Dataset Information

Effect of externally cued training on dynamic stability control during the sit-to-stand task in people with Parkinson disease.

ABSTRACT:

Background

Previous studies have shown that people with Parkinson disease (PD) have difficulty performing the sit-to-stand task because of mobility and stability-related impairments. Despite its importance, literature on the quantification of dynamic stability control in people with PD during this task is limited.

Objective

The study objective was to examine differences in dynamic stability control between people with PD and people who were healthy and the extent to which externally cued training could improve such control during the sit-to-stand task in people with PD.

Design

This was a quasi-experimental controlled trial.

Methods

The performance of 21 people with PD was compared with that of 12 older adults who dwelled in the community. People with PD were randomly assigned to 2 groups: a group that did not receive training and a group that received audiovisually cued training (3 times per week for 4 weeks) for speeding up performance on the sit-to-stand task. Outcome measures recorded at baseline and after 4 weeks included center-of-mass position, center-of-mass velocity, and stability against either backward or forward balance loss (backward or forward stability) at seat-off and movement termination.

Results

Compared with people who were healthy, people with PD had greater backward stability resulting from a more anterior center-of-mass position at seat-off. This feature, combined with decreased forward stability at movement termination, increased their risk of forward balance loss at movement termination. After training, people with PD achieved greater backward stability through increased forward center-of-mass velocity at seat-off and reduced the likelihood of forward balance loss at movement termination through a posterior shift in the center-of-mass position.

Limitations

The study applied stability limits derived from adults who were healthy to people with PD, and the suggested impact on the risk of balance loss and falling is based on these theoretical stability limits.

Conclusions

For people with PD, postural stability against backward balance loss at task initiation was increased at the expense of possible forward balance loss at task termination. Task-specific training with preparatory audiovisual cues resulted in improved overall dynamic stability against both forward and backward balance loss.

SUBMITTER: Bhatt T

PROVIDER: S-EPMC3613339 | biostudies-literature | 2013 Apr

REPOSITORIES: biostudies-literature

ACCESS DATA

Publications

Effect of externally cued training on dynamic stability control during the sit-to-stand task in people with Parkinson disease.

Bhatt Tanvi T Yang Feng F Mak Margaret K Y MK Hui-Chan Christina W-Y CW Pai Yi-Chung YC

Physical therapy 20121108 4

<h4>Background</h4>Previous studies have shown that people with Parkinson disease (PD) have difficulty performing the sit-to-stand task because of mobility and stability-related impairments. Despite its importance, literature on the quantification of dynamic stability control in people with PD during this task is limited.<h4>Objective</h4>The study objective was to examine differences in dynamic stability control between people with PD and people who were healthy and the extent to which external ...[more]

PMID: 23139427

Similar Datasets

Project description:Background. In older patients, hospitalization is associated with a decline in functional performance and loss of muscle strength. Loss of muscle strength and functional performance can be prevented by systematic strength training, but details are lacking regarding the optimal exercise program and dose for older patients. Therefore, our aim was to test the feasibility of a progression model for loaded sit-to-stand training among older hospitalized patients. Methods. This is a prospective cohort study conducted as a feasibility study prior to a full-scale trial. We included twenty-four older patients (?65 yrs) acutely admitted from their own home to the medical services of the hospital. We developed an 8-level progression model for loaded sit-to-stands, which we named STAND. We used STAND as a model to describe how to perform the sit-to-stand exercise as a strength training exercise aimed at reaching a relative load of 8-12 repetitions maximum (RM) for 8-12 repetitions. Weight could be added by the use of a weight vest when needed. The ability of the patients to reach the intended relative load (8-12 RM), while performing sit-to-stands following the STAND model, was tested once during hospitalization and once following discharge in their own homes. A structured interview including assessment of possible modifiers (cognitive status by the Short Orientation Memory test and mobility by the De Morton Mobility Index) was administered both on admission to the hospital and in the home setting. The STAND model was considered feasible if: (1) 75% of the assessed patients could perform the exercise at a given level of the model reaching 8-12 repetitions at a relative load of 8-12 RM for one set of exercise in the hospital and two sets of exercise at home; (2) no ceiling or floor effect was seen; (3) no indication of adverse events were observed. The outcomes assessed were: level of STAND attained, the number of sets performed, perceived exertion (the Borg scale), and pain (the Verbal Ranking Scale). Results. Twenty-four patients consented to participate. Twenty-three of the patients were tested in the hospital and 19 patients were also tested in their home. All three criteria for feasibility were met: (1) in the hospital, 83% could perform the exercise at a given level of STAND, reaching 8-12 repetitions at 8-12 RM for one set, and 79% could do so for two sets in the home setting; (2) for all assessed patients, a possibility of progression or regression was possible-no ceiling or floor effect was observed; (3) no indication of adverse events (pain) was observed. Also, those that scored higher on the De Morton Mobility Index performed the exercise at higher levels of STAND, whereas performance was independent of cognitive status. Conclusions. We found a simple progression model for loaded sit-to-stands (STAND) feasible in acutely admitted older medical patients (?65 yrs), based on our pre-specified criteria for feasibility.

