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Anticipatory postural adjustments associated with arm movement in Parkinson’s disease: a biomechanical analysis
  1. Séverine Bleuse (sbleuse{at}yahoo.fr)
  1. Salengro Hospital, Lille University Medical Center, France
    1. François Cassim
    1. Salengro Hospital, Lille University Medical Center, France
      1. Jean Louis Blatt
      1. Salengro Hospital, Lille University Medical Center, France
        1. Etienne Labyt
        1. Salengro Hospital, Lille University Medical Center, France
          1. Jean Louis Bourriez
          1. Salengro Hospital, Lille University Medical Center, France
            1. Philippe Derambure
            1. Salengro Hospital, Lille University Medical Center, France
              1. Alain Destée
              1. Salengro Hospital, Lille University Medical Center, France
                1. Luc Defebvre
                1. Salengro Hospital, Lille University Medical Center, France

                  Abstract

                  Objective: to study anticipatory postural adjustments (APAs) in Parkinson’s disease (PD) via a biomechanical analysis, including vertical torque (Tz).

                  Methods: Ten parkinsonian patients (in the "off-drug" condition) and 10 age-matched controls were included. While standing on a force platform, the subject performed a right shoulder flexion in order to grasp a handle in front of him/her, in 3 conditions (all at maximal velocity): movement triggered by a sound signal and loaded/non-loaded, self-paced movement. The anteroposterior coordinates of the center of pressure (COP) and the vertical torque were calculated.

                  Results: A group effect was observed for Tz and COP in PD patients (compared with controls): the maximal velocity peak appeared later and the amplitude of the COP backward displacement and the area of the positive phase of Tz were lower, whereas the duration of the positive phase of Tz was greater. Interaction analysis showed that the area of Tz was especially affected in the triggered condition and the loaded, self-paced condition. The onset of the COP backward displacement was delayed in the triggered condition.

                  Conclusion: Our biomechanical analysis revealed that PD patients do indeed perform APAs prior to unilateral arm movement, although there were some abnormalities. The reduced APA magnitude appears to correspond to a strategy for not endangering postural balance.

                  • Parkinson's disease
                  • biomechanical parameters
                  • postural preparation
                  • shoulder flexion

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