Abstract

Research Article

Biomechanical analysis of Sit-To-Walk movement in Parkinson’s patients

Moataz M El Semary*, Nawal A Abou Shady, Hayam Mahmoud Sayed and Mohamed El Said Al Awaady

Published: 27 April, 2018 | Volume 2 - Issue 1 | Pages: 036-042

Aim: The aim of this study was to evaluate the ankle-knee-hip interaction during sit-to-walk (STW) movement and clinical functional abilities of the lower limbs in Parkinson’s patients.

Methods: Twenty male patients, ages ranged from 55 to 70 years, stage ΙΙ & ΙΙΙ according to modified Hoehn and Yahr (1997) classification of disabilities and ten male healthy elderly subjects, ages ranged from 55 to 70 years, participated in this study. All subjects were assessed for; clinical functional abilities of the lower limbs, ground reaction force (GRF) & spatiotemporal data and range of motion (ROM) of hip, knee and ankle joints during STW movement.

Results: The results showed very significant differences in the GRF among the normal subjects and Parkinson’s patients during STW movement. There were significant differences in hip, knee and ankle joints ROM during STW. There were significant differences in spatiotemporal findings during STW movement. The Parkinson’s disease patients did not merge the two tasks of STW while the elderly subjects merged it. There was impairment in clinical functional abilities of the lower limbs in Parkinson’s patients.

Conclusion: A continuum of STW performance and clinical functional abilities whereby the healthy elderly people performed the task more efficiently than PD patients.

Read Full Article HTML DOI: 10.29328/journal.jnpr.1001019 Cite this Article Read Full Article PDF

Keywords:

Parkinson’s disease; GRF; 3-D motion analysis; Joints interaction; STW; Spatiotemporal parameters

References

  1. Ueno E, Yanagisawa N, Takami M. Gait disorders in Parkinsonism. A study with floor reaction forces and EMG. Adv Neurol. 2005; 60: 414-418.
  2. Gelb DJ, Oliver E, Gilman S. Diagnostic criteria for Parkinson's disease. Arch Neurol. 1999; 56: 33-39. Ref.: https://goo.gl/LPeiaV
  3. Kerr A, Durward B, Kerr KM. Defining phases for the sit-to-walk movement. Clin Biomech. 2004; 19: 385-390. Ref.: https://goo.gl/3N3XXA
  4. Hass CJ, Gregor RJ, Waddell DE, Oliver A, Smith DW, et al. The influence of Tai Chi Training on the Center of Pressure Trajectory During Gait Initiation in Older Adults. Arch Phys Med Rehabil. 2004; 85: 1593-1598. Ref.: https://goo.gl/BHCKqi
  5. Kerr A, Rafferty D, Kerr KM, Durward B. Timing phases of the sit-to-walk movement: Validity of a clinical test. Gait Posture. 2006.
  6. Shinkai S, Watanabe S, Kumagai S, Fujiwara Y, Amano H, et al. Walking speed as a good predictor for the onset of functional dependence in a Japanese rural community population. Age Ageing. 2000; 29: 441-446. Ref.: https://goo.gl/UMBhKY
  7. Bluman AG. Elementary statistics: A step by step approaches, 5th ed. McGraw-Hill Higher Education. Boston, New York, London. 2004; 431-583. Ref.: https://goo.gl/TSELeN
  8. Lusardi MM, Pellecchia GL, Schulman M. Functional performance in community living older adults. J Geriat Phys Ther. 2003; 26: 14-22. Ref.: https://goo.gl/Xgfnsk  
  9. Baer G, Smith M. The recovery of walking ability and subclassification of stroke. Physiother Res Int. 2001; 6: 135-144. Ref.: https://goo.gl/a2j7k3
  10. Kerr A, Rafferty D, Kerr KM, Durward B. Timing phases of the sit-towalk movement: Validity of a clinical test. Gait & Posture. 2007; 26: 11-16. Ref.: https://goo.gl/dCXAaW
  11. Mak MKY, Levin O, Mizrahi J, Hui-Chan CW. Joint torques during sit-to-stand in healthy subjects and people with Parkinson's disease. Clin Biomech. 2003; 18: 197-206.  Ref.: https://goo.gl/8smW3m
  12. Ramsey VK, Miszko TA, Horvat M. Muscle activation and force production in Parkinson's patients during sitto-stand transfers. Clin Biomech. 2004; 19: 377-384. Ref.: https://goo.gl/cPJEiU
  13. Butler PB, Nene AV, Major RE. Biomechanics of transfer from sitting to the standing positioning some neuromuscular diseases. Physiother. 1991; 77: 81 - 88.
  14. Crocus DM, Chen CM, Quinn NP, McAuley J, Rothwell JC. Strength in Parkinson's disease: relationship to rate of force generation and clinical status. Ann Neurol. 1996; 39: 79-88. Ref.: https://goo.gl/fFN7x4  
  15. Magnan A, McFadyen BJ, St-Vincent G. Modification of the sit-to-stand task with the addition of gait initiation. Gait and Posture. 1996; 4: 232-241. Ref.: https://goo.gl/Mbwyng  
  16. Kerr A, Durward B, Kerr KM. Defining phases for the sit-to-walk movement. Clin Biomech. 2004; 19: 385-390. Ref.: https://goo.gl/26nLmK
  17. Malouin F, McFadyen B, Dion L, Richards CL.  A fluidity scale for evaluating the motor strategy of the rise to walk task after stroke. Clin Rehabil. 2003; 17: 674-684. Ref.: https://goo.gl/xFjxYw
  18. Bloem BR, Beckley DJ, Van Dijk JC, Zwinderman AH, Remler MP, et al. Influence of dopaminergic medication on automatic postural responses and balance impairment in Parkinson's disease. Mov Disord. 2003; 11: 509-521.
  19. Buckley TA. Dynamic postural stability during the sit-to-walk transition in individuals with Parkinson's disease. Doctoral dissertation. Columbia University. 2007; 50-90.

Similar Articles

  • Biomechanical analysis of Sit-To-Walk movement in Parkinson’s patients
    Moataz M El Semary*, Nawal A Abou Shady, Hayam Mahmoud Sayed and Mohamed El Said Al Awaady Moataz M El Semary*,Nawal A Abou Shady,Hayam Mahmoud Sayed,Mohamed El Said Al Awaady. Biomechanical analysis of Sit-To-Walk movement in Parkinson’s patients. . 2018 doi: 10.29328/journal.jnpr.1001019; 2: 036-042

Recently Viewed

Read More

Most Viewed

Read More

Help ?