Attentional Resource Associated With Visual Feedback on a Postural Dual Task in Parkinson's Disease.

Background: Restricted attentional resource and central processing in patients with Parkinson's disease (PD) may reduce the benefit of visual feedback in a dual task. Objectives: Using brain event-related potentials (ERPs), this study aims to investigate the neural mechanisms of posture visual feedb...

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Publicado en:Neurorehabilitation & Neural Repair Vol. 34; no. 10; pp. 891 - 904
Autores principales: Yu, Shu-Han, Wu, Ruey-Meei, Huang, Cheng-Ya
Formato: research tables/charts Journal Article
Publicado: Sage Publications Inc. Oct2020
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: Neurorehabilitation & Neural Repair
      issn: 15459683
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      dt: Oct2020
      vid: 34
      iid: 10
      pid: 344
      pub: Sage Publications Inc.
      place: Thousand Oaks, California
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        atl: Attentional Resource Associated With Visual Feedback on a Postural Dual Task in Parkinson's Disease.
      aug:
        au:
          Yu, Shu-Han
          Wu, Ruey-Meei
          Huang, Cheng-Ya
        affil: Physical Therapy Center, National Taiwan University Hospital, Taipei, Taiwan
      sug:
        subj:
          Parkinson Disease Rehabilitation
          Attention
          Biofeedback
          Evoked Potentials, Visual
          Task Performance and Analysis
          Balance, Postural Evaluation
          Posturography
          Human
          Comparative Studies
          Motor Skills
      ab: Background: Restricted attentional resource and central processing in patients with Parkinson's disease (PD) may reduce the benefit of visual feedback in a dual task. Objectives: Using brain event-related potentials (ERPs), this study aims to investigate the neural mechanisms of posture visual feedback and supraposture visual feedback during performing of a posture-motor dual task. Methods: Eighteen patients with PD and 18 healthy controls stood on a mobile platform (postural task) and executed a manual force-matching task (suprapostural task) concurrently with provided visual feedback of platform movement (posture-feedback condition) or force output (force-feedback condition). The platform movement, force-matching performance, and ERPs (P1, N1, and P2 waves) were recorded. Results: Both PD and control groups had superior force accuracy in the force-feedback condition. Decreased postural sway by posture-feedback was observed in healthy controls but not in PD. Force-feedback led to a greater frontal area N1 peak in PD group but smaller N1 peaks in control group. In addition, force-feedback led to smaller P2 peaks of the frontal and sensorimotor areas among PD patients but greater P2 peaks of the sensorimotor and parietal-occipital areas among healthy controls. However, P1 modulations was present only in healthy controls. Conclusions: Force-feedback had positive effect on force accuracy in both PD and healthy individuals; however, the beneficial effect of posture-feedback on posture balance is not observed in PD. These findings are the first to suggest that PD could recruit more attentional resources in dual-task preparation to enhance suprapostural accuracy and avoid degrading postural stability by supraposture visual feedback.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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