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Characteristics of transitional locomotor tasks performed by patients with dementia
Elderly individuals may be at increased risk of falls than their peers. Early identification of balance disorders and their appropriate intervention are crucial for patients with dementia. The aim of this study was to identify postural instability in patients from mild to moderate dementia while per...
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Published in: | Experimental brain research 2022-05, Vol.240 (5), p.1605-1616 |
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description | Elderly individuals may be at increased risk of falls than their peers. Early identification of balance disorders and their appropriate intervention are crucial for patients with dementia. The aim of this study was to identify postural instability in patients from mild to moderate dementia while performing transitional locomotor tasks under different conditions. Fifty-four patients with dementia and 30 healthy controls voluntarily participated in the study. The transitional locomotor task was performed on two force platforms under four conditions: unimpeded transition, obstacle clearance, step-up and step-down trials. The recording of center of foot pressure displacements was divided into three distinct phases: 1st phase—quiet standing before the transitional locomotor task, 2nd phase—forward stepping, 3rd phase—quiet standing after the transitional locomotor task. Patients with dementia were characterized by a longer transitional locomotor task time than the control group under all conditions (
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doi_str_mv | 10.1007/s00221-022-06355-1 |
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P
< 0.03). Significant differences in quiet standing before the transitional locomotor task were observed between patients with dementia and the control group, but only in unimpeded transition and obstacle clearance trials (
P
< 0.02). No significant differences in quiet standing after step transition were observed between patients with dementia and the control group (
P
> 0.05). Postural control research in patients with dementia should focus on the functional motor task rather than on a simple motor task (quiet standing). Because even patients with mild dementia have impaired dynamic balance, the assessment of transitional locomotor tasks performed by patients with dementia might provide an indicator of an early diagnosis of dementia and might lead to better individualized physiotherapy.</description><identifier>ISSN: 0014-4819</identifier><identifier>EISSN: 1432-1106</identifier><identifier>DOI: 10.1007/s00221-022-06355-1</identifier><identifier>PMID: 35362724</identifier><language>eng</language><publisher>Berlin/Heidelberg: Springer Berlin Heidelberg</publisher><subject>Accidental Falls ; Aged ; Balance ; Biomedical and Life Sciences ; Biomedicine ; Clinical trials ; Dementia ; Dementia - diagnosis ; Dementia disorders ; Falls (Accidents) ; Foot ; Humans ; Neurology ; Neurosciences ; Physiological aspects ; Postural Balance ; Posture ; Psychological aspects ; Research Article ; Risk factors ; Standing Position</subject><ispartof>Experimental brain research, 2022-05, Vol.240 (5), p.1605-1616</ispartof><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022</rights><rights>2022. The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature.</rights><rights>COPYRIGHT 2022 Springer</rights><rights>The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2022.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><cites>FETCH-LOGICAL-c424t-18af3b99621d7562cf29fa47333693abb0ae912431e5a15b74b1d9a952a64e363</cites><orcidid>0000-0001-8932-3022 ; 0000-0001-8081-8854 ; 0000-0002-2678-8436 ; 0000-0002-1453-6856 ; 0000-0001-8650-0484 ; 0000-0001-8447-4251</orcidid></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2654822465/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2654822465?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,21394,27924,27925,33611,33612,43733,74221</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/35362724$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Michalska, Justyna</creatorcontrib><creatorcontrib>Juras, Grzegorz</creatorcontrib><creatorcontrib>Kamieniarz, Anna</creatorcontrib><creatorcontrib>Rudzińska-Bar, Monika</creatorcontrib><creatorcontrib>Knast, Katarzyna</creatorcontrib><creatorcontrib>Słomka, Kajetan J.</creatorcontrib><title>Characteristics of transitional locomotor tasks performed by patients with dementia</title><title>Experimental brain research</title><addtitle>Exp Brain Res</addtitle><addtitle>Exp Brain Res</addtitle><description>Elderly individuals may be at increased risk of falls than their peers. Early identification of balance disorders and their appropriate intervention are crucial for patients with dementia. The aim of this study was to identify postural instability in patients from mild to moderate dementia while performing transitional locomotor tasks under different conditions. Fifty-four patients with dementia and 30 healthy controls voluntarily participated in the study. The transitional locomotor task was performed on two force platforms under four conditions: unimpeded transition, obstacle clearance, step-up and step-down trials. The recording of center of foot pressure displacements was divided into three distinct phases: 1st phase—quiet standing before the transitional locomotor task, 2nd phase—forward stepping, 3rd phase—quiet standing after the transitional locomotor task. Patients with dementia were characterized by a longer transitional locomotor task time than the control group under all conditions (
P
< 0.03). Significant differences in quiet standing before the transitional locomotor task were observed between patients with dementia and the control group, but only in unimpeded transition and obstacle clearance trials (
P
< 0.02). No significant differences in quiet standing after step transition were observed between patients with dementia and the control group (
