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  4. Effect of Medication and Freezing of Gait on Rambling and Trembling in Quiet Standing in Individuals With Parkinson's Disease
 
research article

Effect of Medication and Freezing of Gait on Rambling and Trembling in Quiet Standing in Individuals With Parkinson's Disease

Cupertino, Layla
•
Bersotti, Felipe Marrese
•
Novaes, Thayna Magalhaes
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March 25, 2025
Motor Control

Background: Individuals with Parkinson's disease (PD) with freezing of gait (FoG) exhibit difficulty with changes in sensory input, indicating a potential sensorimotor integration deficit. Understanding how levodopa impacts balance particularly in FoG, is critical. As traditional postural sway measures may not fully capture the complexity of balance control, rambling and trembling decomposition of the center of pressure allows a more detailed assessment of postural control by distinguishing between supraspinal and spinal contributions, offering insights into sensorimotor integration deficits. This study aims to analyze the effects of medication and FoG on rambling and trembling in quiet standing in individuals with PD. Methods: We analyzed 13 individuals with PD with FoG (PD freezers) and 19 individuals with PD without FoG (PD nonfreezers) while quiet standing on a rigid and malleable surface under (ON) and without (OFF) dopaminergic medication. Area, root mean square, and mean velocity were calculated for rambling and trembling trajectory. Results: For the rambling, all variables were significantly higher on the malleable compared with the rigid surface. For trembling, (a) all variables were higher on the malleable compared with the rigid surface (p<.001), and (b) area and medial-lateral root mean square were significantly higher ON compared with OFF medication for both groups of participants similarly. Conclusion: Our results strengthen the evidence that PD freezers have the same postural sway in quiet posture as PD nonfreezers, using similar mechanisms to control the posture. In addition, levodopa influences spinal mechanisms more than supraspinal ones in individuals with PD in quiet standing.

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Type
research article
DOI
10.1123/mc.2024-0063
Web of Science ID

WOS:001446241000001

PubMed ID

40088896

Author(s)
Cupertino, Layla
•
Bersotti, Felipe Marrese
•
Novaes, Thayna Magalhaes
•
Mochizuki, Luis
•
Shokur, Solaiman  
•
Bouri, Mohamed  
•
Barbieri, Fabio Augusto
•
Coelho, Daniel Boari
Date Issued

2025-03-25

Publisher

HUMAN KINETICS PUBL INC

Published in
Motor Control
Subjects

movement disorders

•

biomechanics

•

somatosensory information

•

center of pressure

Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
FunderFunding(s)Grant NumberGrant URL

Leading House for the Latin American Region, the University of St. Gallen, Seed Money Grant, Switzerland

Available on Infoscience
March 25, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/248214
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