Abstract:
:The purpose of this study was to examine whether explicit instruction would facilitate arm reactions in individuals with Parkinson's disease (PD). Individuals with (n = 10) and without (n = 15) PD responded to unexpected support-surface translations. To recover their balance, participants were required to either respond naturally (react natural) or to reach toward a nearby handrail (explicit instruction). Arm reactions were quantified from electromyographic (EMG) and arm kinematic recordings. Results showed that while explicit instruction led to earlier and larger arm reactions, the benefits were not different between individuals with and without PD. Specifically, when explicitly instructed to reach toward a handrail, shoulder EMG responses were 4% earlier (p = .005) and 32% larger (p < .001) compared to when instructed to react naturally. A 44% greater peak wrist medio-lateral velocity (p < .001) and a 29% greater peak shoulder abduction angular velocity (p < .001) were also observed when participants were instructed to direct their arms toward a handrail after an unexpected support-surface translation. Explicit instruction also led to a higher frequency of handrail contact and a 49 ms earlier time to handrail contact compared to the react natural condition (p = .015). These results suggest that providing instruction to promote arm movement may help reduce falls in older adults with and without PD.
journal_name
Hum Mov Scijournal_title
Human movement scienceauthors
Weaver TB,Adkin AL,Patterson JT,Tokuno CDdoi
10.1016/j.humov.2014.07.003subject
Has Abstractpub_date
2014-10-01 00:00:00pages
101-10eissn
0167-9457issn
1872-7646pii
S0167-9457(14)00120-1journal_volume
37pub_type
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