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首页> 外文学位 >The influence of plantar cutaneous stimulation on a functional test of gait in Parkinson's disease.
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The influence of plantar cutaneous stimulation on a functional test of gait in Parkinson's disease.

机译：足底皮肤刺激对帕金森氏病步态功能测试的影响。

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摘要

Although possible deficits in proprioception have been implicated as a cause of gait impairments in individuals with Parkinson's disease (PD), little research has been done to investigate improving this possible deficit as a method to influence mobility. The overall purpose of the current thesis was to investigate the influence of increased plantar stimulation on stability and gait impairments. This study also investigated the contribution of attention to locomotion in PD. The two studies comprising this thesis addressed the possible influence of the ribbed insoles in the initial response of PD participants as well as the long-term use of the insole.;The second study investigated the influence of the facilitatory insoles when they are worn for a longer period of time. Participants wore either the facilitatory insoles or blank insoles while completing the PD Sensory Attention Focussed Exercise (PD SAFEx) rehabilitation program. Results demonstrated that when the facilitatory insoles are worn long-term, they can benefit the turning and straight-line walking in individuals with PD. PD participants became more confident in their ability to turn as they exerted less control over their centre of mass. Participants also displayed a decreased base of support and time spent in double limb support without negatively affecting lateral stability. These improvements suggest that the facilitatory insoles, when worn long-term, allow for a more normalized pattern of gait for individuals with PD.;The TUG task used in this thesis proved to be a good measure to evaluate changes in stability and gait parameters in PD participants. Long-term use of the facilitatory insoles demonstrated improvements in stability and gait deficits during difficult aspects of gait such as turning. This suggests that the facilitatory insoles would be a simple and effective intervention to use, however further investigation should occur to ensure that the improvements will continue when facilitatory insoles are used on a daily basis. As well, investigation into the long-term use of other types of cutaneous stimulation such as vibratory insoles would be beneficial for the PD population.;List of Abbreviations: PD - Parkinson's disease; COM - Centre of Mass; BOS - Base of Support; TUG - Timed Up and Go; TrayWG - Tray with Glasses; UPDRS - Unified Parkinson's Disease Rating Scale; FI Group - Facilitatory Insole Group; BI Group - Blank Insole Group; TMS - Transcranial Magnetic Stimulation; PET - Positron Emission Tomography; EEG - Electroencephalography; GRF - Ground Reaction Forces; COP - Centre of Pressure;The first study focused on developing a task to assess the influence of the facilitatory insoles on gait for individuals with PD compared to healthy control participants. For the purpose of evaluating the facilitatory insoles in a functionally relevant task participants performed a modified "Timed Up and Go" task with an additional secondary motor task. The secondary task of carrying a tray with glasses demonstrated that attention plays a large role in the production and maintenance of gait as gait deficits became more pronounced. However, the facilitatory insoles also influenced gait parameters which demonstrated that the possible deficits in proprioception contribute to the gait impairments in PD. The initial response to the insoles, in the first study, did not improve gait parameters, which suggests that PD participants may need more time to adjust to the increased plantar stimulation.;
机译：尽管已将可能的本体感觉缺陷归因于帕金森氏病（PD）个体步态受损的原因，但很少进行研究来研究改善这种可能的缺陷作为影响活动能力的方法。本论文的总体目的是研究增加的足底刺激对稳定性和步态障碍的影响。这项研究还调查了注意力对PD运动的贡献。包括本论文在内的两项研究探讨了肋纹鞋垫可能对PD参与者的初始反应以及长期使用鞋垫的影响。第二项研究调查了便利鞋垫在穿着过程中对鞋垫的影响。更长的时间。参与者在完成PD感官注意力集中锻炼（PD SAFEx）康复计划时，穿了辅助鞋垫或空白鞋垫。结果表明，如果长期穿着方便鞋垫，它们可以使PD患者的转弯和直线行走受益。 PD参与者对重心的控制较少，因此他们对转向的能力变得更加自信。参与者还表现出了减少的支撑基础和花费在双肢支撑上的时间，而没有负面影响横向稳定性。这些改进表明，方便的鞋垫长期佩戴后，可使PD患者的步态更加规范化。;本研究中使用的TUG任务被证明是评估稳定性和步态参数变化的良好措施。 PD参与者。长期使用辅助鞋垫可在步态困难的方面（如转弯）改善稳定性和步态缺陷。这表明辅助鞋垫将是一种简单有效的干预措施，但是应该进行进一步的研究，以确保每天使用辅助鞋垫时，这种改进将继续进行。同样，对长期使用其他类型的皮肤刺激（如振动鞋垫）的研究也将对PD人群有益。缩写列表：PD-帕金森氏病； COM-质量中心； BOS-支持基地；拖轮-定时出发; TrayWG-眼镜托盘； UPDRS-帕金森氏病统一评分量表； FI组-便利鞋垫组； BI组-空白鞋垫组； TMS-经颅磁刺激； PET-正电子发射断层扫描；脑电图-脑电图; GRF-地面反作用力； COP-压力中心；第一项研究的重点是开发一项任务，以评估与健康对照参与者相比，PD个体的便利鞋垫对步态的影响。为了评估功能相关任务中的辅助鞋垫，参与者执行了修改后的“定时起跑”任务以及附加的辅助运动任务。携带眼镜的托盘的次要任务表明，随着步态缺陷变得更加明显，注意力在步态的产生和维持中起着重要作用。但是，便利鞋垫也会影响步态参数，这表明本体感受的可能缺陷会导致PD的步态障碍。在第一个研究中，对鞋垫的初始反应并未改善步态参数，这表明PD参与者可能需要更多时间来适应增加的足底刺激。

著录项

  • 作者

    van Oostveen, Rachel.;

  • 作者单位

    Wilfrid Laurier University (Canada).;

  • 授予单位 Wilfrid Laurier University (Canada).;
  • 学科 Biology Neuroscience.;Health Sciences Rehabilitation and Therapy.
  • 学位 M.Sc.
  • 年度 2010
  • 页码 135 p.
  • 总页数 135
  • 原文格式 PDF
  • 正文语种 eng
  • 中图分类
  • 关键词

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