바로가기메뉴

본문 바로가기 주메뉴 바로가기

logo

ISSN : 1226-9654

Article Contents

Prev Next
e-Submission

Vol.28 No.1
Citation Share

The effect of eye movements on the postural control of patients with Parkinson’s disease

The Korean Journal of Cognitive and Biological Psychology / The Korean Journal of Cognitive and Biological Psychology, (P)1226-9654; (E)2733-466X
2016, v.28 no.1, pp.123-142
https://doi.org/10.22172/cogbio.2016.28.1.006



& (2016). The effect of eye movements on the postural control of patients with Parkinson’s disease. The Korean Journal of Cognitive and Biological Psychology, 28(1), 123-142, https://doi.org/10.22172/cogbio.2016.28.1.006
  • Downloaded
  • Viewed
PDF Download

Abstract

The present study compared the effect of eye movements on postural control in 13 Parkinson’s disease (PD) patients (Hoehn-Yahr stage 2-3) and 13 age-matched healthy adults. Participants viewed, from a distance of 1 m, a computer display of an oscillating object that continuously changed shape and reported the number of times the shape changed over each 60 s trial. Four oscillation rates (0, 0.5, 0.8, and 1.2Hz) were presented. Postural sway data (mean position, standard deviation, and range of the excursions in the anterior-posterior and medio-lateral directions) were obtained using a wireless motion tracking system via sensors attached to each participant’s head, neck, and cervical spine. The effect of eye movement frequency on postural sway was minimal in the healthy adults, consistent with the view that postural control and suprapostural task (eye movement control) are functionally integrated to facilitate the performance of suprapostural control tasks. By contrast, PD patients’ showed greater and more variable postural sway, particularly in the anterior-posterior direction. It appears that PD patients’ impaired postural control systems are no longer integrated functionally with their eye movement control. This result suggests an additional factor to consider in PD patients who are susceptible to falls due to postural instability.

keywords
파킨슨병, 초자세과제, 자세 유지, 이중과제간섭, 안구운동, Parkinson's disease, Suprapostural task, postural control, dual task interference, eye movements

Reference

1.

김정수 (2012, 5월 11일). 오늘은 파킨슨병의 날. 대구신문. http://www.idaegu.co.kr에서 검색.

2.

백종원, 강석윤, 김미애, 손영호 (2008). 선택적 척추주위군 위축으로 인한 배굴증. 대한신경과학회지, 26, 162-164.

3.

이근호 (2006). 파킨슨병의 자세 불안정과 약물의 영향: 자세측정기 검사를 이용한 연구. Journal of the Korean Neurological Association, 24, 328-336.

4.

송인욱, 임성철, 김중석, 이상봉, 류선영, 김영인, 이광수 (2008). 도파민 치료로 호전된 파킨슨병 환자의 pisa증후군. 대한신경과학회지, 26, 404-406.

5.

정해관 (2007). 파킨슨병 유병률 및 실태조사. 질병관리본부 국립보건연구원 희귀난치성질환센터.

6.

Albin, R. L., Young, A. B., & Penney, J. B. (1989). The functional anatomy of basal ganglia disorders. Trends in Neurosciences, 12, 366-375.

7.

Alexander, G. E., DeLong, M. R., & Strick, P. L. (1986). Parallel organization of functionally segregated circuits linking basal ganglia and cortex. Annual Review of Neuroscience, 9, 357- 381.

8.

Benatru, I., Vaugoyeau, M., & Azulay, J. -P. (2008). Postural disorders in Parkinson's disease. Clinical Neurophysiology, 38, 459-465.

9.

Bloem, B. R., Grimbergen, Y. A., Cramer, M., & Valkenburg, V. V. (2000). “Stops walking when talking” does not predict falls in Parkinson’s disease. Annals of Neurology, 48, 268.

10.

Bloem, B. R., Grimbergen, Y. A. M., van Dijk, J. G., & Munneke, M. (2006). The “posture second” strategy: A review of wrong priorities in Parkinson's disease. Journal of Neurological Sciences, 248, 196-204.

11.

Bloem, B. R., van Vugt, J. P., & Beckley, D. J. (2001). Postural instability and falls in Parkinson's disease. Advances in Neurology, 87, 209-223.

12.

Bronte-Stewart, H. M., Minn, A. Y., Rodgrigues, K., Buckley, E. L., & Nashner, L. M. (2002). Postural instability in idiopathic Parkinson's disease: the role of medication and unilateral pallidotomy. Brain, 125, 2100-2114.

13.

Brown, L. A., de Bruin, N., Doan, J. B., Suchowersky, O., & Hu, B. (2009). Novel challenges to gait in Parkinson’s disease: the effect of concurrent music in single- and dual-task contexts. Archives of Physical Medicine and Rehabilitation, 90, 1578-1583.

14.

Clarke, C. E. (2007). Parkinson's disease. British Medical Journal, 335, 441-445.

15.

Davie, C. A. (2008). A review of Parkinson's disease. British Medical Bulletin, 86, 109-127.

16.

DeLong, M. R., Alexander, G. E., Georgopoulos, A. P., Crutcher, M. D., Mitchell, S. J., & Richardson, R. T. (1984). Role of basal ganglia in limb movements. Human Neurobiology, 2, 235-244.

17.

Gibson, J. J. (1986). The ecological approach to visual perception. Mahwah, NJ: Erlbaum. (Original work published 1979)

18.

