Dynamic balance control during stair negotiation for older adults and people with Parkinson disease

Journal article


Conway, Zachary, Blackmore, Tim, Silburn, Peter A. and Cole, Michael H.. (2018). Dynamic balance control during stair negotiation for older adults and people with Parkinson disease. Human Movement Science. 59, pp. 30 - 36. https://doi.org/10.1016/j.humov.2018.03.012
AuthorsConway, Zachary, Blackmore, Tim, Silburn, Peter A. and Cole, Michael H.
Abstract

It is well understood that stability during ambulation is reliant upon appropriate control of the trunk segment, but research shows that the rhythmicity of this segment is significantly reduced for people with Parkinson’s disease (PD). Given the increased risk associated with stair ambulation, this study investigated whether people with PD demonstrate poorer trunk control during stair ambulation compared with age-matched controls. Trunk accelerations were recorded for twelve PD patients and age-matched controls during stair ascent and descent. Accelerations were used to derive measures of harmonic ratios and root mean square (RMS) acceleration to provide insight into the rhythmicity and amplitude of segmental motion. Compared with what is typically seen during level-ground walking, gait rhythmicity during stair negotiation was markedly reduced for older adults and people with PD. Furthermore, both groups exhibited significantly poorer trunk movements during stair descent compared to stair ascent, suggesting that both populations may face a greater risk of falling during this task. As stair negotiation is a common activity of daily life, the increased risk associated with this task should be considered when working with populations that have an increased risk of falling.

