Meg E. Morris

Skilled Hand Dexterity in Parkinson's Disease: Effects of Adding a Concurrent Task

OBJECTIVE To compare the performance of people with Parkinsons disease (PD) and unimpaired participants on a timed dexterity task and to examine the effects of adding a secondary task. DESIGN A repeated measures analysis of performance for the 2 groups under unitask and dual-task conditions. SETTING All tests were conducted in a human movement laboratory. PARTICIPANTS People with idiopathic PD (n=22) and age-matched and sex-matched comparisons (n=22) volunteered for the study. INTERVENTIONS Not applicable, although a verbal-cognitive secondary task was used. MAIN OUTCOME MEASURES The number of pegs placed in the Purdue Pegboard in 30 seconds, the number of correct verbal responses for the secondary task, scores on the Manual Ability Measure-16 test of hand function and, for the group with PD, ratings on the Unified Parkinsons Disease Rating Scale. RESULTS For the pegboard task, people with PD had reduced dexterity (t=-5.289; P<.001) compared with the unimpaired group. When the secondary task was added, both groups placed fewer pegs (F(1,42)=.652; P=.42). There were no differences between groups in scores for the subtraction task performed alone, but when this activity was carried out with the Purdue Pegboard Test, the number of correct responses declined only in the PD group (F(1,42)=4.90; P=.032). CONCLUSIONS Manual dexterity was compromised in this group of people with mild-moderate PD when compared with an unimpaired group. When the concurrent verbal-cognitive task was added, dual-task interference occurred in both groups but to a greater extent in people with PD.

Measuring quality of life in Parkinson’s disease : selection of-an-appropriate health-related quality of life instrument.

There is growing awareness of the need to measure quality of life (QOL) in people with Parkinsons disease during routine physiotherapy assessment. This paper highlights why it is important for clinicians to focus particularly on health-related QOL (HRQOL) when assessing people with this disabling and progressive neurological condition, and provides a guide for selection of the most appropriate instruments for measuring HRQOL. Using measures of health utility, health status and wellbeing, physiotherapists can better understand the social, physical and emotional consequences of Parkinsons disease.

Underwater gait analysis in Parkinson's disease

Although hydrotherapy is one of the physical therapies adopted to optimize gait rehabilitation in people with Parkinson disease, the quantitative measurement of gait-related outcomes has not been provided yet. This work aims to document the gait improvements in a group of parkinsonians after a hydrotherapy program through 2D and 3D underwater and on land gait analysis. Thirty-four parkinsonians and twenty-two controls were enrolled, divided into two different cohorts. In the first one, 2 groups of patients underwent underwater or land based walking training; controls underwent underwater walking training. Hence pre-treatment 2D underwater and on land gait analysis were performed, together with post-treatment on land gait analysis. Considering that current literature documented a reduced movement amplitude in parkinsonians across all lower limb joints in all movement planes, 3D underwater and on land gait analysis were performed on a second cohort of subjects (10 parkinsonians and 10 controls) who underwent underwater gait training. Baseline land 2D and 3D gait analysis in parkinsonians showed shorter stride length and slower speed than controls, in agreement with previous findings. Comparison between underwater and on land gait analysis showed reduction in stride length, cadence and speed on both parkinsonians and controls. Although patients who underwent underwater treatment exhibited significant changes on spatiotemporal parameters and sagittal plane lower limb kinematics, 3D gait analysis documented a significant (p<0.05) improvement in all movement planes. These data deserve attention for research directions promoting the optimal recovery and maintenance of walking ability.

Rehabilitation in Movement Disorders: Index

Preface Part I. Background Concepts: 1. Functional neuroanatomy and physiology in movement disorders Nicola Pavese and David J. Brooks 2. Pathophysiology of basal ganglia disorders: neurophysiological investigations Alfredo Berardelli and Antonio Suppa Part II. Intervention Options: 3. Medical management of movement disorders Louis C. S. Tan and Kulthida Methawasin 4. Functional neurosurgery of movement disorders Travis S. Tierney and Andres M. Lozano 5. Peripheral surgical and movement modification therapies for movement disorders Barry Rawicki Part III. Roles of the Multidisciplinary Team: 6. The role of physiotherapy in the rehabilitation of people with movement disorders Lynn Rochester, Sue Lord and Meg E. Morris 7. The role of occupational therapy in the rehabilitation of people with movement disorders Ana Aragon, Jill Kings and Diane Playford 8. The role of nursing in the rehabilitation of people with movement disorders Allison F. Williams, Siok Bee Tan and Victor McConvey 9. The role of neuropsychology in the rehabilitation of people with movement disorders Georg Dirnberger and Marjan Jahanshahi 10. The role of the speech pathologist in the rehabilitation of people with movement disorders Deborah Theodoros 11. The role of social work in the rehabilitation of people with movement disorders Ralph Hampson and Lynette Joubert Part IV. Rehabilitation of Specific Conditions: 12. Rehabilitation principles in chronic neurological conditions in adults and children John Olver, Gavin Williams, Brooke Adaire and Meg Morris 13. Rehabilitation of Parkinsons disease Robert Iansek and Meg E. Morris 14. Rehabilitation of Parkinsonian syndromes David R. Williams 15. Rehabilitation of Huntingtons disease Belinda Bilney and Alan Pearce 16. Rehabilitation of dystonia Daniele Volpe and Giovanni Abbruzzese 17. Rehabilitation of Friedreich ataxia Sarah Milne, Emma Campagna, Martin B. Delatycki and Louise A. Corben 18. Rehabilitation of cerebral palsy Pam Thomason and H. Kerr Graham 19. Rehabilitation of developmental disorders and motor dysfunction Nicole Rinehart, Rachael MacDonald, Chloe Stanley-Cary and Jennifer L. McGinley Part V. Measurement of Therapy Outcomes: 20. Selection of clinical outcome measures in rehabilitation of people with movement disorders: theory and practice Jennifer L. McGinley and Mary Danoudis Index.

