Indian Journal of Physiotherapy & Occupational Therapy-An International Journal

Open Access Open Access  Restricted Access Subscription Access
Open Access Open Access Open Access  Restricted Access Restricted Access Subscription Access

Effect of Secondary Motor Task on Performance of Stair Descent in People with Idiopathic Parkinson’s Disease


Affiliations
1 MPT Neurology, PES Modern College of Physiotherapy, Pune, Maharashtra, India
     

   Subscribe/Renew Journal


In people with Parkinson’s disease (PD), dual tasking is difficult because of the impaired motor functions of the basal ganglia. It causes postural instability, reduction in gait speed, decreased stride length, increased festination and freezing. So it can also influence performance on stair ambulation. This creates a need to study the effect of dual tasks on stair ambulation, especially stair descent. 30 subjects were selected from various hospitals in Delhi. After taking the informed consent, the subjects were made to descend down the stairs under two conditions: stairs descent only and stairs descent with secondary motor task. The time taken in both the activities was recorded along with the scores on Observational Stair Parameter Scoring System (OSPS). Time taken by the subjects and the scores on OSPS for performing secondary task was more than the normal stair descent. The performance of stair descent with secondary task became more difficult than descent without the secondary task.

Keywords

Idiopathic Parkinson’s Disease, Stair Descent, Secondary Motor Task, Dual Task.
Subscription Login to verify subscription
User
Notifications
Font Size


  • John D. Gazewood, D. Roxanne Richards, Karl Clebak. Parkinson disease: An Update. American Academy of Family Physicians website.

  • D. Muslimovic, B. Post, J. D. Speeman. Cognitive profile of newly diagnosed Parkinson’s disease. Neurology.2005;65:1239-1245.

  • Janneke Koerts, Klaus L Leenders and Wiebo H Brouwer. Cortex. 2009; 45: 922-929.

  • David Conradson, Erika Franzen, Maria Hagstromer. The Effects of Highly Challenging Balance Training in Elderly With Parkinson’s Disease: A Randomized Control Trial. Neurorehabilitaion and Neuro Repair. 2015;1-10

  • Levangie P. K., Norkin C. C. Joint structure and function: a comprehensive analysis. FA Davis.2001. 373,522-523.

  • Samo Ribaric(2011). Cognition and Gait Disturbances in Parkinson’s Disease, Symptoms of Parkinson’s Disease, Prof. Abdul Qayyum Rana (Ed.), ISBN: 978-953-307-464-1.

  • Maria H Nilsson, Gun – Marie Hariz, Susan Iwarsson. Walking ability is a major contributor to fear of falling in people with Parkinson’s Disease: Implications for Rehabilitation. Parkinson’s disease. 2012;713236

  • Simone O’Shea, Meg E Morris and Robert Iansek. Dual task interference during gait in people with Parkinson disease: Effects of motor versus cognitive secondary tasks. Physical Therapy Journal. 2002; 82:888-897.

  • J D Holmes, M E Jenkins, A M Johnson, S G Adams. Dual – task interference: the effects of verbal cognitive tasks on upright postural stability in Parkinson’s disease. Parkinson’s disease. 2010; 696492.

  • Kathryn A. Hamel, Peter R. Cavanaugh. Stair performance in people aged 75 and older. American Geriatric Society. 2004; 52: 563-567.

  • Andrew J Hughes, Susan E Daniel, Linda Kilford, Andrew J Lees. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinic-pathological study of 100 cases. Journal of Neurology, Neurosurgery and Psychiatry. 1992;55:181-184.

  • Cavanaugh JT, Ellis TD, Earhart GM, Ford MP. Capturing ambulatory activity decline in Parkinson’s disease. Jour Neuro Phys Ther. 2012; 36(2): 51 – 57.

  • Folstein M F, Folstein S E, McHugh P R. “Mini-Mental State” A Practical Method For Grading The Cognitive State of Patients For The Clinician. J. Psychiatry. 1975; 12:189-198.

  • Hoehn M Yahr MD. Parkinsonism: onset, Progression and Mortality. Neurology 1967; 17:427.

  • Nilsson MH, Hariz GM, Iwarsson S. Walking ability is a major contributor to fear of falling in people with Parkinson’s disease: Implications for rehabilitation. Parkinson’s disease. 2012; 713236.

  • Veronica Miyasike-daSilva, William E. Mcllroy. Does it really matter where you look when walking on stairs? Insights from a dual-task study. PLOS ONE 7(9):e44722.

  • Yadav M, Nayeem U Zia, Shefali Walia. Effect of Motor versus Cognitive Secondary Tasks on Performance of Stair Descent In Community Dwelling Older Adults. Activities, Adaptation and Aging. 2015; 39:1, 43 – 55.

  • M Plotnik, N Giladi, J M Hausdorff. Bilateral coordination of gait and Parkinson’s disease: the effects of dual tasking. Journal of Neurology, Neurosurgery, Psychiatry. 2009; 80: 347-350

  • G. Abbruzzese, C. Trompetto, L. Marinelli. The rationale for motor learning in Parkinson’s disease. European Journal of Physical and Rehabilitation Medicine. 2009;45:209-14.

  • B H Wood, J A Bilclough, A Bowron and R W Walker. Incidence and predication of falls in Parkinson’s disease: a prospective multidisciplinary study. Journal of neurology neurosurgery psychiatry.2002; 72:721-725.


Abstract Views: 562

PDF Views: 0




  • Effect of Secondary Motor Task on Performance of Stair Descent in People with Idiopathic Parkinson’s Disease

Abstract Views: 562  |  PDF Views: 0

Authors

Paliwal Chetali
MPT Neurology, PES Modern College of Physiotherapy, Pune, Maharashtra, India

Abstract


In people with Parkinson’s disease (PD), dual tasking is difficult because of the impaired motor functions of the basal ganglia. It causes postural instability, reduction in gait speed, decreased stride length, increased festination and freezing. So it can also influence performance on stair ambulation. This creates a need to study the effect of dual tasks on stair ambulation, especially stair descent. 30 subjects were selected from various hospitals in Delhi. After taking the informed consent, the subjects were made to descend down the stairs under two conditions: stairs descent only and stairs descent with secondary motor task. The time taken in both the activities was recorded along with the scores on Observational Stair Parameter Scoring System (OSPS). Time taken by the subjects and the scores on OSPS for performing secondary task was more than the normal stair descent. The performance of stair descent with secondary task became more difficult than descent without the secondary task.

Keywords


Idiopathic Parkinson’s Disease, Stair Descent, Secondary Motor Task, Dual Task.

References