altered dynamic postural control during step turning in persons with early-stage parkinson’s disease改变动态姿势控制在一步将人早期帕金森病.pdfVIP

Hindawi Publishing Corporation Parkinson’s Disease Volume 2012, Article ID 386962, 8 pages doi:10.1155/2012/386962 Research Article Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson’s Disease Jooeun Song,1 Susan Sigward,1 Beth Fisher,1, 2 and George J. Salem1, 2 1Jacquelin Perry Musculoskeletal Biomechanics Research Laboratory, Division of Biokinesology and Physical Therapy, University of Southern California, Los Angeles, CA 90089-9006, USA 2 Department of Neurology, Keck School of Medicine, University of Southern California, Los Angeles, CA 90089-9006, USA Correspondence should be addressed to Beth Fisher, bfisher@ Received 31 July 2011; Revised 26 September 2011; Accepted 17 October 2011 Academic Editor: Leland E. Dibble Copyright © 2012 Jooeun Song et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Persons with early-stage Parkinson’s disease (EPD) do not typically experience marked functional deficits but may have difficulty with turning tasks. Studies evaluating turning have focused on individuals in advanced stages of the disease. The purpose of this study was to compare postural control strategies adopted during turning in persons with EPD to those used by healthy control (HC) subjects. Fifteen persons with EPD, diagnosed within 3 years, and 10 HC participated. Participants walked 4 meters and then turned 90◦ . Dynamic postural control was quantified as the distance between the center of pressure (COP) and the extrapolated center of mass (eCOM). Individuals with EPD demonstrated significantly shorter COP-eCOM distances compared to HC. These findings suggest tha