Keywordsgait; balance; harmonic ratio
Year2018
JournalHuman Movement Science
Journal citation59, pp. 30 - 36
PublisherElsevier
ISSN0167-9457
Digital Object Identifier (DOI)https://doi.org/10.1016/j.humov.2018.03.012
Scopus EID2-s2.0-85044468587
Open accessPublished as green open access
Page range30 - 36
Research GroupSports Performance, Recovery, Injury and New Technologies (SPRINT) Research Centre
Author's accepted manuscript
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Open
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All rights reserved
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Controlled
Place of publicationNetherlands
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Hubble, Ryan P., Naughton, Geraldine A., Silburn, Peter and Cole, Michael H.. (2014). Trunk muscle exercises as a means of improving postural stability in people with Parkinson's disease : A protocol for a randomised controlled trial. BMJ Open. 4(12), pp. 1 - 9. https://doi.org/10.1136/bmjopen-2014-006095
Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces
Cole, Michael H., van den Hoorn, Wolbert, Kavanagh, Justin K., Morrison, Steven, Hodges, Paul W., Smeathers, James E. and Kerr, Graham K.. (2014). Concurrent validity of accelerations measured using tri-axial inertial measurement unit while walking on firm, compliant and uneven surfaces. PLoS ONE. 9(5), pp. 1 - 12. https://doi.org/10.1371/journal.pone.0098395
Executive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael H., Mengersen, Kerrie, Silburn, Peter A., Qiu, Feng, Graepel, Cara and Kerr, Graham. (2014). Executive function and postural instability in people with Parkinson's disease. Parkinson's Disease. 2014(1), pp. 1 - 8. https://doi.org/10.1155/2014/684758
The crunch factor's role in golf-related low back pain
Cole, Michael H. and Grimshaw, Paul N.. (2014). The crunch factor's role in golf-related low back pain. Spine Journal. 14(5), pp. 799-807. https://doi.org/10.1016/j.spinee.2013.09.019
Professionalism, golf coaching and a Master of Science degree : A commentary
Cole, Michael H.. (2014). Professionalism, golf coaching and a Master of Science degree : A commentary. International Journal of Sports Science and Coaching. 9(4), pp. 861-864. https://doi.org/10.1260/1747-9541.9.4.717
The development of a custom-built impact testing device for assessing the cushioning properties of athletic socks
Blackmore, Tim, Jessop, David, Bruce-Low, Stewart and Scurr, Joanna. (2013). The development of a custom-built impact testing device for assessing the cushioning properties of athletic socks. Journal of Applied Biomechanics. https://doi.org/10.1123/jab.29.6.824
Effects of textured insoles on balance in people with Parkinson's Disease
Qiu, Feng, Cole, Michael H., Davids, Keith W., Hennig, Ewald M., Silburn, Peter A., Netscher, Heather and Kerr, Graham K.. (2013). Effects of textured insoles on balance in people with Parkinson's Disease. PLoS ONE. 8(12), pp. 1 - 8. https://doi.org/10.1371/journal.pone.0083309
The cushioning properties of athletic socks : an impact testing perspective
Blackmore, Tim, Jessop, David, Bruce-Low, Stewart and Scurr, Joanna. (2013). The cushioning properties of athletic socks : an impact testing perspective. Clinical Biomechanics. https://doi.org/10.1016/j.clinbiomech.2013.06.014
Cognitive tasks influence balance performance in people with Parkinson's disease
Xu, Dong, Muthalib, Mark, Pegoraro, Roger, Mengersen, Kerrie, Cole, Michael, Silburn, Peter and Kerr, Graham. (2013). Cognitive tasks influence balance performance in people with Parkinson's disease. 17th International Congress of Parkinson's Disease and Movement Disorders. United States of America: Movement Disorders Society. pp. S200 - S200
A secondary motor task exaggerates gait deficits in Parkinson's fallers
Kerr, Graham K., Cole, Michael, Wood, Joanne M. and Silburn, Peter A.. (2012). A secondary motor task exaggerates gait deficits in Parkinson's fallers. Congress of the International Society of Electrophysiology & Kinesiology. International Society of Electrophysiology & Kinesiology.
How well do clinical tests predict future falls in older people?
Kerr, Graham K., Wood, Joanne M., Lacherez, Philippe F. and Cole, Michael H.. (2012). How well do clinical tests predict future falls in older people?
Cognitive function and postural instability in people with Parkinson's disease
Xu, Dong, Cole, Michael, Mengersen, Kerrie, Silburn, Peter and Kerr, Graham. (2012). Cognitive function and postural instability in people with Parkinson's disease.
Hamstring asymmetry: The key to recurring injury
Hill, Cameron and Cole, Michael. (2012). Hamstring asymmetry: The key to recurring injury.
A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation
Thevathasan, Wesley, Cole, Michael H., Graepel, Cara L., Hyam, Jonathan A., Jenkinson, Ned, Brittain, John-Stuart, Coyne, Terry J., Silburn, Peter A., Aziz, Tipu Z., Kerr, Graham K. and Brown, Peter. (2012). A spatiotemporal analysis of gait freezing and the impact of pedunculopontine nucleus stimulation. Brain. 135, pp. 1446 - 1454. https://doi.org/10.1093/brain/aws039
Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers
Kerr, Graham K., Cole, Michael H., Wood, Joanne M. and Silburn, Peter A.. (2012). Performance of a secondary motor task reveals altered gait patterns in future Parkinson's fallers.
Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait
Wilcox, Robert A., Cole, Michael H., Wong, David, Coyne, Terry, Silburn, Peter and Kerr, Graham. (2011). Pedunculopontine nucleus deep brain stimulation produces sustained improvement in primary progressive freezing of gait. Journal of Neurology, Neurosurgery and Psychiatry. 82(11), pp. 1256 - 1259. https://doi.org/10.1136/jnnp.2010.213462
Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces
Cole, Michael H., Silburn, Peter A., Wood, Joanne M. and Kerr, Graham K.. (2011). Falls in Parkinson's disease: Evidence for altered stepping strategies on compliant surfaces. Parkinsonism and Related Disorders. 17(8), pp. 610 - 616. https://doi.org/10.1016/j.parkreldis.2011.05.019
Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration
Wood, Joanne M., Lacherez, Philippe, Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2011). Risk of falls, injurious falls, and other injuries resulting from visual impairment among older adults with age-related macular degeneration. Investigative Ophthalmology and Visual Science. 52(8), pp. 5088 - 5092. https://doi.org/10.1167/iovs.10-6644
Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control
Cole, Michael H., Silburn, Peter A., Wood, Joanne M., Worringham, Charles J. and Kerr, Graham K.. (2010). Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control. Movement Disorders. 25(14), pp. 2369 - 2378. https://doi.org/10.1002/mds.23292
Postural stability and gait among older adults with age-related maculopathy
Wood, Joanne M., Lacherez, Philippe F., Black, Alex A., Cole, Michael H., Boon, Mei Ying and Kerr, Graham K.. (2009). Postural stability and gait among older adults with age-related maculopathy. Investigative Ophthalmology and Visual Science. 50(1), pp. 482 - 487. https://doi.org/10.1167/iovs.08-1942
The x-factor and its relationship to golfing performance
Cole, Michael H. and Grimshaw, Paul N.. (2009). The x-factor and its relationship to golfing performance. Journal of Quantitative Analysis in Sports. 5(1), pp. 1 - 19. https://doi.org/10.2202/1559-0410.1134
Electromyography of the trunk and abdominal muscles in golfers with and without low back pain
Cole, M. H. and Grimshaw, P. N.. (2008). Electromyography of the trunk and abdominal muscles in golfers with and without low back pain. Journal of Science and Medicine in Sport. 11(2), pp. 174 - 181. https://doi.org/10.1016/j.jsams.2007.02.006
Trunk muscle onset and cessation in golfers with and without low back pain
Cole, M. H. and Grimshaw, P. N.. (2008). Trunk muscle onset and cessation in golfers with and without low back pain. Journal of Biomechanics. 41(13), pp. 2829 - 2833. https://doi.org/10.1016/j.jbiomech.2008.07.004