The effect of obstacle crossing on interjoint coordination and variability in gait of individuals with Parkinson's disease

Obstacle Crossing and Gait Coordination in Parkinson’s

Authors

  • Behshad Panjeh Zadeh PhD Student in Sport Biomechanics, Department of Sports Biomechanics, Central Tehran Branch, Islamic Azad University, Tehran, Iran.
  • Mahdi Majlesi Department of Sport Biomechanics, Hamedan Branch, Islamic Azad University, Hamedan, Iran.
  • Ali Fatahi Department of Sports Biomechanics, Central Tehran Branch, Islamic Azad University, Tehran, Iran
  • Hasan Safikhani Department of Corrective Exercises, School of Physical Education, Kermanshah Branch, Islamic Azad University, Kermanshah, Iran.

DOI:

https://doi.org/10.52165/kinsi.30.3.45-62

Keywords:

Parkinson's disease, Gait, Inter-joint coordination, Coupling angle, Variability

Abstract

Understanding the impact of obstacle crossing on inter-joint coordination and variability in the gait of individuals with Parkinson's disease (PD) is critical for the development of effective rehabilitation strategies. The aim of this study was to investigate the effect of obstacle crossing on inter-joint coordination and variability in the gait of individuals with Parkinson's disease. A motion capture system recorded kinematic gait data in two conditions - normal gait and obstacle crossing - in 15 individuals with Parkinson's disease (8 males and 7 females) and 17 healthy age-matched controls (9 males and 8 females). The vector coding technique was employed to evaluate coordination and its variability for the Knee-Hip, Ankle-Hip, and Ankle-Knee joint pairs during gait and obstacle crossing. A significant difference was observed between the two groups in joint coupling angles during the loading response and push-off phases (p < 0.05). Obstacle crossing induced phase and coupling angle changes between joints in both groups (p < 0.05), but only in the PD group, it resulted in increased variability in the ankle-knee coupling angle during the push-off phase (p < 0.05). The PD group exhibited lower variability during normal gait and higher variability during obstacle crossing compared to the control group (p < 0.05). Parkinson's disease alters joint angles, leading to changes in joint coupling angles and phase coordination between joints. Moreover, the level of variability in joint coupling angles, particularly during the loading response and push-off phases, is influenced by Parkinson's disease.

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References

Ambike, S., Penedo, T., Kulkarni, A., Santinelli, F.B., Barbieri, F.A., 2021. Step length synergy while crossing obstacles is weaker in patients with Parkinson’s disease. Gait & Posture 84, 340-345.

Azadian, E., Dadgar, S.A., Majlesi, M., Jafarnezhadgero, A.A., Jalilvand, M., Bijarchian, M.H., 2023a. The effects of cognitive intervention on inter-joint coordination during walking in the older adult with balance impairment. Gait & Posture.

Azadian, E., Dadgar, S.A., Majlesi, M., Jafarnezhadgero, A.A., Jalilvand, M., Bijarchian, M.H., 2023b. The effects of cognitive intervention on inter-joint coordination during walking in the older adults with balance impairment. Gait & Posture 106, 72-79.

Bloem, B.R., Hausdorff, J.M., Visser, J.E., Giladi, N., 2004. Falls and freezing of gait in Parkinson's disease: a review of two interconnected, episodic phenomena. Movement disorders: official journal of the Movement Disorder Society 19, 871-884.

Chiu, S.-L., Osternig, L., Chou, L.-S., 2013. Concussion induces gait inter-joint coordination variability under conditions of divided attention and obstacle crossing. Gait & posture 38, 717-722.

Dennison, A.C., Noorigian, J.V., Robinson, K.M., Fisman, D.N., Cianci, H.J., Moberg, P., Bunting-Perry, L., Martine, R., Duda, J., Stern, M.B., 2007. Falling in Parkinson disease: identifying and prioritizing risk factors in recurrent fallers. American journal of physical medicine & rehabilitation 86, 621-632.

Fasano, A., Canning, C.G., Hausdorff, J.M., Lord, S., Rochester, L., 2017. Falls in Parkinson's disease: a complex and evolving picture. Movement disorders 32, 1524-1536.

Ferrari, A., Benedetti, M.G., Pavan, E., Frigo, C., Bettinelli, D., Rabuffetti, M., Crenna, P., Leardini, A., 2008. Quantitative comparison of five current protocols in gait analysis. Gait & posture 28, 207-216.

