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Repetitive finger movement and circle drawing in persons with Parkinson’s disease

机译:帕金森氏病患者反复手指运动和画圈

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摘要

Little is known regarding how repetitive finger movement performance impacts other fine motor control tasks, such as circle drawing, in persons with Parkinson’s disease (PD). Previous research has shown that impairments in repetitive finger movements emerge at rates near to and above 2 Hz in most persons with PD. Thus, the purpose of this study was to compare circle drawing performance in persons with PD that demonstrate impairment in repetitive finger movement and those that do not. Twenty-two participants with PD and twelve healthy older adults completed the study. Only participants with PD completed the repetitive finger movement task. From the kinematic data for the repetitive finger movement task, participants were grouped into Hasteners and Non-Hasteners. Participants with PD and the healthy older adults completed a series of circle drawing tasks at two different target sizes (1 cm and 2 cm) and three pacing conditions (Self-paced, 1.25 Hz, and 2.5 Hz). Kinematic and electromyography data were recorded and compared between groups. Results revealed that, in general, persons with PD demonstrate impairments in circle drawing and associated electromyography activity compared to healthy older adults. Moreover, persons with PD that hasten during repetitive finger movements demonstrate significantly increased movement rate during circle drawing, while those persons with PD that do not hasten demonstrate a significant increase in width variability. This suggests that differing motor control mechanisms may play a role in the performance of fine motor tasks in persons with PD. Continued research is needed to better understand differences in circle drawing performance among persons with PD to inform future development of patient-centered treatments.
机译:对于患有帕金森氏病(PD)的人,重复的手指运动性能如何影响其他精细运动控制任务(例如画圆),鲜为人知。先前的研究表明,在大多数PD患者中,重复手指运动的损害以接近或高于2 Hz的速率出现。因此,本研究的目的是比较显示重复手指运动受损和没有重复手指运动的PD患者的圆图表现。 22名PD患者和12名健康老年人完成了研究。只有患有PD的参与者才能完成重复的手指移动任务。从重复手指运动任务的运动学数据中,将参与者分为Hasteners和Non-Hasteners。 PD参与者和健康的老年人在两种不同的目标尺寸(1 cm和2 cm)和三种起搏条件(自定速度,1.25 Hz和2.5 Hz)下完成了一系列的圆图绘制任务。记录运动学和肌电数据,并在各组之间进行比较。结果显示,与健康的老年人相比,PD患者通常显示出圆圈绘制和相关的肌电图活动受损。而且,在重复手指运动过程中加速的PD患者在画圆时表现出显着增加的运动速率,而没有急速运动的PD患者显示出宽度变异性显着增加。这表明在PD患者中,不同的运动控制机制可能在精细运动任务的执行中起作用。需要继续进行研究,以更好地了解PD患者在画圆图时的表现差异,从而为将来以患者为中心的治疗方法提供参考。

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