scholarly journals Fine motor skills in patients with Parkinsons disease: effect of auditory cueing

2021 ◽  
Vol 6 (9) ◽  
pp. 04-12
Author(s):  
Anchal Sandillya ◽  
Deepti Sharma ◽  
Praveen Gupta
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Skills ◽  
Hand Function ◽  
Fine Motor ◽  
Dominant Hand ◽  
Fine Motor Skills ◽  
Parkinsons Disease ◽  
Function Test ◽  
Auditory Cueing

Background and purpose - Parkinson’s disease with cardinal feature of bradykinesia is a movement disorder. The effect of cueing in disorders like parkinsons patients ,stroke, spinal cord injury for improving motor skills and gait and lower limb functions have long been investigated by the Researchers, but there are dearth of studies evaluating the effect of cueing on fine motor skills in patients with parkinson’s disease. Hence this study tries to investigate the effect of auditory cueing on fine motor skills in Parkinson’s disease. Methodology - 25 diagnosed Parkinson’s patients having primary level of education, with mean age 72±5 yrs in Hoehn and Yahr stages 1 to 3 of disease and MMSE score above 24 were included in the study. Two groups were formed; one group performing activities with auditory cueing and other group performing activities without auditory cueing. Scores were calculated using Jebsen Taylor Hand Function Test. Results - Mean values of pre and post intervention timings on Jebsen Taylor Hand Function Test were calculated. Group with auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation (58.51±2.69) seconds in dominant hand and (54.59±2.43) seconds in non-dominant hand, whereas, Group without auditory cueing showed improvement in total sores of subtests of Jebsen Taylor Hand Function Test with mean and standard deviation of (13.39±2.07) seconds in dominant hand and (13.52±1.96) seconds in non-dominant hand. Conclusion- Auditory cueing is proved to be an effective method in improving fine motor skills in patients with Parkinsons disease.

scholarly journals Effect of Intranasal Administration of Dopamine on Odor Perception in Rats with Nigrostriatal Dysfunction

2021 ◽  
Vol 6 (3) ◽  
pp. 333-339
Author(s):  
N. O. Levicheva ◽  
◽  
O. G. Berchenko ◽  
Y. Y. Ilina ◽  
◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Skills ◽  
Intranasal Administration ◽  
Olfactory Dysfunction ◽  
Fine Motor ◽  
Fine Motor Skills ◽  
Olfactory Sensitivity ◽  
Small Doses ◽  
The Brain

In recent years, there has been a growing interest in finding early predictors of Parkinson’s disease. In this regard, it is worth noting the olfactory dysfunction, which is associated with the death of neurons in the structures of the limbic system of the brain and a decrease in dopamine levels in the striatum. It was found that most patients with Parkinson’s disease have a clear olfactory dysfunction in the form of impaired differentiation and identification of odors. It has been suggested that the use of low doses of dopamine in the early stages of Parkinson’s disease will stop the progression of central nervous system disorders. The purpose of the study was to investigate the effect of intranasal administration of small doses of dopamine on the early manifestations of fine motor skills and olfactory sensory system function in nigrostriatal dysfunction in rats. Materials and methods. The experiments were performed on 2 groups of animals (n=14) with nigrostriatal dysfunction, which was modulated by partial bilateral electrical damage to the compact part of the substantia nigra. Stereotactic coordinates of the substantia nigra area were determined from the brain maps of rats by Fifkova and Marshall (quoted by Buresh), which corresponded to the distance from the point of intersection of the sagittal suture with bregma: F=5.5 mm, L=1.7 mm, H=9.0 mm. Rats of the first group (n=8) were intranasally administered with small doses of dopamine, and rats of the second group (n=6) were a comparison group. The fine motor skills of the forelimbs and the functional state of the olfactory system were studied when rats were presented with different odorants: emotionally positive (isovaleric acid) and emotionally negative (lemon essential oil) odorants. Results and discussion. The dynamics of the development of nigrostriatal dysfunction revealed a decrease in coordinated motor activity of the forelimbs, muscles of the oral pole and tongue and increased olfactory sensitivity to emotionally negative odorant (lemon essential oil) and loss of 40% of animals’ olfactory sensitivity to emotionally positive isovaleric odor. Conclusion. Prolonged intranasal administration of low doses of dopamine for 10 days to rats with nigrostriatal dysfunction resulted in a 26.2% increase in the activity of fine motor skills of the forelimbs, oral poles and tongue. In these rats, recovery of olfactory sensitivity to the perception of the smell of emotionally negative odorant was found. The action of the emotionally positive stimulus of isovaleric acid revealed an increase in olfactory sensitivity in 75% of animals to the level of baseline values and a decrease in the threshold of sensitivity to it, which was reflected in an increase in the number of approaches and time of odorant research

