Anticipatory and Compensatory Postural Adjustments in Response to External Lateral Shoulder Perturbations in Subjects with Parkinson’s DiseaseReportar como inadecuado




Anticipatory and Compensatory Postural Adjustments in Response to External Lateral Shoulder Perturbations in Subjects with Parkinson’s Disease - Descarga este documento en PDF. Documentación en PDF para descargar gratis. Disponible también para leer online.

The purpose of this study was to investigate the anticipatory APA and compensatory CPA postural adjustments in individuals with Parkinson’s disease PD during lateral instability of posture. Twenty-six subjects 13 individuals with PD and 13 healthy matched controls were exposed to predictable lateral postural perturbations. The electromyographic EMG activity of the lateral muscles and the displacement of the center of pressure COP were recorded during four time intervals that are typical for postural adjustments, i.e., immediately before APA1, APA2 and after CPA1 and CPA2 the postural disturbances. The magnitude of the activity of the lateral muscles in the group with PD was lower only during the CPA time intervals and not during the anticipatory adjustments APAs. Despite this finding, subjects with PD exhibit smaller COP excursions before and after the disturbance, probably due to lack of flexibility and proprioceptive impairments. The results of this study suggest that postural instability in subjects with PD can be partially explained by decreased postural sway, before and after perturbations, and reduced muscular activity after body disturbances. Our findings can motivate new studies to investigate therapeutic interventions that optimize the use of postural adjustment strategies in subjects with PD.



Autor: Alexandre Kretzer e Castro de Azevedo , Renato Claudino , Josilene Souza Conceição , Alessandra Swarowsky, Márcio José dos Sa

Fuente: http://plos.srce.hr/



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