P
> 0.05). Postural control research in patients with dementia should focus on the functional motor task rather than on a simple motor task (quiet standing). Because even patients with mild dementia have impaired dynamic balance, the assessment of transitional locomotor tasks performed by patients with dementia might provide an indicator of an early diagnosis of dementia and might lead to better individualized physiotherapy.</description><subject>Accidental Falls</subject><subject>Aged</subject><subject>Balance</subject><subject>Biomedical and Life Sciences</subject><subject>Biomedicine</subject><subject>Clinical trials</subject><subject>Dementia</subject><subject>Dementia - diagnosis</subject><subject>Dementia disorders</subject><subject>Falls (Accidents)</subject><subject>Foot</subject><subject>Humans</subject><subject>Neurology</subject><subject>Neurosciences</subject><subject>Physiological aspects</subject><subject>Postural Balance</subject><subject>Posture</subject><subject>Psychological aspects</subject><subject>Research Article</subject><subject>Risk factors</subject><subject>Standing Position</subject><issn>0014-4819</issn><issn>1432-1106</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2022</creationdate><recordtype>article</recordtype><sourceid>ALSLI</sourceid><sourceid>M2R</sourceid><recordid>eNp9kV1rFDEUhoModq3-AS9kQBBvpubkc3NZFr-g4IX1OpyZTbqpM5M1yVD67810W22LSOCEkzzvgfe8hLwGegKU6g-ZUsagraWlikvZwhOyAsFZC0DVU7KiFEQr1mCOyIucL5eWa_qcHHHJFdNMrMj3zQ4T9sWlkEvocxN9UxJOOZQQJxyaIfZxjCWmpmD-mZu9Sz6m0W2b7rrZYwluKrm5CmXXbN1Ym4AvyTOPQ3avbu9j8uPTx_PNl_bs2-evm9OzthdMlBbW6HlnjGKw1VKx3jPjUWjOuTIcu46iM8AEBycRZKdFB1uDRjJUwnHFj8n7w9x9ir9ml4sdQ-7dMODk4pwtU0Jp0AZkRd8-Qi_jnKq_hZJizZhQ96gLHJwNk491Ff0y1J5qCooZbRbq5B9UPdV_6OPkfKjvDwTv7gl2Doeyy3GYlw3nhyA7gH2KOSfn7T6FEdO1BWqXyO0hcluLvYncQhW9ubU2dzWWP5K7jCvAD0CuX9OFS3-9_2fsb_xZs68</recordid><startdate>20220501</startdate><enddate>20220501</enddate><creator>Michalska, Justyna</creator><creator>Juras, Grzegorz</creator><creator>Kamieniarz, Anna</creator><creator>Rudzińska-Bar, Monika</creator><creator>Knast, Katarzyna</creator><creator>Słomka, Kajetan J.</creator><general>Springer Berlin Heidelberg</general><general>Springer</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QP</scope><scope>7QR</scope><scope>7RV</scope><scope>7TK</scope><scope>7TM</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8AO</scope><scope>8FD</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FR3</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>K9.</scope><scope>KB0</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2R</scope><scope>NAPCQ</scope><scope>P64</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>RC3</scope><scope>7X8</scope><orcidid>https://orcid.org/0000-0001-8932-3022</orcidid><orcidid>https://orcid.org/0000-0001-8081-8854</orcidid><orcidid>https://orcid.org/0000-0002-2678-8436</orcidid><orcidid>https://orcid.org/0000-0002-1453-6856</orcidid><orcidid>https://orcid.org/0000-0001-8650-0484</orcidid><orcidid>https://orcid.org/0000-0001-8447-4251</orcidid></search><sort><creationdate>20220501</creationdate><title>Characteristics of transitional locomotor tasks performed by patients with dementia</title><author>Michalska, Justyna ; 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Early identification of balance disorders and their appropriate intervention are crucial for patients with dementia. The aim of this study was to identify postural instability in patients from mild to moderate dementia while performing transitional locomotor tasks under different conditions. Fifty-four patients with dementia and 30 healthy controls voluntarily participated in the study. The transitional locomotor task was performed on two force platforms under four conditions: unimpeded transition, obstacle clearance, step-up and step-down trials. The recording of center of foot pressure displacements was divided into three distinct phases: 1st phase—quiet standing before the transitional locomotor task, 2nd phase—forward stepping, 3rd phase—quiet standing after the transitional locomotor task. Patients with dementia were characterized by a longer transitional locomotor task time than the control group under all conditions (
P
< 0.03). Significant differences in quiet standing before the transitional locomotor task were observed between patients with dementia and the control group, but only in unimpeded transition and obstacle clearance trials (
P
< 0.02). No significant differences in quiet standing after step transition were observed between patients with dementia and the control group (
P
> 0.05). Postural control research in patients with dementia should focus on the functional motor task rather than on a simple motor task (quiet standing). Because even patients with mild dementia have impaired dynamic balance, the assessment of transitional locomotor tasks performed by patients with dementia might provide an indicator of an early diagnosis of dementia and might lead to better individualized physiotherapy.</abstract><cop>Berlin/Heidelberg</cop><pub>Springer Berlin Heidelberg</pub><pmid>35362724</pmid><doi>10.1007/s00221-022-06355-1</doi><tpages>12</tpages><orcidid>https://orcid.org/0000-0001-8932-3022</orcidid><orcidid>https://orcid.org/0000-0001-8081-8854</orcidid><orcidid>https://orcid.org/0000-0002-2678-8436</orcidid><orcidid>https://orcid.org/0000-0002-1453-6856</orcidid><orcidid>https://orcid.org/0000-0001-8650-0484</orcidid><orcidid>https://orcid.org/0000-0001-8447-4251</orcidid></addata></record> |
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subjects | Accidental Falls Aged Balance Biomedical and Life Sciences Biomedicine Clinical trials Dementia Dementia - diagnosis Dementia disorders Falls (Accidents) Foot Humans Neurology Neurosciences Physiological aspects Postural Balance Posture Psychological aspects Research Article Risk factors Standing Position |
title | Characteristics of transitional locomotor tasks performed by patients with dementia |
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