Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease

Nafiseh Mollaei,1 Estela Bicho,1 Nuno Sousa,2,3 Miguel Fernandes Gago2–4 1Centro Algoritmi, Campus Azurem, University of Minho, Guimarães, 2Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, 3ICVS- 3B’s-PT Government Associate La...

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Autores principales:	Mollaei N, Bicho E, Sousa N, Gago MF
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2017
Materias:	gait obstacle crossing cognition behavior Parkinson’s disease ageing falls. Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/8ce7ad1cf79d413592c9b427fb5109ef
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spelling	oai:doaj.org-article:8ce7ad1cf79d413592c9b427fb5109ef2021-12-02T04:23:55ZDifferent protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease1178-1998https://doaj.org/article/8ce7ad1cf79d413592c9b427fb5109ef2017-11-01T00:00:00Zhttps://www.dovepress.com/different-protocols-for-analyzing-behavior-and-adaptability-in-obstacl-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Nafiseh Mollaei,1 Estela Bicho,1 Nuno Sousa,2,3 Miguel Fernandes Gago2–4 1Centro Algoritmi, Campus Azurem, University of Minho, Guimarães, 2Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, 3ICVS- 3B’s-PT Government Associate Laboratory, Braga, 4Neurology Department, Hospital da Senhora da Oliveira, Guimarães, Portugal Abstract: Imbalance and tripping over obstacles as a result of altered gait in older adults, especially in patients with Parkinson’s disease (PD), are one of the most common causes of falls. During obstacle crossing, patients with PD modify their behavior in order to decrease the mechanical demands and enhance dynamic stability. Various descriptions of dynamic traits of gait that have been collected over longer periods, probably better synthesize the underlying structure and pattern of fluctuations in gait and can be more sensitive markers of aging or early neurological dysfunction and increased risk of falls. This confirmation challenges the clinimetric of different protocols and paradigms used for gait analysis up till now, in particular when analyzing obstacle crossing. The authors here present a critical review of current knowledge concerning the interplay between the cognition and gait in aging and PD, emphasizing the differences in gait behavior and adaptability while walking over different and challenging obstacle paradigms, and the implications of obstacle negotiation as a predictor of falls. Some evidence concerning the effectiveness of future rehabilitation protocols on reviving obstacle crossing behavior by trial and error relearning, taking advantage of dual-task paradigms, physical exercise, and virtual reality have been put forward in this article. Keywords: gait, obstacle crossing, cognition, behavior, Parkinson’s disease, aging, fallsMollaei NBicho ESousa NGago MFDove Medical Pressarticlegaitobstacle crossingcognitionbehaviorParkinson’s diseaseageingfalls.GeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 12, Pp 1843-1857 (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	gait obstacle crossing cognition behavior Parkinson’s disease ageing falls. Geriatrics RC952-954.6
spellingShingle	gait obstacle crossing cognition behavior Parkinson’s disease ageing falls. Geriatrics RC952-954.6 Mollaei N Bicho E Sousa N Gago MF Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
description	Nafiseh Mollaei,1 Estela Bicho,1 Nuno Sousa,2,3 Miguel Fernandes Gago2–4 1Centro Algoritmi, Campus Azurem, University of Minho, Guimarães, 2Life and Health Sciences Research Institute (ICVS), School of Medicine, University of Minho, Braga, 3ICVS- 3B’s-PT Government Associate Laboratory, Braga, 4Neurology Department, Hospital da Senhora da Oliveira, Guimarães, Portugal Abstract: Imbalance and tripping over obstacles as a result of altered gait in older adults, especially in patients with Parkinson’s disease (PD), are one of the most common causes of falls. During obstacle crossing, patients with PD modify their behavior in order to decrease the mechanical demands and enhance dynamic stability. Various descriptions of dynamic traits of gait that have been collected over longer periods, probably better synthesize the underlying structure and pattern of fluctuations in gait and can be more sensitive markers of aging or early neurological dysfunction and increased risk of falls. This confirmation challenges the clinimetric of different protocols and paradigms used for gait analysis up till now, in particular when analyzing obstacle crossing. The authors here present a critical review of current knowledge concerning the interplay between the cognition and gait in aging and PD, emphasizing the differences in gait behavior and adaptability while walking over different and challenging obstacle paradigms, and the implications of obstacle negotiation as a predictor of falls. Some evidence concerning the effectiveness of future rehabilitation protocols on reviving obstacle crossing behavior by trial and error relearning, taking advantage of dual-task paradigms, physical exercise, and virtual reality have been put forward in this article. Keywords: gait, obstacle crossing, cognition, behavior, Parkinson’s disease, aging, falls
format	article
author	Mollaei N Bicho E Sousa N Gago MF
author_facet	Mollaei N Bicho E Sousa N Gago MF
author_sort	Mollaei N
title	Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
title_short	Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
title_full	Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
title_fullStr	Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
title_full_unstemmed	Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease
title_sort	different protocols for analyzing behavior and adaptability in obstacle crossing in parkinson’s disease
publisher	Dove Medical Press
publishDate	2017
url	https://doaj.org/article/8ce7ad1cf79d413592c9b427fb5109ef
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_version_	1718401259616075776

Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson&rsquo;s disease

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Different protocols for analyzing behavior and adaptability in obstacle crossing in Parkinson’s disease