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Force Variability during Dexterous Manipulation in Individuals with Mild to Moderate Parkinson’s Disease

Overview of attention for article published in Frontiers in Aging Neuroscience, August 2015
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Title
Force Variability during Dexterous Manipulation in Individuals with Mild to Moderate Parkinson’s Disease
Published in
Frontiers in Aging Neuroscience, August 2015
DOI 10.3389/fnagi.2015.00151
Pubmed ID
Authors

Na-hyeon Ko, Christopher M. Laine, Beth E. Fisher, Francisco J. Valero-Cuevas

Abstract

Parkinson's disease (PD) is a progressive neurodegenerative disease affecting about 1-2% of the population over the age of 65. Individuals with PD experience gradual deterioration of dexterous manipulation for activities of daily living; however, current clinical evaluations are mostly subjective and do not quantify changes in dynamic control of fingertip force that is critical for manual dexterity. Thus, there is a need to develop clinical measures to quantify those changes with aging and disease progression. We investigated the dynamic control of fingertip forces in both hands of 20 individuals with PD (69.0 ± 7.4 years) using the Strength-Dexterity test. The test requires low forces (<3 N) to compress a compliant and slender spring prone to buckling. A maximal level of sustained compression is informative of the greatest instability the person can control, and thus is indicative of the integrity of the neuromuscular system for dexterous manipulation. Miniature sensors recorded fingertip force (F) during maximal sustained compressions. The force variability during sustained compression was quantified in two frequency bands: low (<4 Hz, F_LF) and high (4-12 Hz, F_HF). F_LF characterizes variability in voluntary fluctuations, while F_HF characterizes variability in involuntary fluctuations including tremor. The more-affected hand exhibited significantly lower F and lower F_LF than those in the less-affected hand. The more-affected hand showed significant negative correlations between F_LF and the Unified Parkinson's Disease Rating Scale motor scores for both total and hand-only, suggesting that greater force variability in the voluntary range was associated with less clinical motor impairment. We conclude the nature of force variability in the voluntary range during this dynamic and dexterous task may be a biomarker of greater motor capability/flexibility/adaptability in PD. This approach may provide a more quantitative clinical assessment of changes of sensorimotor control in individuals with PD.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 69 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
United States 1 1%
Germany 1 1%
Unknown 67 97%

Demographic breakdown

Readers by professional status Count As %
Student > Ph. D. Student 21 30%
Student > Master 7 10%
Student > Doctoral Student 5 7%
Researcher 5 7%
Student > Bachelor 5 7%
Other 9 13%
Unknown 17 25%
Readers by discipline Count As %
Medicine and Dentistry 16 23%
Engineering 8 12%
Neuroscience 8 12%
Psychology 8 12%
Nursing and Health Professions 5 7%
Other 8 12%
Unknown 16 23%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 10 August 2015.
All research outputs
#20,286,650
of 22,821,814 outputs
Outputs from Frontiers in Aging Neuroscience
#4,286
of 4,775 outputs
Outputs of similar age
#221,430
of 264,288 outputs
Outputs of similar age from Frontiers in Aging Neuroscience
#48
of 56 outputs
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