The Relation of Hand and Arm Configuration Variances while Tracking Geometric Figures in Parkinson's Disease: Aspects for Rehabilitation

Autor/inn/en	Keresztenyi, Zoltan; Cesari, Paola; Fazekas, Gabor; Laczko, Jozsef
Titel	The Relation of Hand and Arm Configuration Variances while Tracking Geometric Figures in Parkinson's Disease: Aspects for Rehabilitation
Quelle	In: International Journal of Rehabilitation Research, 32 (2009) 1, S.53-63 (11 Seiten) PDF als Volltext Verfügbarkeit
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0342-5282
DOI	10.1097/MRR.0b013e32830d369c
Schlagwörter	Control Groups; Diseases; Patients; Motor Reactions; Comparative Analysis; Statistical Analysis; Freehand Drawing; Geometric Concepts; Human Body; Rehabilitation; Neurological Impairments + Suchen Sie Ihr Suchwort? Disease; Krankheit; Patient; Statistische Analyse; Drawing; Zeichnen; Elementare Geometrie; Menschlicher Körper; Neurodegenerative Erkrankung
Abstract	Variances of drawing arm movements between patients with Parkinson's disease and healthy controls were compared. The aim was to determine whether differences in joint synergies or individual joint rotations affect the endpoint (hand position) variance. Joint and endpoint coordinates were measured while participants performed drawing tasks. Variances of arm configurations and endpoints were computed and statistically analyzed for 12 patients and 12 controls. The variance of arm movements for patients (both for arm configuration and endpoint) was overall higher than that for the control group. Variation was smaller for drawing a circle versus a square and for drawing with the dominant versus the nondominant hand within both groups. The ratio of arm configuration variances between groups was similar to the ratio of endpoint variances. There were significant differences in the velocity, but not in the path lengths of movements comparing the two groups. Patients presented less movement stability while drawing different figures in different trials. Moreover, the similarity of the ratios suggests that the ill-coordinated hand movement was caused by the error in the movements of individual body parts rather than by the lack of intersegmental coordination. Thus, rehabilitation may focus on the improvement of the precision of individual joint rotations. (As Provided).
Anmerkungen	Lippincott Williams & Wilkins. 351 West Camden Street, Baltimore, MD 21201. Tel: 800-638-3030; e-mail: customerservice@lww.com; Web site: http://www.lww.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2017/4/10