Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease
Disorders of posture, balance, and gait are debilitating motor manifestations of advancing Parkinson's disease requiring rehabilitation intervention. These problems often reflect difficulties with coupling or sequencing posture and locomotion during complex whole body movements linked with fall...
Saved in:
| Main Authors: | , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2012-01-01
|
| Series: | Parkinson's Disease |
| Online Access: | http://dx.doi.org/10.1155/2012/754186 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832563978345119744 |
|---|---|
| author | Marie-Laure Mille Robert A. Creath Michelle G. Prettyman Marjorie Johnson Hilliard Katherine M. Martinez Colum D. MacKinnon Mark W. Rogers |
| author_facet | Marie-Laure Mille Robert A. Creath Michelle G. Prettyman Marjorie Johnson Hilliard Katherine M. Martinez Colum D. MacKinnon Mark W. Rogers |
| author_sort | Marie-Laure Mille |
| collection | DOAJ |
| description | Disorders of posture, balance, and gait are debilitating motor manifestations of advancing Parkinson's disease requiring rehabilitation intervention. These problems often reflect difficulties with coupling or sequencing posture and locomotion during complex whole body movements linked with falls. Considerable progress has been made with demonstrating the effectiveness of exercise interventions for individuals with Parkinson's disease. However, gaps remain in the evidence base for specific interventions and the optimal content of exercise interventions. Using a conceptual theoretical framework and experimental findings, this perspective and review advances the viewpoint that rehabilitation interventions focused on separate or isolated components of posture, balance, or gait may limit the effectiveness of current clinical practices. It is argued that treatment effectiveness may be improved by directly targeting posture and locomotion coupling problems as causal factors contributing to balance and gait dysfunction. This approach may help advance current clinical practice and improve outcomes in rehabilitation for persons with Parkinson's disease. |
| format | Article |
| id | doaj-art-326f59c127f04b2fbf273f7d0a2069b5 |
| institution | Kabale University |
| issn | 2090-8083 2042-0080 |
| language | English |
| publishDate | 2012-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Parkinson's Disease |
| spelling | doaj-art-326f59c127f04b2fbf273f7d0a2069b52025-02-03T01:12:08ZengWileyParkinson's Disease2090-80832042-00802012-01-01201210.1155/2012/754186754186Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's DiseaseMarie-Laure Mille0Robert A. Creath1Michelle G. Prettyman2Marjorie Johnson Hilliard3Katherine M. Martinez4Colum D. MacKinnon5Mark W. Rogers6UFRS STAPS, Université du Sud Toulon-Var, La Garde 83957, FranceDepartment of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USADepartment of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USADepartment of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USADepartment of Physical Therapy and Human Movement Sciences, Feinberg School of Medicine, Northwestern University, Chicago, IL 60611, USADepartment of Physical Therapy and Rehabilitation Science, University of Maryland School of Medicine, Baltimore, MD 21201, USADisorders of posture, balance, and gait are debilitating motor manifestations of advancing Parkinson's disease requiring rehabilitation intervention. These problems often reflect difficulties with coupling or sequencing posture and locomotion during complex whole body movements linked with falls. Considerable progress has been made with demonstrating the effectiveness of exercise interventions for individuals with Parkinson's disease. However, gaps remain in the evidence base for specific interventions and the optimal content of exercise interventions. Using a conceptual theoretical framework and experimental findings, this perspective and review advances the viewpoint that rehabilitation interventions focused on separate or isolated components of posture, balance, or gait may limit the effectiveness of current clinical practices. It is argued that treatment effectiveness may be improved by directly targeting posture and locomotion coupling problems as causal factors contributing to balance and gait dysfunction. This approach may help advance current clinical practice and improve outcomes in rehabilitation for persons with Parkinson's disease.http://dx.doi.org/10.1155/2012/754186 |
| spellingShingle | Marie-Laure Mille Robert A. Creath Michelle G. Prettyman Marjorie Johnson Hilliard Katherine M. Martinez Colum D. MacKinnon Mark W. Rogers Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease Parkinson's Disease |
| title | Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease |
| title_full | Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease |
| title_fullStr | Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease |
| title_full_unstemmed | Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease |
| title_short | Posture and Locomotion Coupling: A Target for Rehabilitation Interventions in Persons with Parkinson's Disease |
| title_sort | posture and locomotion coupling a target for rehabilitation interventions in persons with parkinson s disease |
| url | http://dx.doi.org/10.1155/2012/754186 |
| work_keys_str_mv | AT marielauremille postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT robertacreath postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT michellegprettyman postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT marjoriejohnsonhilliard postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT katherinemmartinez postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT columdmackinnon postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease AT markwrogers postureandlocomotioncouplingatargetforrehabilitationinterventionsinpersonswithparkinsonsdisease |