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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...

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Autores principales: Taniguchi, Seira, Peper, Ferdinand, Shimokawa, Tetsuya
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Society of Physical Therapy Science 2018
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.
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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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