Gérin-Lajoie, M., Richards, C.L., McFadyen, B.J., 2006. The circumvention of obstacles during walking in different environmental contexts: a comparison between older and younger adults. Gait & posture 24, 364-369.

Ghanavati, T., Salavati, M., Karimi, N., Negahban, H., Takamjani, I.E., Mehravar, M., Hessam, M., 2014. Intra-limb coordination while walking is affected by cognitive load and walking speed. Journal of biomechanics 47, 2300-2305.

Hamill, J., van Emmerik, R.E., Heiderscheit, B.C., Li, L., 1999. A dynamical systems approach to lower extremity running injuries. Clinical biomechanics 14, 297-308.

Harbourne, R.T., Stergiou, N., 2009. Movement variability and the use of nonlinear tools: principles to guide physical therapist practice. Physical therapy 89, 267-282.

Hausdorff, J.M., Cudkowicz, M.E., Firtion, R., Wei, J.Y., Goldberger, A.L., 1998. Gait variability and basal ganglia disorders: stride‐to‐stride variations of gait cycle timing in Parkinson's disease and Huntington's disease. Movement disorders 13, 428-437.

Hausdorff, J.M., Zitser, J., Mirelman, A., Giladi, N., 2015. 91Interaction between cognition and gait in patients with Parkinson’s disease, in: Emre, M. (Ed.), Cognitive Impairment and Dementia in Parkinson's Disease. Oxford University Press, p. 0.

Hoehn, M.M., Yahr, M.D., 2001. Parkinsonism: onset, progression and mortality. Neurology.

Hof, A.L., 2008. The ‘extrapolated center of mass’ concept suggests a simple control of balance in walking. Human movement science 27, 112-125.

Jafarnezhadgero, A., Mousavi, S.H., Madadi-Shad, M., Hijmans, J.M., 2020. Quantifying lower limb inter-joint coordination and coordination variability after four-month wearing arch support foot orthoses in children with flexible flat feet. Human Movement Science 70, 102593.

Kuo, C.-C., Chen, S.-C., Wang, J.-Y., Ho, T.-J., Lin, J.-G., Lu, T.-W., 2021. Effects of Tai-Chi Chuan practice on patterns and stability of lower limb inter-joint coordination during obstructed gait in the elderly. Frontiers in Bioengineering and Biotechnology 9, 739722.

Kwon, K.-Y., You, J., Kim, R.O., Lee, E.J., Lee, J., Kim, I., Kim, J., Koh, S.-B., 2024. Association between baseline gait parameters and future fall risk in patients with de novo Parkinson’s disease: forward versus backward gait. Journal of Clinical Neurology (Seoul, Korea) 20, 201.

Lai, X., Lee, Y.-C., Hong, X., Rau, P.-L.P., 2024. Watch your step: A pilot study of smartphone use effect on young females’ gait performance while walking up and down stairs and escalators. Applied Ergonomics 114, 104130.

Lythgo, N., Begg, R., Best, R., 2007. Stepping responses made by elderly and young female adults to approach and accommodate known surface height changes. Gait & posture 26, 82-89.

Ma, L., Mi, T.-M., Jia, Q., Han, C., Chhetri, J.K., Chan, P., 2022. Gait variability is sensitive to detect Parkinson’s disease patients at high fall risk. International Journal of Neuroscience 132, 888-893.

Nanhoe-Mahabier, W., Snijders, A., Delval, A., Weerdesteyn, V., Duysens, J., Overeem, S., Bloem, B., 2011. Walking patterns in Parkinson's disease with and without freezing of gait. Neuroscience 182, 217-224.

Nanhoe-Mahabier, W., Snijders, A., Delval, A., Weerdesteyn, V., Duysens, J., Overeem, S., Bloem, B., 2013. Split-belt locomotion in Parkinson’s disease with and without freezing of gait. Neuroscience 236, 110-116.

Nantel, J., de Solages, C., Bronte-Stewart, H., 2011. Repetitive stepping in place identifies and measures freezing episodes in subjects with Parkinson's disease. Gait & posture 34, 329-333.

Newell, K.M., Corcos, D.M., 1993. Variability and motor control. (No Title).

Patla, A.E., Greig, M., 2006. Any way you look at it, successful obstacle negotiation needs visually guided on-line foot placement regulation during the approach phase. Neuroscience letters 397, 110-114.

