Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease
Objective To determine the effects of lower limb muscle fatigue on spatiotemporal gait parameters and turning difficulty characteristics during the extended Timed Up and Go (extended TUG) test in individuals with different severity stages of Parkinson’s disease (PD). Methods Forty individuals with P...
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| Format: | Article |
| Language: | English |
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Korean Academy of Rehabilitation Medicine
2023-08-01
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| Series: | Annals of Rehabilitation Medicine |
| Subjects: | |
| Online Access: | http://www.e-arm.org/upload/pdf/arm-23067.pdf |
| _version_ | 1797692808841134080 |
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| author | Halimatul Abd Ghani Alia A. Alghwiri Hafifi Hisham Haidzir Manaf |
| author_facet | Halimatul Abd Ghani Alia A. Alghwiri Hafifi Hisham Haidzir Manaf |
| author_sort | Halimatul Abd Ghani |
| collection | DOAJ |
| description | Objective To determine the effects of lower limb muscle fatigue on spatiotemporal gait parameters and turning difficulty characteristics during the extended Timed Up and Go (extended TUG) test in individuals with different severity stages of Parkinson’s disease (PD). Methods Forty individuals with PD, classified as Hoehn and Yahr (H&Y) stages 2 and 3 participated in this pre- and post-experimental study design. The participants performed a continuous sit-to-stand task from a chair based on 30 cycles/min set-up to induce lower limb muscle fatigue. They performed extended TUG test immediately before and after completing the fatigue protocol. Spatiotemporal gait parameters and turning difficulty characteristics were recorded using two GoPro® Hero 4 Silver cameras. Data were subjected to a repeated-measure ANOVA. Results Individuals with PD experience significant changes in spatiotemporal gait parameters, specifically stride velocity and length, under conditions of lower limb muscle fatigue (p=0.001). These changes were more pronounced in individuals with PD in the H&Y stage 3 group. Additionally, both PD groups exhibited difficulty with turning, requiring more than five steps to complete a 180° turn and taking more than 3 seconds to accomplish it. Conclusion These findings highlight the impact of muscle fatigue on gait performance in PD and suggest that individuals in later stages of the disease may be particularly affected. Further research is needed to explore interventions that can mitigate these gait impairments and improve mobility in individuals with PD. |
| first_indexed | 2024-03-12T02:33:55Z |
| format | Article |
| id | doaj.art-88d85d4f6e004af2b7a0a9b261266e05 |
| institution | Directory Open Access Journal |
| issn | 2234-0653 |
| language | English |
| last_indexed | 2024-03-12T02:33:55Z |
| publishDate | 2023-08-01 |
| publisher | Korean Academy of Rehabilitation Medicine |
| record_format | Article |
| series | Annals of Rehabilitation Medicine |
| spelling | doaj.art-88d85d4f6e004af2b7a0a9b261266e052023-09-05T02:08:58ZengKorean Academy of Rehabilitation MedicineAnnals of Rehabilitation Medicine2234-06532023-08-0147428229010.5535/arm.230674317Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s DiseaseHalimatul Abd Ghani0Alia A. Alghwiri1Hafifi Hisham2Haidzir Manaf3 Physiotherapy Program, Institut Latihan Kementerian Kesihatan Malaysia, Johor, Malaysia Department of Physiotherapy, Faculty of Allied Medical Sciences, Applied Science Private University, Amman, Jordan Physiotherapy Program, Center for Rehabilitation and Special Needs Studies, Faculty of Health Sciences, Universiti Kebangsaan Malaysia, Kuala Lumpur, Malaysia Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam Campus, Puncak Alam, MalaysiaObjective To determine the effects of lower limb muscle fatigue on spatiotemporal gait parameters and turning difficulty characteristics during the extended Timed Up and Go (extended TUG) test in individuals with different severity stages of Parkinson’s disease (PD). Methods Forty individuals with PD, classified as Hoehn and Yahr (H&Y) stages 2 and 3 participated in this pre- and post-experimental study design. The participants performed a continuous sit-to-stand task from a chair based on 30 cycles/min set-up to induce lower limb muscle fatigue. They performed extended TUG test immediately before and after completing the fatigue protocol. Spatiotemporal gait parameters and turning difficulty characteristics were recorded using two GoPro® Hero 4 Silver cameras. Data were subjected to a repeated-measure ANOVA. Results Individuals with PD experience significant changes in spatiotemporal gait parameters, specifically stride velocity and length, under conditions of lower limb muscle fatigue (p=0.001). These changes were more pronounced in individuals with PD in the H&Y stage 3 group. Additionally, both PD groups exhibited difficulty with turning, requiring more than five steps to complete a 180° turn and taking more than 3 seconds to accomplish it. Conclusion These findings highlight the impact of muscle fatigue on gait performance in PD and suggest that individuals in later stages of the disease may be particularly affected. Further research is needed to explore interventions that can mitigate these gait impairments and improve mobility in individuals with PD.http://www.e-arm.org/upload/pdf/arm-23067.pdfexercisegaitfatigueparkinson disease |
| spellingShingle | Halimatul Abd Ghani Alia A. Alghwiri Hafifi Hisham Haidzir Manaf Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease Annals of Rehabilitation Medicine exercise gait fatigue parkinson disease |
| title | Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease |
| title_full | Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease |
| title_fullStr | Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease |
| title_full_unstemmed | Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease |
| title_short | Lower Limb Muscle Fatigue Alters Spatiotemporal Gait Parameters and Turning Difficulty Characteristics in Parkinson’s Disease |
| title_sort | lower limb muscle fatigue alters spatiotemporal gait parameters and turning difficulty characteristics in parkinson s disease |
| topic | exercise gait fatigue parkinson disease |
| url | http://www.e-arm.org/upload/pdf/arm-23067.pdf |
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