Limits of stability as a constraint of the virtual whole-body motor skill learning in Parkinson's disease.

BACKGROUND: Parkinson's disease (PD) can impair postural control and reduce functional limits of stability (LOS), which may constrain exploration and learning in whole-body motor tasks. AIM: This study investigated whether practicing whole-body virtual motor tasks changes LOS and whether LOS is asso...

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Publicado en:Brazilian Journal of Motor Behavior Vol. 20; no. 1; pp. 1 - 10
Autores principales: ROCHA, MIGUEL A. G., FREITAS, TATIANA B., COSTA, CICERO L. A., SILVA, KEYTE G., POMPEU, JOSÉ E., TORRIANI-PASIN, CAMILA, BONUZZI, GIORDANO M. G.
Formato: pictorial research tables/charts Journal Article
Publicado: Brazilian Journal of Motor Behavior 2026
Acceso en línea:Ver este registro en EBSCOhost
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      dt: 2026
      vid: 20
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      pub: Brazilian Journal of Motor Behavior
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        10.20338/bjmb.v20i1.565
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        atl: Limits of stability as a constraint of the virtual whole-body motor skill learning in Parkinson's disease.
      aug:
        au:
          ROCHA, MIGUEL A. G.
          FREITAS, TATIANA B.
          COSTA, CICERO L. A.
          SILVA, KEYTE G.
          POMPEU, JOSÉ E.
          TORRIANI-PASIN, CAMILA
          BONUZZI, GIORDANO M. G.
        affil: Department of Physical Education, Federal University of Piauí, Teresina, Brazil
      sug:
        subj:
          Motor Skills
          Learning Methods
          Parkinson Disease
          Age Factors
          Balance, Postural
          Task Performance and Analysis
          Human
          Pretest-Posttest Design
          Structural Equation Modeling
          Pressure
          Psychomotor Performance
          Scales
          Virtual Reality
          Descriptive Statistics
          Post Hoc Analysis
          Two-Way Analysis of Variance
          Chi Square Test
          Confidence Intervals
          T-Tests
          Fisher's Exact Test
          Data Analysis Software
          Male
          Female
          Middle Age
          Aged
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: BACKGROUND: Parkinson's disease (PD) can impair postural control and reduce functional limits of stability (LOS), which may constrain exploration and learning in whole-body motor tasks. AIM: This study investigated whether practicing whole-body virtual motor tasks changes LOS and whether LOS is associated with motor learning outcomes in adults with PD and agematched healthy controls. METHODS: Twenty-five adults aged =50 years participated: 12 with PD and 13 healthy controls. Participants with PD were assessed in the medication ON state. Participants practiced four Kinect Adventures! games across 12 sessions. Game performance was assessed at pre-test, post-test, and one-month retention. LOS was assessed at pre-test and post-test using a center-of-pressure targeting task. LOS changes were examined with a mixed repeated-measures ANOVA. Structural equation modeling tested whether baseline LOS and practice-related individual variability in LOS (ΔLOS) predicted retained in-game scores. RESULTS: The Group × Moment interaction for LOS was significant, but Bonferroni-adjusted post hoc comparisons did not identify significant pairwise differences. There were no main effects of Group or Moment. Baseline LOS did not significantly predict retention performance. In contrast, ΔLOS significantly predicted retention performance, explaining 15.4% of the variance in the latent retention outcome. INTERPRETATION: Whole-body virtual task practice did not produce a uniform group-level increase in LOS. However, ΔLOS significantly predicts retention performance, suggesting that individual variability during acquisition is associated with long-term motor learning outcomes in adults with PD and healthy older adults.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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