Visual restriction and anterior-posterior body oscillations in Parkinson’s disease

Authors

  • Mônica Del Rosario Sánchez-Arias Universidade Estadual Paulista - UNESP
  • Ana Francisca Rozin Kleiner Universidade Estadual de Campinas - UNICAMP
  • Ágata Yoko Yasue Hamanaka Universidade Estadual Paulista - UNESP
  • Paulo Roberto Pereira Santiago Universidade de São Paulo. Escola de Educação Física e Esporte de Ribeirão Preto
  • Lilian Teresa Bucken Gobbi Universidade Estadual Paulista - UNESP
  • Florindo Stella Universidade Estadual Paulista - UNESP

DOI:

https://doi.org/10.5935/0104-7795.20120025

Keywords:

Parkinson Disease, Posture, Stereotypic Movement Disorder, Vision Disorders

Abstract

With their vision restricted, sufferers of Parkinson’s disease (PD) make few anticipatory and/or compensatory adjustments in their posture and the evidence of these adjustments is even less when the disease progresses and body oscillations are considered. Objective: The aim of this study was to demonstrate the effects of visual restriction on the anterior-posterior body oscillation angles in parkinsonian stance considering the early stages of this disease. Method: Ten elderly PD patients with Hoehn & Yahr (HY) stage 2 remained standing still for 30 seconds to measure the body oscillation angles with and without restricted vision. Results: Two-way ANOVA analyses with repeated measurements revealed the main effect of vision (F(1,7) = 8.931, p < 0.02). Conclusion: The angles of the anterior-posterior body oscillations without visibility were greater than with visibility. They did not differ in correlation with the HY stages and visibility conditions interfered with the postural control regardless of the PD evolution stage.

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References

Morris ME, Iansek R. Characteristics of motor disturbance in Parkinson's disease and strategies for movement rehabilitation. Human Movement Sci.1996;15(5):649-69

Quek F, Bryll R, Ramig L. Toward vision and gesture based evaluation of parkinson disease from discourse video. In: IEEE Workshop on Cues in Communication; 2001 Dec 11-13; Kauai, Hawaii.

Shumway-Cook A, Woollacott MH. Restrições do controle motor: um resumo geral dos comprometimentos neurológicos. In: Shumway-Cook A, Woollacott MH. Controle motor: teoria e aplicações práticas. São Paulo: Manole; 2003. p.119-51.

Stella F, Gobbi LTB, Gobbi S, Oliani MM, Tanaka T, Pieruccini-Faria F. Early impairment of cognitive functions in Parkinson's disease. Arq Neuropsiquiatr. 2007;65(2):406-10.

Fernández-Del Olmo M, Arias P, Cudeiro-Mazaira FJ. Facilitación de la actividad motora por estímulos sensoriales en la enfermedad de Parkinson. Rev Neurol. 2004;39(9):841-7.

Bronte-Stewart HM, Minn AY, Rodrigues K, Buckley EL, Nashner LM. Postural instability in idiopathic Parkinson's disease: the role of medication and unilateral pallidotomy. Brain. 2002;125(Pt 9):2100-14.

Rogers MW. Control of posture and balance during voluntary movements in Parkinson's disease. In: Duncan P, ed. Balance: proceedings of the APTA Forum. Alexandria: American Physical Therapy Association; 1990. p.79-86.

Romero DH, Stelmach GE. Changes in postural control with aging and Parkinson's disease. IEEE Eng Med Biol Mag. 2003;22(2):27-31.

Wade MG, Lindquist R, Taylor JR, Treat-Jacobson D. Optical flow, spatial orientation, and the control of posture in the elderly. J Gerontol B Psychol Sci Soc Sci. 1995;50(1):P51-P58.

Musolino MC, Loughlin PJ, Sparto PJ, Redfern MS. Spectrally similar periodic and non-periodic optic flows evoke different postural sway responses. Gait Posture. 2006;23(2):180-8.

Kleiner AFR, Schlittler DXC, Sánchez-Arias MDR. O papel dos sistemas visual, vestibular, somatosensorial e auditivo para o controle postural. Rev Neurocienc 2011;19(2):349-57.

Bosek M, Grzegorzewski B, Kowalczyk A, Lubiński I. Degradation of postural control system as a consequence of Parkinson's disease and ageing. Neurosci Lett. 2005;376(3):215-20.

Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427-42.

Roniger LR. Trunk Sway may predict Parkinson's balance problems. Biomech. 2006;13(1):19-20.

