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  4. Effect of disease, freezing of gait, and dopaminergic medication in the biomechanics of trunk and upper limbs in the gait of Parkinson's disease
 
research article

Effect of disease, freezing of gait, and dopaminergic medication in the biomechanics of trunk and upper limbs in the gait of Parkinson's disease

Los Angeles, Emanuele
•
de Oliveira, Claudia Eunice Neves
•
Cupertino, Layla
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August 1, 2024
Human Movement Science

Introduction: Parkinson's disease (PD) causes gait abnormalities that may be associated with an arm swing reduction. Medication and freezing of gait (FoG) may influence gait characteristics. However, these comparisons do not consider differences in gait speed and clinical characteristics in individuals with PD. Objective: This study aims to analyze the effect of FoG and medication on the biomechanics of the trunk and upper limbs during gait in PD, controlling for gait speed and clinical differences between groups. Methods: Twenty-two people with a clinical diagnosis of idiopathic PD in ON and OFF medication (11 FoG), and 35 healthy participants (control) were selected from two open data sets. All participants walked on the floor on a 10-m-long walkway. The joint and linear kinematic variables of gait were compared: (1) Freezers and nonfreezers in the ON condition and control; (2) Freezers and nonfreezers in the OFF condition and control; (3) Group (freezers and nonfreezers) and medication. Results: The disease affects the upper limbs more strongly but not the trunk. The medication does not significantly influence the joint characteristics but rather the linear wrist displacement. The FoG does not affect trunk movement and partially influences the upper limbs. The interaction between medications and FoG suggests that the medication causes more substantial improvement in freezers than in nonfreezers. Conclusion: The study shows differences in the biomechanics of the upper limbs of people with PD, FoG, and the absence of medication. The future rehabilitation protocol should consider this aspect.

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Type
research article
DOI
10.1016/j.humov.2024.103242
Scopus ID

2-s2.0-85195179001

PubMed ID

38850765

Author(s)
Los Angeles, Emanuele

Universidade Federal do ABC

de Oliveira, Claudia Eunice Neves

Universidade Federal do ABC

Cupertino, Layla

Universidade Federal do ABC

Shokur, Solaiman  

École Polytechnique Fédérale de Lausanne

Bouri, Mohamed

Sant'Anna Scuola Universitaria Superiore Pisa

Coelho, Daniel Boari

Universidade Federal do ABC

Date Issued

2024-08-01

Published in
Human Movement Science
Volume

96

Article Number

103242

Subjects

Kinematics

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Levodopa

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Motor control

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Movement disorders

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
FunderFunding(s)Grant NumberGrant URL

Coordenação de Aperfeiçoamento de Pessoal de Nível Superior

Universidade Federal do ABC

University of St. Gallen

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Available on Infoscience
January 21, 2025
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/243165
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