic use ; Young Adult
مستخلص: Background: Maintaining static balance is relevant and common in everyday life and it depends on a correct intersegmental coordination. A change or reduction in postural capacity has been linked to increased risk of falls. People with Parkinson's disease (pwPD) experience motor symptoms affecting the maintenance of a stable posture. The aim of the study is to understand the intersegmental changes in postural sway and to apply a trend change analysis to uncover different movement strategies between pwPD and healthy adults.
Methods: In total, 61 healthy participants, 40 young (YO), 21 old participants (OP), and 29 pwPD (13 during medication off, PDoff; 23 during medication on, PDon) were included. Participants stood quietly for 10 s as part of the Short Physical Performance Battery. Inertial measurement units (IMU) at the head, sternum, and lumbar region were used to extract postural parameters and a trend change analysis (TCA) was performed to compare between groups.
Objective: This study aims to explore the potential application of TCA for the assessment of postural stability using IMUs, and secondly, to employ this analysis within the context of neurological diseases, specifically Parkinson's disease.
Results: Comparison of sensors locations revealed significant differences between head, sternum and pelvis for almost all parameters and cohorts. When comparing PDon and PDoff, the TCA revealed differences that were not seen by any other parameter.
Conclusions: While all parameters could differentiate between sensor locations, no group differences could be uncovered except for the TCA that allowed to distinguish between the PD on/off. The potential of the TCA to assess disease progression, response to treatment or even the prodromal PD phase should be explored in future studies.
Trial Registration: The research procedure was approved by the ethical committee of the Medical Faculty of Kiel University (D438/18). The study is registered in the German Clinical Trials Register (DRKS00022998).
(© 2024. The Author(s).)
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فهرسة مساهمة: Keywords: Balance; Body balance; Neurology; Parkinson Disease; Postural Stability; Trend Change Index; Wearable sensors
المشرفين على المادة: 0 (Antiparkinson Agents)
تواريخ الأحداث: Date Created: 20240629 Date Completed: 20240629 Latest Revision: 20240701
رمز التحديث: 20240701
مُعرف محوري في PubMed: PMC11212256
DOI: 10.1186/s12984-024-01411-z
PMID: 38943208
قاعدة البيانات: MEDLINE
الوصف
تدمد:1743-0003
DOI:10.1186/s12984-024-01411-z