Asymmetrical pedaling patterns in Parkinson's disease patients.

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dc.contributor.author Penko, Amanda
dc.contributor.author Hirsch, Joshua
dc.contributor.author Martin, Philip
dc.contributor.author Voelcker-Rehage, Claudia
dc.contributor.author Martin, Philip
dc.contributor.author Blackburn, Gordon
dc.contributor.author Alberts, Jay
dc.contributor.department Kinesiology
dc.date 2018-02-18T04:14:33.000
dc.date.accessioned 2020-06-30T05:45:25Z
dc.date.available 2020-06-30T05:45:25Z
dc.date.copyright Wed Jan 01 00:00:00 UTC 2014
dc.date.issued 2014-12-01
dc.description.abstract <p>Approximately 1.5 million Americans are affected by Parkinson's disease (Deponti et al., 2013) which includes the symptoms of postural instability and gait dysfunction. Currently, clinical evaluations of postural instability and gait dysfunction consist of a subjective rater assessment of gait patterns using items from the Unified Parkinson's Disease Rating Scale, and assessments can be insensitive to the effectiveness of medical interventions. Current research suggests the importance of cycling for Parkinson's disease patients, and while Parkinson's gait has been evaluated in previous studies, little is known about lower extremity control during cycling. The purpose of this study is to examine the lower extremity coordination patterns of Parkinson's patients during cycling.Twenty five participants, ages 44-72, with a clinical diagnosis of idiopathic Parkinson's disease participated in an exercise test on a cycle ergometer that was equipped with pedal force measurements. Crank torque, crank angle and power produced by right and left leg were measured throughout the test to calculate Symmetry Index at three stages of exercise (20 W, 60 W, maximum performance).Decreases in Symmetry Index were observed for average power output in Parkinson's patients as workload increased. Maximum power Symmetry Index showed a significant difference in symmetry between performance at both the 20 W and 60 W stage and the maximal resistance stage. Minimum power Symmetry Index did not show significant differences across the stages of the test. While lower extremity asymmetries were present in Parkinson's patients during pedaling, these asymmetries did not correlate to postural instability and gait dysfunction Unified Parkinson's Disease Rating Scale scores.This pedaling analysis allows for a more sensitive measure of lower extremity function than the Unified Parkinson's Disease Rating Scale and may help to provide unique insight into current and future lower extremity function.</p>
dc.description.comments <p>This is a PDF file of an unedited manuscript that has been accepted for publication. Clinical Biomechanics (Bristol, Avon). 2014 December ; 29(10): 1089–1094. doi:<a href="http://dx.doi.org/10.1016/j.clinbiomech.%202014.10.006" target="_blank">10.1016/j.clinbiomech. 2014.10.006</a>. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final citable form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.</p>
dc.format.mimetype application/pdf
dc.identifier archive/lib.dr.iastate.edu/kin_pubs/12/
dc.identifier.articleid 1010
dc.identifier.contextkey 9646640
dc.identifier.s3bucket isulib-bepress-aws-west
dc.identifier.submissionpath kin_pubs/12
dc.identifier.uri https://dr.lib.iastate.edu/handle/20.500.12876/52492
dc.language.iso en
dc.source.bitstream archive/lib.dr.iastate.edu/kin_pubs/12/2014_MartinPE_manu_pub_AsymetricalPedalingPatterns.pdf|||Fri Jan 14 19:07:18 UTC 2022
dc.source.uri 10.1016/j.clinbiomech.2014.10.006
dc.subject.disciplines Exercise Science
dc.subject.disciplines Motor Control
dc.subject.disciplines Nervous System Diseases
dc.subject.disciplines Other Kinesiology
dc.subject.disciplines Psychology of Movement
dc.subject.keywords Parkinson's disease; pedaling; postural instability
dc.subject.keywords UPDRS
dc.subject.keywords exercise test
dc.subject.keywords posture
dc.subject.keywords balance
dc.subject.keywords gait dysfunction
dc.title Asymmetrical pedaling patterns in Parkinson's disease patients.
dc.type article
dc.type.genre article
dspace.entity.type Publication
relation.isAuthorOfPublication 59231712-aa6d-4ad3-ba28-df417d527abc
relation.isOrgUnitOfPublication f7b0f2ca-8e43-4084-8a10-75f62e5199dd
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