論文

査読有り
2014年11月

Relationship between Neural Rhythm Generation Disorders and Physical Disabilities in Parkinson's Disease Patients' Walking

PLOS ONE
  • Leo Ota
  • ,
  • Hirotaka Uchitomi
  • ,
  • Ken-ichiro Ogawa
  • ,
  • Satoshi Orimo
  • ,
  • Yoshihiro Miyake

9
11
開始ページ
e112952
終了ページ
記述言語
英語
掲載種別
研究論文(学術雑誌)
DOI
10.1371/journal.pone.0112952
出版者・発行元
PUBLIC LIBRARY SCIENCE

Walking is generated by the interaction between neural rhythmic and physical activities. In fact, Parkinson's disease (PD), which is an example of disease, causes not only neural rhythm generation disorders but also physical disabilities. However, the relationship between neural rhythm generation disorders and physical disabilities has not been determined. The aim of this study was to identify the mechanism of gait rhythm generation. In former research, neural rhythm generation disorders in PD patients' walking were characterized by stride intervals, which are more variable and fluctuate randomly. The variability and fluctuation property were quantified using the coefficient of variation (CV) and scaling exponent alpha. Conversely, because walking is a dynamic process, postural reflex disorder (PRD) is considered the best way to estimate physical disabilities in walking. Therefore, we classified the severity of PRD using CV and alpha. Specifically, PD patients and healthy elderly were classified into three groups: no-PRD, mild-PRD, and obvious-PRD. We compared the contributions of CV and alpha to the accuracy of this classification. In this study, 45 PD patients and 17 healthy elderly people walked 200 m. The severity of PRD was determined using the modified Hoehn-Yahr scale (mH-Y). People with mH-Y scores of 2.5 and 3 had mild-PRD and obvious-PRD, respectively. As a result, CV differentiated no-PRD from PRD, indicating the correlation between CV and PRD. Considering that PRD is independent of neural rhythm generation, this result suggests the existence of feedback process from physical activities to neural rhythmic activities. Moreover, alpha differentiated obvious-PRD from mild-PRD. Considering alpha reflects the intensity of interaction between factors, this result suggests the change of the interaction. Therefore, the interaction between neural rhythmic and physical activities is thought to plays an important role for gait rhythm generation. These characteristics have potential to evaluate the symptoms of PD.

リンク情報
DOI
https://doi.org/10.1371/journal.pone.0112952
PubMed
https://www.ncbi.nlm.nih.gov/pubmed/25386639
Web of Science
https://gateway.webofknowledge.com/gateway/Gateway.cgi?GWVersion=2&SrcAuth=JSTA_CEL&SrcApp=J_Gate_JST&DestLinkType=FullRecord&KeyUT=WOS:000345250400107&DestApp=WOS_CPL
ID情報
  • DOI : 10.1371/journal.pone.0112952
  • ISSN : 1932-6203
  • PubMed ID : 25386639
  • Web of Science ID : WOS:000345250400107

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