Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease

Persons with early-stage Parkinson’s disease (EPD) do not typically experience marked functional deficits but may have difficulty with turning tasks. Studies evaluating turning have focused on individuals in advanced stages of the disease. The purpose of this study was to compare postural control st...

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Main Authors: Jooeun Song, Susan Sigward, Beth Fisher, George J. Salem
Format: Article
Language:English
Published: Wiley 2012-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2012/386962
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author Jooeun Song
Susan Sigward
Beth Fisher
George J. Salem
author_facet Jooeun Song
Susan Sigward
Beth Fisher
George J. Salem
author_sort Jooeun Song
collection DOAJ
description Persons with early-stage Parkinson’s disease (EPD) do not typically experience marked functional deficits but may have difficulty with turning tasks. Studies evaluating turning have focused on individuals in advanced stages of the disease. The purpose of this study was to compare postural control strategies adopted during turning in persons with EPD to those used by healthy control (HC) subjects. Fifteen persons with EPD, diagnosed within 3 years, and 10 HC participated. Participants walked 4 meters and then turned 90°. Dynamic postural control was quantified as the distance between the center of pressure (COP) and the extrapolated center of mass (eCOM). Individuals with EPD demonstrated significantly shorter COP-eCOM distances compared to HC. These findings suggest that dynamic postural control during turning is altered even in the early stages of PD.
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series Parkinson's Disease
spelling doaj-art-0b5c3705b1ed44b19b1a2b5823de307c2025-08-20T02:03:43ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/386962386962Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s DiseaseJooeun Song0Susan Sigward1Beth Fisher2George J. Salem3Jacquelin Perry Musculoskeletal Biomechanics Research Laboratory, Division of Biokinesology and Physical Therapy, University of Southern California, Los Angeles, CA 90089-9006, USAJacquelin Perry Musculoskeletal Biomechanics Research Laboratory, Division of Biokinesology and Physical Therapy, University of Southern California, Los Angeles, CA 90089-9006, USAJacquelin Perry Musculoskeletal Biomechanics Research Laboratory, Division of Biokinesology and Physical Therapy, University of Southern California, Los Angeles, CA 90089-9006, USAJacquelin Perry Musculoskeletal Biomechanics Research Laboratory, Division of Biokinesology and Physical Therapy, University of Southern California, Los Angeles, CA 90089-9006, USAPersons with early-stage Parkinson’s disease (EPD) do not typically experience marked functional deficits but may have difficulty with turning tasks. Studies evaluating turning have focused on individuals in advanced stages of the disease. The purpose of this study was to compare postural control strategies adopted during turning in persons with EPD to those used by healthy control (HC) subjects. Fifteen persons with EPD, diagnosed within 3 years, and 10 HC participated. Participants walked 4 meters and then turned 90°. Dynamic postural control was quantified as the distance between the center of pressure (COP) and the extrapolated center of mass (eCOM). Individuals with EPD demonstrated significantly shorter COP-eCOM distances compared to HC. These findings suggest that dynamic postural control during turning is altered even in the early stages of PD.http://dx.doi.org/10.1155/2012/386962
spellingShingle Jooeun Song
Susan Sigward
Beth Fisher
George J. Salem
Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
Parkinson's Disease
title Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
title_full Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
title_fullStr Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
title_full_unstemmed Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
title_short Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease
title_sort altered dynamic postural control during step turning in persons with early stage parkinson s disease
url http://dx.doi.org/10.1155/2012/386962
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