Perera, T., Tan, J.L., Cole, M.H., Yohanandan, S.A., Silberstein, P., Cook, R., Peppard, R., Aziz, T., Coyne, T., Brown, P., 2018. Balance control systems in Parkinson’s disease and the impact of pedunculopontine area stimulation. Brain 141, 3009-3022.

Pieruccini-Faria, F., Montero-Odasso, M., 2018. Obstacle Negotiation, Gait Variability, and Risk of Falling: Results From the “Gait and Brain Study”. The Journals of Gerontology: Series A 74, 1422-1428.

Poewe, W., Seppi, K., Tanner, C.M., Halliday, G.M., Brundin, P., Volkmann, J., Schrag, A.-E., Lang, A.E., 2017. Parkinson disease. Nature reviews Disease primers 3, 1-21.

Robertson, D.G.E., Caldwell, G.E., Hamill, J., Kamen, G., Whittlesey, S., 2013. Research methods in biomechanics. Human kinetics.

Scott Kelso, J., Holt, K.G., Rubin, P., Kugler, P.N., 1981. Patterns of human interlimb coordination emerge from the properties of non-linear, limit cycle oscillatory processes: theory and data. Journal of motor behavior 13, 226-261.

Simieli, L., Barbieri, F.A., Orcioli-Silva, D., Lirani-Silva, E., Beretta, V.S., Santos, P.C.R.d., Gobbi, L.T.B., 2018. Variability of crossing phase in older people with Parkinson’s disease is dependent of obstacle height. Scientific Reports 8, 14852.

Sparrow, W., Donovan, E., Van Emmerik, R., Barry, E., 1987. Using relative motion plots to measure changes in intra-limb and inter-limb coordination. Journal of motor behavior 19, 115-129.

Stegemöller, E.L., Buckley, T.A., Pitsikoulis, C., Barthelemy, E., Roemmich, R., Hass, C.J., 2012. Postural instability and gait impairment during obstacle crossing in Parkinson's disease. Archives of physical medicine and rehabilitation 93, 703-709.

Stergiou, N., Harbourne, R.T., Cavanaugh, J.T., 2006. Optimal movement variability: a new theoretical perspective for neurologic physical therapy. Journal of Neurologic Physical Therapy 30, 120-129.

Stergiou, N., Yu, Y., Kyvelidou, A., 2013. A perspective on human movement variability with applications in infancy motor development. Kinesiology Review 2, 93-102.

Terrier, P., Schutz, Y., 2003. Variability of gait patterns during unconstrained walking assessed by satellite positioning (GPS). European journal of applied physiology 90, 554-561.

Vermeulen, J., 2021. Sample Entropy as a tool for quantifying human gait complexity: the effect of age and walking velocity.

von der Recke, F., Warmerdam, E., Hansen, C., Romijnders, R., Maetzler, W., 2023. Reduced Range of Gait Speed: A Parkinson’s Disease-Specific Symptom? Journal of Parkinson's Disease 13, 197-202.

Xue, X., Yang, X., Deng, Z., 2023. Efficacy of rehabilitation robot-assisted gait training on lower extremity dyskinesia in patients with Parkinson's disease: A systematic review and meta-analysis. Ageing Research Reviews 85, 101837.

Yang, W., Hamilton, J.L., Kopil, C., Beck, J.C., Tanner, C.M., Albin, R.L., Ray Dorsey, E., Dahodwala, N., Cintina, I., Hogan, P., 2020. Current and projected future economic burden of Parkinson’s disease in the US. npj Parkinson's Disease 6, 15.

Yen, H.-C., Chen, H.-L., Liu, M.-W., Liu, H.-C., Lu, T.-W., 2009. Age effects on the inter-joint coordination during obstacle-crossing. Journal of biomechanics 42, 2501-2506.

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Published

2024-12-14

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Articles

How to Cite

Panjeh Zadeh, B. ., Majlesi, M., Fatahi, A., & Safikhani, H. . (2024). The effect of obstacle crossing on interjoint coordination and variability in gait of individuals with Parkinson’s disease: Obstacle Crossing and Gait Coordination in Parkinson’s. Kinesiologia Slovenica: Scientific Journal on Sport, 30(3), 45-62. https://doi.org/10.52165/kinsi.30.3.45-62