Plantar cutaneous sensory stimulation improves single-limb support time, and EMG activation patterns among individuals with Parkinson's disease

被引：60

作者：

Jenkins, M. E. ^{[1
]}

Almeida, Q. J. ^{[2
]}

Spaulding, S. J. ^{[3
]}

van Oostveen, R. B. ^{[2
]}

Holmes, J. D. ^{[3
]}

Johnson, A. M. ^{[4
]}

Perry, S. D. ^{[5
]}

机构：

[1] Univ Western Ontario, Dept Clin Neurol Sci, Schulich Sch Med, London Hlth Sci Ctr, London, ON N6A 5A5, Canada

[2] Wilfrid Laurier Univ, Movement Disorder Res & Rehabil Ctr, Waterloo, ON N2L 3C5, Canada

[3] Univ Western Ontario, Sch Occupat Therapy, Fac Hlth Sci, London, ON N6A 5A5, Canada

[4] Univ Western Ontario, Hlth Sci Program, Fac Hlth Sci, London, ON N6A 5A5, Canada

[5] Wilfrid Laurier Univ, Fac Sci, Dept Kinesiol & Phys Educ, Waterloo, ON N2L 3C5, Canada

来源：

PARKINSONISM & RELATED DISORDERS | 2009年 / 15卷 / 09期

关键词：

Parkinson's disease; Gait; Kinematics; EMG; Facilitatory insole; HUMAN BALANCE CONTROL; SENSORIMOTOR INTEGRATION; POSTURAL CONTROL; GAIT; SENSATION; BIOMECHANICS; EFFICACY; MUSCLES; WALKING; SYSTEM;

D O I：

10.1016/j.parkreldis.2009.04.004

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Parkinson's disease is a chronic neurological disorder that results in gait and posture impairment. There is increasing evidence that these motor impairments may be partially due to deficits within the sensory system. In this study, the effects of a facilitatory insole that provides increased plantar sensory stimulation, was evaluated during gait, in a group of individuals with Parkinson's disease in comparison with healthy age-matched controls. Spatial-temporal parameters of gait were evaluated using an instrumented carpet, and muscle activation patterns were evaluated using surface EMG. All participants were tested with both a facilitatory (ribbed) insole and a conventional (flat) insole while walking 20 feet. Results indicated that the use of the facilitatory insole produced a significant increase in single-limb support time. Additionally, the muscle activation sequence of the tibialis anterior was normalized by the facilitatory insole, at the time of initial ground contact. These changes may lead to an overall improvement in gait pattern and stability, and suggest that the use of this type of facilitatory insole may be a useful treatment strategy for improving the gait of individuals with Parkinson's disease. This also provides support for the role of facilitation of the sensory system in improving motor output in individuals with Parkinson's disease. (C) 2009 Elsevier Ltd. All rights reserved.

引用

页码：697 / 702

页数：6

共 29 条

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