scholarly journals Touchscreen typing-pattern analysis for detecting fine motor skills decline in early-stage Parkinson’s disease

2018 ◽  
Vol 8 (1) ◽  
Author(s):  
Dimitrios Iakovakis ◽  
Stelios Hadjidimitriou ◽  
Vasileios Charisis ◽  
Sevasti Bostantzopoulou ◽  
Zoe Katsarou ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Motor Skills ◽  
Pattern Analysis ◽  
Early Stage ◽  
Fine Motor ◽  
Fine Motor Skills

Experimental Evaluation of Shared Control for Rehabilitation of Fine Motor Skills

2009 ◽  
Vol 9 (1) ◽  
Author(s):  
Govindarajan Srimathveeravalli ◽  
Venkatraghavan Gourishankar ◽  
Amrish Kumar ◽  
Thenkurussi Kesavadas
Keyword(s):  
Motor Skills ◽  
Shared Control ◽  
Fine Motor ◽  
Dominant Hand ◽  
Fine Motor Skills ◽  
Virtual Fixtures ◽  
Control Goal ◽  
Integration Test ◽  
Visual Motor ◽  
Complex Trajectories

We present the experimental results contrasting virtual fixtures (VFs) with a new shared control (SC) technique for rehabilitation of fine motor skills. The SC assistance algorithm used haptic attributes as the control goal. VF provided assistance based on trajectory. Shapes were chosen from the Visual Motor Integration test book and were used to train candidate’s nondominant hand, using samples recorded from their dominant hand. The results were analyzed using time, trajectory, forces, shape of trajectory, and haptic profiles as metrics. The results indicate that performance of VF and SC were comparable for simple trajectories and SC performed better for complex trajectories.

scholarly journals FPL tendon thickness, tremor and hand functions in Parkinson’s disease

Open Medicine ◽  
2016 ◽  
Vol 11 (1) ◽  
pp. 16-20 ◽  
Author(s):  
Hasan Toktas ◽  
Umit Dundar ◽  
Özge Yilmaz Kusbeci ◽  
Alper Murat Ulasli ◽  
Ozgur Toy ◽  
...  
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Functional Performance ◽  
Hand Function ◽  
Hand Functions ◽  
Hand Grip ◽  
Function Test ◽  
Tendon Thickness ◽  
The Relationship ◽  
Nine Hole Peg Test

AbstractIntroductionIn Parkinson’s disease (PD), a resting tremor of the thumb may affect the flexor pollicis longus (FPL) and influence hand functions. We investigated the relationship between FPL tendon thickness and hand function in PD patients and compared these characteristics with those in healthy controls.MethodsThe hand grip and pinch strengths were measured. The participants completed the Duruöz hand index, the Sollerman’s hand function test, and the Nine Hole Peg Test. The thickness of the FPL tendon was measured using ultrasonographyResultsThe FPL tendon was thicker in PD patients but was not associated with tremor severity. In PD patients, despite functional performance of the hands are impaired and grip strength is decreased, pinch strengths are preserved. FPL thickness was not correlated with grip and pinch strengths.ConclusionThe thicker FPL tendon may be associated with greater pinch and grip strengths and manual dexterity in healthy individuals. The presence of tremor is associated with a thicker FPL tendon.

