Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle

Parkinsonian rigidity has been thought to be constant through a full range of joint angle. The aim of this study was to perform a detailed investigation of joint angle dependency of rigidity. We first measured muscle tone at the elbow joint in 20 healthy subjects and demonstrated that an angle of ap...

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Main Authors: Takuyuki Endo, Toshimitsu Hamasaki, Ryuhei Okuno, Masaru Yokoe, Harutoshi Fujimura, Kenzo Akazawa, Saburo Sakoda
Format: Article
Language:English
Published: Wiley 2013-01-01
Series:Parkinson's Disease
Online Access:http://dx.doi.org/10.1155/2013/258374
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author Takuyuki Endo
Toshimitsu Hamasaki
Ryuhei Okuno
Masaru Yokoe
Harutoshi Fujimura
Kenzo Akazawa
Saburo Sakoda
author_facet Takuyuki Endo
Toshimitsu Hamasaki
Ryuhei Okuno
Masaru Yokoe
Harutoshi Fujimura
Kenzo Akazawa
Saburo Sakoda
author_sort Takuyuki Endo
collection DOAJ
description Parkinsonian rigidity has been thought to be constant through a full range of joint angle. The aim of this study was to perform a detailed investigation of joint angle dependency of rigidity. We first measured muscle tone at the elbow joint in 20 healthy subjects and demonstrated that an angle of approximately 60° of flexion marks the division of two different angle-torque characteristics. Then, we measured muscle tone at the elbow joint in 24 Parkinson’s Disease (PD) patients and calculated elastic coefficients in flexion and extension in the ranges of 10°–60° (distal) and 60°–110° (proximal). Rigidity as represented by the elastic coefficient in the distal phase of elbow joint extension was best correlated with the UPDRS rigidity score (r=0.77). A significant difference between the UPDRS rigidity score 0 group and 1 group was observed in the elastic coefficient in the distal phase of extension (P<0.0001), whereas no significant difference was observed in the proximal phase of extension and in each phase of flexion. Parkinsonian rigidity shows variable properties depending on the elbow joint angle, and it is clearly detected at the distal phase of elbow extension.
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institution Kabale University
issn 2090-8083
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language English
publishDate 2013-01-01
publisher Wiley
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series Parkinson's Disease
spelling doaj-art-c3cb63858a3749119e6e411f1903d5792025-02-03T05:48:39ZengWileyParkinson's Disease2090-80832042-00802013-01-01201310.1155/2013/258374258374Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint AngleTakuyuki Endo0Toshimitsu Hamasaki1Ryuhei Okuno2Masaru Yokoe3Harutoshi Fujimura4Kenzo Akazawa5Saburo Sakoda6Department of Neurology, Toneyama National Hospital, 5-1-1 Toneyama, Osaka, Toyonaka 560-8552, JapanDepartment of Biomedical Statistics, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Osaka, Suita 565-0879, JapanDepartment of Electrical and Electronic Engineering, Setsunan University, 17-8 Ikedanaka-machi, Osaka, Neyagawa 572-8508, JapanDepartment of Neurology, Osaka University Graduate School of Medicine, 2-2 Yamadaoka, Osaka, Suita 565-0879, JapanDepartment of Neurology, Toneyama National Hospital, 5-1-1 Toneyama, Osaka, Toyonaka 560-8552, JapanDepartment of Biomedical Engineering, Osaka Institute of Technology, 5-16-1 Omiya, Osaka, Asahi-ku 535-8585, JapanDepartment of Neurology, Toneyama National Hospital, 5-1-1 Toneyama, Osaka, Toyonaka 560-8552, JapanParkinsonian rigidity has been thought to be constant through a full range of joint angle. The aim of this study was to perform a detailed investigation of joint angle dependency of rigidity. We first measured muscle tone at the elbow joint in 20 healthy subjects and demonstrated that an angle of approximately 60° of flexion marks the division of two different angle-torque characteristics. Then, we measured muscle tone at the elbow joint in 24 Parkinson’s Disease (PD) patients and calculated elastic coefficients in flexion and extension in the ranges of 10°–60° (distal) and 60°–110° (proximal). Rigidity as represented by the elastic coefficient in the distal phase of elbow joint extension was best correlated with the UPDRS rigidity score (r=0.77). A significant difference between the UPDRS rigidity score 0 group and 1 group was observed in the elastic coefficient in the distal phase of extension (P<0.0001), whereas no significant difference was observed in the proximal phase of extension and in each phase of flexion. Parkinsonian rigidity shows variable properties depending on the elbow joint angle, and it is clearly detected at the distal phase of elbow extension.http://dx.doi.org/10.1155/2013/258374
spellingShingle Takuyuki Endo
Toshimitsu Hamasaki
Ryuhei Okuno
Masaru Yokoe
Harutoshi Fujimura
Kenzo Akazawa
Saburo Sakoda
Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
Parkinson's Disease
title Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
title_full Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
title_fullStr Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
title_full_unstemmed Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
title_short Parkinsonian Rigidity Shows Variable Properties Depending on the Elbow Joint Angle
title_sort parkinsonian rigidity shows variable properties depending on the elbow joint angle
url http://dx.doi.org/10.1155/2013/258374
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