Fahn S, Elton RL. The unified Parkinson's disease rating scale. In: Fahn S, Marsden CD, Calne DB, Goldstein M. Editors. Recent developments in Parkinson's disease. New York: MacMillan; 1987. p.153-64.

Barros RML, Brenzikofer R, Leite NJ, Figueroa PJ. Desenvolvimento e avaliação de um sistema para análise cinemática tridimensional de movimentos humanos. Rev Bras Eng Biom. 1999;15(1-2):79-86.

Figueroa PJ, Leite NJ, Barros RM. A flexible software for tracking of markers used in human motion analysis. Comput Methods Programs Biomed. 2003;72(2):155-65.

Vuolo JH. Fundamentos da teoria de erros. São Paulo: Edgard Blücher; 1996.

Cunha SA, Lima Filho EC. Metodologia para suavização de dados biomecânicos por função não paramétrica ponderada local robusta. Rev Bras Biom. 2003; 6(1):23-8.

Adkin AL, Bloem BR, Allum JH. Trunk sway measurements during stance and gait tasks in Parkinson's disease. Gait Posture. 2005;22(3):240-9.

Błaszczyk JW, Orawiec R, Duda-Kłodowska D, Opala G. Assessment of postural instability in patients with Parkinson's disease. Exp Brain Res. 2007;183(1):107-14.

Brown LA, Cooper SA, Doan JB, Dickin DC, Whishaw IQ, Pellis SM, et al. Parkinsonian deficits in sensory integration for postural control: temporal response to changes in visual input. Parkinsonism Relat Disord. 2006;12(6):376-81.

Dijkstra TMH. A gentle introduction to the dynamic set-point model of human postural control during perturbed stance. Human Movement Sci. 2000;19(4):567-95.

Nardone A, Schieppati M. Balance in Parkinson's disease under static and dynamic conditions. Mov Disord. 2006;21(9):1515-20.

Horak FB, Nutt JG, Nashner LM. Postural inflexibility in parkinsonian subjects. J Neurol Sci. 1992;111(1):46-58.

Beckley DJ, Bloem BR, Remler MP. Impaired scaling of long latency postural reflexes in patients with Parkinson's disease. Electroencephalogr Clin Neurophysiol. 1993;89(1):22-8.

Schieppati M, Hugon M, Grasso M, Nardone A, Galante M. The limits of equilibrium in young and elderly normal subjects and in parkinsonians. Electroencephalogr Clin Neurophysiol. 1994;93(4):286-98.

Abe PT, Vitorino DFM, Guimarães LHCT, Cereda RA, Milagre VLR. Análise do equilíbrio nos pacientes com doença de Parkinson grau leve e moderado através da fotogrametria. Rev Neurocienc. 2004;12(2):73-6.

Oie KS, Kiemel T, Jeka JJ. Multisensory fusion: simultaneous re-weighting of vision and touch for the control of human posture. Brain Res Cogn Brain Res. 2002;14(1):164-76.

Paulus WM, Straube A, Brandt T. Visual stabilization of posture. Physiological stimulus characteristics and clinical aspects. Brain. 1984;107 (Pt 4):1143-63.

Collins JJ, De Luca CJ. The effects of visual input on open-loop and closed-loop postural control mechanisms. Exp Brain Res. 1995;103(1):151-63.

Duarte M, Mochizuki L. Análise estabilográfica da postura ereta humana. In: Teixeira LA. Avanços em comportamento motor. São Paulo: Movimento; 2001. p.89-121.

Goetz CG, Poewe W, Rascol O, Sampaio C, Stebbins GT, Counsell C, et al. Movement Disorder Society Task Force report on the Hoehn and Yahr staging scale: status and recommendations. Mov Disord. 2004;19(9):1020-8.

Grupo ELEP. A longitudinal study of patients with Parkinson's disease (ELEP): aims and methodology. Rev Neurol. 2006;42(6):360-5.

Mitchell SL, Collins JJ, De Luca CJ, Burrows A, Lipsitz LA. Open-loop and closed-loop postural control mechanisms in Parkinson's disease: increased mediolateral activity during quiet standing. Neurosci Lett. 1995;197(2):133-6.

Published

2012-09-09

Issue

Section

Original Article

How to Cite

1.
Sánchez-Arias MDR, Kleiner AFR, Hamanaka Ágata YY, Santiago PRP, Gobbi LTB, Stella F. Visual restriction and anterior-posterior body oscillations in Parkinson’s disease. Acta Fisiátr. [Internet]. 2012 Sep. 9 [cited 2024 May 19];19(3):161-6. Available from: https://revistas.usp.br/actafisiatrica/article/view/103709