Project description:The sit-to-stand test is commonly used by clinicians and researchers to analyze the functional capacity of older adults. The test consists to stand up and sit down from a chair and can be applied either in function of a predetermined number of repetitions to be completed or according to a specific time. The most common tool used by the evaluators is the chronometer, due to its low cost and ease of use. However, this tool may miss some important data throughout the test, such as the stand-up time and the total time of each repetition, as well as other kinematic and kinetic variables. Therefore, it is necessary to develop new cheap and affordable tools to capture these data with reliability. In this perspective, the development of mobile applications can be a valid and reliable alternative for the automatic calculation of different variables with sensors' data, including acceleration, velocity, force, power, and others. Thus, in this paper, we present a dataset related to the acquisition of the accelerometer data from a commodity smartphone for the measurement of different variables during the sit-to-stand test with institutionalized older adults. Forty participants (20 men and 20 women, 78.9 ± 8.6 years old, 71.7 ± 15.0 kg, 1.57 ± 0.1 m) from five community-dwelling centers (Centro de Dia e Apoio Domiciliário de Alcongosta, Lar Nossa Senhora de Fátima, Centro Comunitário das Minas da Panasqueira, Lar da Misericórdia, and Lar da Aldeia de Joanes) from Fundão, in Portugal, volunteered to participate in the data acquisition. A mobile phone was attached to the waist of the participants to capture the data during the sit-to-stand test. Then, seated in an armless chair with the arms crossed over the chest, the participants stood up and sat down in a chair six times. The stand-up action was ordered by an acoustic signal emitted by the mobile application. All data were acquired with the mobile application, and the outcome measures were the reaction time, total time, stand-up time and movement time. This paper describes the procedures to acquire the data. These data can be reused for testing machine learning or other methods for the evaluation of neuromuscular function in older adults during the sit-to-stand test.

Project description:Introduction: Inertial sensors generate objective and sensitive metrics of movement disability that may indicate fall risk in many clinical conditions including multiple sclerosis (MS). The Timed-Up-And-Go (TUG) task is used to assess patient mobility because it incorporates clinically-relevant submovements during standing. Most sensor-based TUG research has focused on the placement of sensors at the spine, hip or ankles; an examination of thigh activity in TUG in multiple sclerosis is wanting. Methods: We used validated sensors (x-IMU by x-io) to derive transparent metrics for the sit-to-stand (SI-ST) transition and the stand-to-sit (ST-SI) transition of TUG, and compared effect sizes for metrics from inertial sensors on the thighs to effect sizes for metrics from a sensor placed at the L3 level of the lumbar spine. Twenty-three healthy volunteers were compared to 17 ambulatory persons with MS (PwMS, HAI ? 2). Results: During the SI-ST transition, the metric with the largest effect size comparing healthy volunteers to PwMS was the Area Under the Curve of the thigh angular velocity in the pitch direction-representing both thigh and knee extension; the peak of the spine pitch angular velocity during SI-ST also had a large effect size, as did some temporal measures of duration of SI-ST, although less so. During the ST-SI transition the metric with the largest effect size in PwMS was the peak of the spine angular velocity curve in the roll direction. A regression was performed. Discussion: We propose for PwMS that the diminished peak angular velocity during SI-ST directly represents extensor weakness, while the increased roll during ST-SI represents diminished postural control. Conclusions: During the SI-ST transition of TUG, angular velocities can discriminate between healthy volunteers and ambulatory PwMS better than temporal features. Sensor placement on the thighs provides additional discrimination compared to sensor placement at the lumbar spine.

Dataset Information

Effect of externally cued training on dynamic stability control during the sit-to-stand task in people with Parkinson disease.

Background

Objective

Design

Methods

Results

Limitations

Conclusions

Publications

Effect of externally cued training on dynamic stability control during the sit-to-stand task in people with Parkinson disease.

Similar Datasets

OmicsDI is part of the ELIXIR infrastructure

Tweets