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Assessment of leg muscle activity using toe tapping in patients with Parkinson’s disease: comparison of two types of toe tapping
[Purpose] This study investigates two types of toe tapping, i.e., “closed,” with both feet on the floor, and “open,” in which the foot does not touch the ground, and evaluates their usefulness in combination with monitoring of muscle activity during toe tapping. [Subjects and Methods] The study enro...
Autores principales: | , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
The Society of Physical Therapy Science
2018
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940473/ https://www.ncbi.nlm.nih.gov/pubmed/29765181 http://dx.doi.org/10.1589/jpts.30.689 |
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author | Taniguchi, Seira Peper, Ferdinand Shimokawa, Tetsuya |
author_facet | Taniguchi, Seira Peper, Ferdinand Shimokawa, Tetsuya |
author_sort | Taniguchi, Seira |
collection | PubMed |
description | [Purpose] This study investigates two types of toe tapping, i.e., “closed,” with both feet on the floor, and “open,” in which the foot does not touch the ground, and evaluates their usefulness in combination with monitoring of muscle activity during toe tapping. [Subjects and Methods] The study enrolled 11 patients with Parkinson’s disease (PD) and 9 controls (Controls). The tibialis anterior (TA) and gastrocnemius (GS) muscle activity during toe tapping was measured using surface electromyography. [Results] In closed tapping, the minima in GS activation with the first tap was significantly higher in patients with PD than in Controls. In open tapping, the coefficient of variation (CV) of local maxima in TA activation was significantly higher in patients with PD than in Controls. In both types of tapping, the CV of extrema in GS activities increased with disease duration, but this may be due to the long-term administration of Levodopa, which itself tends to cause excessive GS activities. [Conclusion] Closed tapping is suitable for the assessment of GS activity and can detect excessive activities, which is observed as visible movement. Open tapping, on the other hand, is suitable for assessment of TA activity. |
format | Online Article Text |
id | pubmed-5940473 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2018 |
publisher | The Society of Physical Therapy Science |
record_format | MEDLINE/PubMed |
spelling | pubmed-59404732018-05-14 Assessment of leg muscle activity using toe tapping in patients with Parkinson’s disease: comparison of two types of toe tapping Taniguchi, Seira Peper, Ferdinand Shimokawa, Tetsuya J Phys Ther Sci Original Article [Purpose] This study investigates two types of toe tapping, i.e., “closed,” with both feet on the floor, and “open,” in which the foot does not touch the ground, and evaluates their usefulness in combination with monitoring of muscle activity during toe tapping. [Subjects and Methods] The study enrolled 11 patients with Parkinson’s disease (PD) and 9 controls (Controls). The tibialis anterior (TA) and gastrocnemius (GS) muscle activity during toe tapping was measured using surface electromyography. [Results] In closed tapping, the minima in GS activation with the first tap was significantly higher in patients with PD than in Controls. In open tapping, the coefficient of variation (CV) of local maxima in TA activation was significantly higher in patients with PD than in Controls. In both types of tapping, the CV of extrema in GS activities increased with disease duration, but this may be due to the long-term administration of Levodopa, which itself tends to cause excessive GS activities. [Conclusion] Closed tapping is suitable for the assessment of GS activity and can detect excessive activities, which is observed as visible movement. Open tapping, on the other hand, is suitable for assessment of TA activity. The Society of Physical Therapy Science 2018-05-08 2018-05 /pmc/articles/PMC5940473/ /pubmed/29765181 http://dx.doi.org/10.1589/jpts.30.689 Text en 2018©by the Society of Physical Therapy Science. Published by IPEC Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution Non-Commercial No Derivatives (by-nc-nd) License. (CC-BY-NC-ND 4.0: https://creativecommons.org/licenses/by-nc-nd/4.0/) |
spellingShingle | Original Article Taniguchi, Seira Peper, Ferdinand Shimokawa, Tetsuya Assessment of leg muscle activity using toe tapping in patients with Parkinson’s disease: comparison of two types of toe tapping |
title | Assessment of leg muscle activity using toe tapping in patients with
Parkinson’s disease: comparison of two types of toe tapping |
title_full | Assessment of leg muscle activity using toe tapping in patients with
Parkinson’s disease: comparison of two types of toe tapping |
title_fullStr | Assessment of leg muscle activity using toe tapping in patients with
Parkinson’s disease: comparison of two types of toe tapping |
title_full_unstemmed | Assessment of leg muscle activity using toe tapping in patients with
Parkinson’s disease: comparison of two types of toe tapping |
title_short | Assessment of leg muscle activity using toe tapping in patients with
Parkinson’s disease: comparison of two types of toe tapping |
title_sort | assessment of leg muscle activity using toe tapping in patients with
parkinson’s disease: comparison of two types of toe tapping |
topic | Original Article |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5940473/ https://www.ncbi.nlm.nih.gov/pubmed/29765181 http://dx.doi.org/10.1589/jpts.30.689 |
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