Sara Monleón Guinot, Constanza San Martín Valenzuela, Vivina Aranda Asensi, Manuel Villanueva Navarro, José M Tomás
{"title":"功能双重任务对帕金森病患者静态姿势照相的干扰。","authors":"Sara Monleón Guinot, Constanza San Martín Valenzuela, Vivina Aranda Asensi, Manuel Villanueva Navarro, José M Tomás","doi":"10.1080/09593985.2025.2574388","DOIUrl":null,"url":null,"abstract":"<p><strong>Background: </strong>Balance impairments lead to daily-life complications in people with Parkinson's disease (PwPD). However, the way the environment interferes with balance is still unknown.</p><p><strong>Objective: </strong>To analyze the interference of dual-tasks (DTs) on balance in PwPD and compare it with healthy participants.</p><p><strong>Methods: </strong>Sixty-seven people were evaluated, 42 comprised the Parkinson's disease group (PDG) and 25 were part of the Control group (CG). All followed the balanced HOME assessment trial, performing static posturography under 5 conditions: single-task, visual DT (DT<sub>visual</sub>), verbal DT (DT<sub>verbal</sub>), and two manual tasks, one above 90º of shoulder flexion (DT<sub>upper</sub>) and the other below (DT<sub>lower</sub>). Swept area, velocity, displacement, dispersion, and force of the Center of Pressure (CoP) were recorded.</p><p><strong>Results: </strong>DT interfered with the balance of the PDG in all conditions, while the CG was affected mainly in manual tasks. In the PDG, the swept area had the highest interference, reaching 218.84 mm<sup>2</sup> in the DT<sub>upper</sub> condition, meaning 255.34% more swept area than in the single-task condition. However, CoP velocity was the most sensitive parameter to secondary tasks, being perturbed in all dual conditions tested, and the only outcome that increased (19.49%) during the DT<sub>visual</sub> (<i>p</i> < .05). In DT<sub>verbal</sub> condition the groups maintained similar balance, except for the CoP mediolateral displacement and dispersion (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Compared to healthy participants, untrained PwPD showed poorer postural control under DTs conditions. This impairment increased with task complexity, ranging from visual distraction to overhead manipulation. Mediolateral CoP movements may serve as an early indicator of balance deterioration in challenging environments.</p>","PeriodicalId":48699,"journal":{"name":"Physiotherapy Theory and Practice","volume":" ","pages":"1-13"},"PeriodicalIF":1.5000,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"Interference of functional dual-tasks on static posturography in people with Parkinson's disease.\",\"authors\":\"Sara Monleón Guinot, Constanza San Martín Valenzuela, Vivina Aranda Asensi, Manuel Villanueva Navarro, José M Tomás\",\"doi\":\"10.1080/09593985.2025.2574388\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><strong>Background: </strong>Balance impairments lead to daily-life complications in people with Parkinson's disease (PwPD). However, the way the environment interferes with balance is still unknown.</p><p><strong>Objective: </strong>To analyze the interference of dual-tasks (DTs) on balance in PwPD and compare it with healthy participants.</p><p><strong>Methods: </strong>Sixty-seven people were evaluated, 42 comprised the Parkinson's disease group (PDG) and 25 were part of the Control group (CG). All followed the balanced HOME assessment trial, performing static posturography under 5 conditions: single-task, visual DT (DT<sub>visual</sub>), verbal DT (DT<sub>verbal</sub>), and two manual tasks, one above 90º of shoulder flexion (DT<sub>upper</sub>) and the other below (DT<sub>lower</sub>). Swept area, velocity, displacement, dispersion, and force of the Center of Pressure (CoP) were recorded.</p><p><strong>Results: </strong>DT interfered with the balance of the PDG in all conditions, while the CG was affected mainly in manual tasks. In the PDG, the swept area had the highest interference, reaching 218.84 mm<sup>2</sup> in the DT<sub>upper</sub> condition, meaning 255.34% more swept area than in the single-task condition. However, CoP velocity was the most sensitive parameter to secondary tasks, being perturbed in all dual conditions tested, and the only outcome that increased (19.49%) during the DT<sub>visual</sub> (<i>p</i> < .05). In DT<sub>verbal</sub> condition the groups maintained similar balance, except for the CoP mediolateral displacement and dispersion (<i>p</i> < .05).</p><p><strong>Conclusion: </strong>Compared to healthy participants, untrained PwPD showed poorer postural control under DTs conditions. This impairment increased with task complexity, ranging from visual distraction to overhead manipulation. Mediolateral CoP movements may serve as an early indicator of balance deterioration in challenging environments.</p>\",\"PeriodicalId\":48699,\"journal\":{\"name\":\"Physiotherapy Theory and Practice\",\"volume\":\" \",\"pages\":\"1-13\"},\"PeriodicalIF\":1.5000,\"publicationDate\":\"2025-10-15\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Physiotherapy Theory and Practice\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1080/09593985.2025.2574388\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"\",\"PubModel\":\"\",\"JCR\":\"Q2\",\"JCRName\":\"REHABILITATION\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Physiotherapy Theory and Practice","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1080/09593985.2025.2574388","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"","PubModel":"","JCR":"Q2","JCRName":"REHABILITATION","Score":null,"Total":0}
Interference of functional dual-tasks on static posturography in people with Parkinson's disease.
Background: Balance impairments lead to daily-life complications in people with Parkinson's disease (PwPD). However, the way the environment interferes with balance is still unknown.
Objective: To analyze the interference of dual-tasks (DTs) on balance in PwPD and compare it with healthy participants.
Methods: Sixty-seven people were evaluated, 42 comprised the Parkinson's disease group (PDG) and 25 were part of the Control group (CG). All followed the balanced HOME assessment trial, performing static posturography under 5 conditions: single-task, visual DT (DTvisual), verbal DT (DTverbal), and two manual tasks, one above 90º of shoulder flexion (DTupper) and the other below (DTlower). Swept area, velocity, displacement, dispersion, and force of the Center of Pressure (CoP) were recorded.
Results: DT interfered with the balance of the PDG in all conditions, while the CG was affected mainly in manual tasks. In the PDG, the swept area had the highest interference, reaching 218.84 mm2 in the DTupper condition, meaning 255.34% more swept area than in the single-task condition. However, CoP velocity was the most sensitive parameter to secondary tasks, being perturbed in all dual conditions tested, and the only outcome that increased (19.49%) during the DTvisual (p < .05). In DTverbal condition the groups maintained similar balance, except for the CoP mediolateral displacement and dispersion (p < .05).
Conclusion: Compared to healthy participants, untrained PwPD showed poorer postural control under DTs conditions. This impairment increased with task complexity, ranging from visual distraction to overhead manipulation. Mediolateral CoP movements may serve as an early indicator of balance deterioration in challenging environments.
期刊介绍：
The aim of Physiotherapy Theory and Practice is to provide an international, peer-reviewed forum for the publication, dissemination, and discussion of recent developments and current research in physiotherapy/physical therapy. The journal accepts original quantitative and qualitative research reports, theoretical papers, systematic literature reviews, clinical case reports, and technical clinical notes. Physiotherapy Theory and Practice; promotes post-basic education through reports, reviews, and updates on all aspects of physiotherapy and specialties relating to clinical physiotherapy.
求助内容：
应助结果提醒方式：
京公网安备 11010802042870号
