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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Format: | Article |
Language: | English |
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Wiley
2013-01-01
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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. |
format | Article |
id | doaj-art-c3cb63858a3749119e6e411f1903d579 |
institution | Kabale University |
issn | 2090-8083 2042-0080 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
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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