scholarly journals Hubungan physical activity dengan fine motor skills pada anak usia 4 tahun

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Nur Indri Rahayu ◽  
Aini Dewi Monica ◽  
Jajat Jajat ◽  
Kuston Sultoni
Keyword(s):  
Physical Activity ◽  
Motor Skills ◽  
Fine Motor ◽  
Dominant Hand ◽  
Fine Motor Skills ◽  
Spearman Correlation ◽  
Correlation Test ◽  
Purposive Sampling ◽  
Spearman Correlation Test ◽  
The Relationship

Tujuan penelitian ini adalah menguji hubungan antara physical activity dengan fine motor skills pada anak usia 4 tahun. Metode yang digunakan adalah metode penelitian kuantitatif dengan pendekatan korelasional. Populasi dalam penelitian ini yaitu anak usia 4 tahun yang sedang menempuh pendidikan anak usia dini di PAUD, TK, dan KB di Kota Bandung. Jumlah sampel sebanyak 53 anak dengan teknik pengambilan sampel menggunakan purposive sampling. Instrumen yang digunakan berupa Accelerometer Actigraph dan 9-Hole Peg Test. Accelerometer Actigraph digunakan untuk mengukur tingkat physical activity atau aktivitas fisik dengan hasil yang menunjukan bahwa anak – anak paling banyak menghabiskan waktu di skor light daripada sedentary, moderate-to-vigorous dan vigorous. 9-Hole Peg Test digunakan untuk mengukur tingkat kemampuan motorik halus atau fine motor skills anak dengan hasil menunjukan bahwa anak lebih terampil dalam menggunakan tangan yang dominan. Data kemudian dianalisis dengan menggunakan Spearman Correlation Test. Hasil analisis data menunjukan tidak terdapat korelasi antara physical activity dengan fine motor skills baik pada tangan dominan (p=0,678>0,05) maupun dengan tangan non dominan (p=0,167>0,05) yang berarti tidak terdapat hubungan yang signifikan antara physical activity dengan fine motor skills pada anak usia 4 tahun. The relationship between physical activity and fine motor skills in 4-year-old children Abstract:The purpose of this study was to examine the relationship between physical activity and fine motor skills in 4-year-old children. The method used is a quantitative research method with the correlation research approach. The population in this study were 4-year-old children who were taking early education in PAUD, TK, and KB in Bandung City. A total of 53 4-year-old children participated in this study by using a purposive sampling technique. The instrumen used were Accelerometer Actograph and 9-Hole Peg Test. The accelerometer actigraph is used to measure the level of physical activity and the results show that children spend the most time on the light score rather than sedentary, moderate-to-vigorous and vigorous score. 9-Hole Peg Test is used to measure the level of fine motor skills of children and the results showing that children are more skilled in using the dominant hand. Data were analyzed using the Spearman Correlation Test. The results of data analysis showed there is no correlation between physical activity and fine motor skills both in dominant hand (p=0.678>0,05) and with the non-dominant hand (p=0,167>0,05) which meant there are no significant relationship between physical activity and fine motor skills in 4-year-old children.

scholarly journals Short-Term Outcomes of Deep Brain Stimulation of the Subthalamic Nucleus in Patients with Parkinson’s Disease - Pilot Study

2018 ◽  
Vol 2 (4) ◽  
pp. 9-14
Author(s):  
Esra Dogru Huzmeli ◽  
Atilla Yilmaz ◽  
Bircan Yucekaya ◽  
Deran Oskay ◽  
Esra Okuyucu
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Deep Brain Stimulation ◽  
Motor Skills ◽  
Daily Living ◽  
Fine Motor ◽  
Short Term ◽  
Significant Difference ◽  
Falling Risk ◽  
Deep Brain

