Docu A and Docu D. (2015)
performance of obstacle stepping in patients with Parkinson’s disease. Science,
Movement and Health, Vol. XV, Issue 2 Supplements, 2015
Summary
The
aim of this study is to undertake an investigation of the performance and
acquisition of complex bilateral obstacle stepping activity and compare it with
the unilateral obstacle stepping among patients with Parkinson’s diseases and a
healthy control subject group with a matching age.
The performance deterioration from
the bilateral and unilateral task was through comparing the reports from
previous studies on patients managing to perform complex hand movements on
bilateral aspects. The observations were that healthy subjects who would face
the least obstacle, unlike the PD subjects. Another observation is that there
was the clearance of foot clearances in both the healthy and PD subjects in
task acquisition. However, there was a slow improvement and a much poorer performance
among the PD subjects.
Similar to other studies on the upper
limb, the PD subjects were experiencing much difficulty in task performance
especially the bilateral activities compared to the healthy subjects. Evidence
from this study suggests that force control impairment in walking leads to
episodes of freezing that has the difficulty of unloading the wing leg as well
as even initiating the swing phase. In evaluating the loco, the motor task of
the complex lower limb like the bilateral obstacle stepping indicates much
stronger defects. This kind of task requires a high level of demand on the
interaction between voluntary control of leg movements and the anticipatory
postural adjustments.
This study manages also to show that the
defective coordination of the lower and upper limbs combined with the abnormal
postural reactions can lead to extensive problems in the bilateral performance
when compared to the unilateral stepping task obstacle. The researchers use the
external loading for force control manipulates and investigates on freezing of
gait influence. The method of research is the treadmill and obstacle stepping.
The use of the gait tasks is to provoke the freezing episodes that quantity by
use of a videotaped blinded clinical assessment. Other methods are trials,
tests, observation, and literature review. The subject was given an informed
consent informing them about the experiment before volunteering to participate.
The healthy subjects with a matching age were 15 and another group of 15
patients with PD. The subjects’ inclusion criteria were patients diagnosed with
idiopathic PD as per the Brain Bank criteria and Yahr and Hoehn stages I.5-3.
There was also the inclusion of subjects who
could walk using a treadmill with no assistance. The study evaluates the PD
patient’s ability to perform and acquire a high –precision task on bilateral
locomotor task. The researchers conclude that task performance improves through
repletion in both healthy subjects and those with PD. This finding suggests
that motor learning in both groups depends on the task under investigation. The
researchers suggest that the basal ganglia Dysfunction is as a result of the
difficulty of switching between various motor programs.
This study is relevant to nursing
because it presents findings to support the hypotheses that patients are
suffering from moderate and mild PD also have impaired performance and
acquisition of the locomotors task precision like the case of the Obstacle
bilateral stepping. In the repetition of tasks, there will be a slower
improvement and the performance level becomes poorer for PD subjects, unlike
the healthy subjects. The PD subjects, however, managed to improve their
performances in the course of the experiment. These results provide the
suggestion that PD subjects have difficulties in their daily life as a result
of locomotory difficulties. Therefore, nurses need
to pay attention to the unique needs of patients with PD. This study also shows
nurses that some training can improve the patient’s adaptive locomotor
behavior. This study also shows the nurses that individuals with Parkinson’s
have specific care requirements and needs. It is, therefore, essential for them
to provide these patients with medication at the right time and at all times.
Nurses should also have the awareness
of the off and nature of this condition. It is because patients indicate that
their own is when the symptoms are under control and when the drugs are
working. Their off situations are when it is most difficult for them to move
and the symptoms are out of control. In such an instance, patients can stop
moving altogether, and it is up to the nurses to assists these patients and
understands their needs. Nurses need to know that Parkinson impacts on patients
differently from one hour to another or from a day to another. The condition
also varies depending on individual patients. The amount of support and help
also varies. Therefore, nurses should be good listeners to the patient’s needs
as well as listening to their families on how the condition is affecting them.
References
Docu, A and Docu D
(2015) Performance of obstacle stepping in patients with Parkinson s
disease. Science, Movement and Health,
Vol. XV, ISSUE 2 Supplement. 15 (2, Supplement): 334-338
Sherry Roberts is the author of this paper. A senior editor at MeldaResearch.Com in cheap term papers if you need a similar paper you can place your order from top research paper writing companies.
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