Grimbergen, Y., A. M., Langston, J. W., Roos, R. A. C., & Bloem, B. R. (2006). Postural instability in Parkinson's disease: the adrenergic hypothesis and the locus coeruleus. Expert Review of Neurotherapeutics, 9, 279-290.

19.

Holmes, J. D., Jenkins, M. E., Johnson, A. M., Adams, S. G., & Spaulding, S. J. (2010). Dual-task interference: The effects of verbal cognitive tasks on upright postural stability in Parkinson's disease. Parkinson's Disease, 2010, 696462. doi:10.4061/2010/696492.

20.

Horak, F. B., Frank, J., & Nutt, J. G. (1996). Effects of dopamine on postural control in parkinsonian subjects: scaling, set, and tone. Journal of Neurophysiology, 75, 2380-2396.

21.

Kelly, V. E., Eusterbrock, A. J., & Shumway-Cook, A. (2012). A reivew of dual-task walking deficits in people with Parkinson's disease: Motor and cognitive contributions, mechanisms, and clinical implications. Parkinson's Disease, 2012, 918719. doi:10.1155/ 2012/918719.

22.

Jankovic, J. (2008). Parkinson's disease: clinical features and diagnosis. Journal of Neurology, Neurosurgery & Psychiatry, 79, 368-376.

23.

Lee, D. N., & Lishman, J. R. (1975). Visual proprioceptive control of stance. Journal of Human Movement Studies, 1, 87-95.

24.

Lundin-Olsson, L., Nyberg, L., & Gustafson, Y. (1997). “Stops walking when talking” as a predictor of falls in elderly people. Lancet, 349, 617.

25.

Marchese, R., Bove, M., & Abbruzzese, G. (2003). Effect of cognitive and motor tasks on postural stability in Parkinson's disease: a posturographic study. Movement Disorders, 18, 652-658.

26.

Morris, M., Iansek, R., Smithson, F., & Huxham, F. (2000). Postural instability in Parkinson’s disease: A comparison with and without a concurrent task. Gait & Posture, 12, 205-216.

27.

Nantel, J., McDonald, J. C., & Bronte-Stewart, H. (2012). Effect of medication and STN-DBS on postural control in subjects with Parkinson’s disease. Parkinsonism and Related Disorders, 18, 285-289.

28.

Nejc, S., Jernej, R., Loefler, S., & Kern, H. (2010). Sensitivity of body sway parameters during quiet standing to manipulation of support surface size. Journal of Sports Science and Medicine, 9, 431-438.

29.

O'Shea, S., Morris, M. E., & Iansek, R. (2002). Dual task interference during gait in people with Parkinson disease: effects of motor versus cognitive secondary tasks. Physical Therapy, 9, 888-897.

30.

Pashler, H. (1994). Dual-task interference in simple tasks: Data and theory. Psychological Bulletin, 116, 220-244.

31.

Plotnik, M., Giladi, N., & Hausdorff, J. M. (2009). Bilateral coordination of gait and Parkinson's disease: the effects of dual tasking. Journal of Neurology, Neurosurgery and Psychiatry, 80, 347-350.

32.

Saint-Cyr, J. A. (2003). Frontal-striatal circuit functions: Context, sequence, and consequence. Journal of the International Neuropsychological Society, 9, 103-128.

33.

Schrag, A., Jahanshahi, M., & Quinn, N. P. (2001). What contributes to depression in Parkinson’s disease? Psychological Medicine, 31, 65-73.

34.

Smithson, F., Morris, M. E., & Iansek, R. (1998). Performance on clinical tests of balance in Parkinson’s disease. Physical Therapy, 78, 577-592.

35.

Stoffregen, T. A., Bardy, B. G., Bonnet, C. T., Hove, P., & Oullier, O. (2007b). Postural sway and the frequency of horizontal eye movements. Motor Control, 11, 86-102.

36.

Stoffregen, T. A., Bardy, B. G., Bonnet, C. T., & Pagulayan, R. J. (2006). Postural stabilization of visually guided eye movements. Ecological Psychology, 18, 191-222.

37.

Stoffregen, T. A., Hove, P., Bardy, B. G., Riley, M., & Bonnet, C. T. (2007a). Postural stabilization of perceptual but not cognitive performance. Journal of Motor Behavior, 39, 126-138.

38.

Stoffregen, T. A., Pagulayan, R. J., Bardy, B. G., & Hettinger, L. J. (2000). Modulating postural control to facilitate visual performance. Human Movement Science, 19, 203- 220.

39.

Stoffregen, T. A., Smart, L. J., Bardy, B. G., & Pagulayan, R. J. (1999). Postural stabilization of looking. Journal of Experimental Psychology: Human Perception and Performance, 25, 1641- 1658.

40.

Tinetti, M. E., Baker, D. I., McAvay, G., Claus, E. B., Garrett, P., Gottschalk, M., et al. (1994). A multifactorial intervention to reduce the risk of falling among elderly people living in the community. New England Journal of Medicine, 331, 821-827.

41.

Woollacott, M., & Shumway-Cook, A. (2002). Attention and the control of posture and gait: A review of an emerging area of research. Gait & Posture, 16, 1-14.

42.

Wu, T., & Hallett, M. (2009). Dual task interference in Parkinson's disease. US Neurology, 5, 30-33.

The Korean Journal of Cognitive and Biological Psychology

e-Submission OA Policy