Background: Deep brain stimulation (DBS) of the subthalamic nucleus (STN) provides efficient treatment for the alleviation of motor signs in patients with Parkinson's disease (PD), but more studies about gait and functionality are needed. We aimed to understand whether short-term DBS treatment will can relieve the symptoms of PD patients, specifically we examined its effect on motor-cognitive-complication parameters, fine motor skills and daily living activity (DLA) of these patients. Method: Ten patients from Mustafa Kemal University Neurosurgery Department were recruited. The assessments were made twice, first time preoperatively, which was within one week prior to the surgery, second time postoperatively, which was 55-65 days post treatment. The motor scores, DLA scores, mental scores and complication scores were measured with Unified Parkinson's Disease Rating Scale (UPDRS), fine motor skills measured with The nine-hole peg test (9-HPT), balance measured with Berg Balance Scale (BBS) and falling risk measured with Timed Up and Go Test (TUG). Results: 10 patients (5 female, 5 male) aged between 40-60 (mean=49.44±6.69 years) were included in the study. Duration of the disease’s mean was 5.60 years. We found significant difference between pre-op and post-op results in UPDRS DLA, UPDRS motor, UPDRS complication, UPDRS total score and TUG tests (Table 2). There was no significant difference between preop-postop assessment in UPDRS mental, BBS and 9-HPT results (p>0.05). Discussion: Balance, walk and fine motor impairment occurs almost always in Parkinson’s disease and resulting in difficulties with daily living activities. We found that DBS has positive effect on PD complications, balance and walking abilities. PD patients that have falling risk and multiple motor symptoms may have benefit from DBS.

scholarly journals Gender and hand dominance on fine motor skills among Grade 1–7 learners with attention-deficit hyperactivity disorder

2019 ◽  
Vol 50 (1) ◽  
pp. 92-102
Author(s):  
Refilwe Gloria Pila-Nemutandani ◽  
Basil Joseph Pillay ◽  
Anneke Meyer
Keyword(s):  
Attention Deficit Hyperactivity Disorder ◽  
Motor Skills ◽  
Attention Deficit ◽  
Finger Tapping ◽  
Fine Motor ◽  
Dominant Hand ◽  
Hand Dominance ◽  
Fine Motor Skills ◽  
Motor Speed ◽  
Hyperactivity Disorder

Children diagnosed with attention-deficit/hyperactivity disorder encounter difficulties in many activities in their daily lives that require motor coordination skills. The aim of this study was to establish whether children with attention-deficit/hyperactivity disorder have deficits in fine motor skills. Eighty male and female learners diagnosed with attention-deficit/hyperactivity disorder matched with 80 non-attention-deficit/hyperactivity disorder from the North West and Limpopo provinces (South Africa), aged 7–13  years, participated in the study. All participants completed the grooved pegboard test, the maze coordination task, and the finger tapping test. These instruments measure various functions of motor speed and eye–hand coordination. The findings reveal that children with attention-deficit/hyperactivity disorder performed significantly poorer than the control group with regard to the grooved pegboard and maze coordination tasks, but not with the finger tapping task. There were no gender differences in all the tests. Performance on the maze coordination task with the non-dominant hand was poorer for the attention-deficit/hyperactivity disorder group with regard to the time taken to complete the task. However, no hand dominance differences were found on the grooved pegboard and finger tapping tests. The study revealed a relationship between attention-deficit/hyperactivity disorder symptomatology and motor problems with regard to complex tasks of accuracy, but not on a simple task of motor speed. It is, therefore, recommended that since children with attention-deficit/hyperactivity disorder show motor deficiencies, motor skill training should be considered as part of the intervention, as these skills are needed for many daily activities and academic competencies.

Use of Jebsen Taylor Hand Function Test in evaluating the hand dexterity in people with Parkinson's disease

2015 ◽  
Vol 28 (4) ◽  
pp. 389-395 ◽  
Author(s):  
M.K.Y. Mak ◽  
E.T.L. Lau ◽  
V.W.K. Tam ◽  
C.W.Y. Woo ◽  
S.K.Y. Yuen
Keyword(s):  
Parkinson’S Disease ◽  
Parkinson's Disease ◽  
Hand Function ◽  
Hand Dexterity ◽  
Function Test
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