Rehabilitation in Movement Disorders: Contents

Preface Part I. Background Concepts: 1. Functional neuroanatomy and physiology in movement disorders Nicola Pavese and David J. Brooks 2. Pathophysiology of basal ganglia disorders: neurophysiological investigations Alfredo Berardelli and Antonio Suppa Part II. Intervention Options: 3. Medical management of movement disorders Louis C. S. Tan and Kulthida Methawasin 4. Functional neurosurgery of movement disorders Travis S. Tierney and Andres M. Lozano 5. Peripheral surgical and movement modification therapies for movement disorders Barry Rawicki Part III. Roles of the Multidisciplinary Team: 6. The role of physiotherapy in the rehabilitation of people with movement disorders Lynn Rochester, Sue Lord and Meg E. Morris 7. The role of occupational therapy in the rehabilitation of people with movement disorders Ana Aragon, Jill Kings and Diane Playford 8. The role of nursing in the rehabilitation of people with movement disorders Allison F. Williams, Siok Bee Tan and Victor McConvey 9. The role of neuropsychology in the rehabilitation of people with movement disorders Georg Dirnberger and Marjan Jahanshahi 10. The role of the speech pathologist in the rehabilitation of people with movement disorders Deborah Theodoros 11. The role of social work in the rehabilitation of people with movement disorders Ralph Hampson and Lynette Joubert Part IV. Rehabilitation of Specific Conditions: 12. Rehabilitation principles in chronic neurological conditions in adults and children John Olver, Gavin Williams, Brooke Adaire and Meg Morris 13. Rehabilitation of Parkinsons disease Robert Iansek and Meg E. Morris 14. Rehabilitation of Parkinsonian syndromes David R. Williams 15. Rehabilitation of Huntingtons disease Belinda Bilney and Alan Pearce 16. Rehabilitation of dystonia Daniele Volpe and Giovanni Abbruzzese 17. Rehabilitation of Friedreich ataxia Sarah Milne, Emma Campagna, Martin B. Delatycki and Louise A. Corben 18. Rehabilitation of cerebral palsy Pam Thomason and H. Kerr Graham 19. Rehabilitation of developmental disorders and motor dysfunction Nicole Rinehart, Rachael MacDonald, Chloe Stanley-Cary and Jennifer L. McGinley Part V. Measurement of Therapy Outcomes: 20. Selection of clinical outcome measures in rehabilitation of people with movement disorders: theory and practice Jennifer L. McGinley and Mary Danoudis Index.

Rehabilitation in Movement Disorders: List of contributors

Preface Part I. Background Concepts: 1. Functional neuroanatomy and physiology in movement disorders Nicola Pavese and David J. Brooks 2. Pathophysiology of basal ganglia disorders: neurophysiological investigations Alfredo Berardelli and Antonio Suppa Part II. Intervention Options: 3. Medical management of movement disorders Louis C. S. Tan and Kulthida Methawasin 4. Functional neurosurgery of movement disorders Travis S. Tierney and Andres M. Lozano 5. Peripheral surgical and movement modification therapies for movement disorders Barry Rawicki Part III. Roles of the Multidisciplinary Team: 6. The role of physiotherapy in the rehabilitation of people with movement disorders Lynn Rochester, Sue Lord and Meg E. Morris 7. The role of occupational therapy in the rehabilitation of people with movement disorders Ana Aragon, Jill Kings and Diane Playford 8. The role of nursing in the rehabilitation of people with movement disorders Allison F. Williams, Siok Bee Tan and Victor McConvey 9. The role of neuropsychology in the rehabilitation of people with movement disorders Georg Dirnberger and Marjan Jahanshahi 10. The role of the speech pathologist in the rehabilitation of people with movement disorders Deborah Theodoros 11. The role of social work in the rehabilitation of people with movement disorders Ralph Hampson and Lynette Joubert Part IV. Rehabilitation of Specific Conditions: 12. Rehabilitation principles in chronic neurological conditions in adults and children John Olver, Gavin Williams, Brooke Adaire and Meg Morris 13. Rehabilitation of Parkinsons disease Robert Iansek and Meg E. Morris 14. Rehabilitation of Parkinsonian syndromes David R. Williams 15. Rehabilitation of Huntingtons disease Belinda Bilney and Alan Pearce 16. Rehabilitation of dystonia Daniele Volpe and Giovanni Abbruzzese 17. Rehabilitation of Friedreich ataxia Sarah Milne, Emma Campagna, Martin B. Delatycki and Louise A. Corben 18. Rehabilitation of cerebral palsy Pam Thomason and H. Kerr Graham 19. Rehabilitation of developmental disorders and motor dysfunction Nicole Rinehart, Rachael MacDonald, Chloe Stanley-Cary and Jennifer L. McGinley Part V. Measurement of Therapy Outcomes: 20. Selection of clinical outcome measures in rehabilitation of people with movement disorders: theory and practice Jennifer L. McGinley and Mary Danoudis Index.

Rehabilitation in Movement Disorders: Frontmatter

Preface Part I. Background Concepts: 1. Functional neuroanatomy and physiology in movement disorders Nicola Pavese and David J. Brooks 2. Pathophysiology of basal ganglia disorders: neurophysiological investigations Alfredo Berardelli and Antonio Suppa Part II. Intervention Options: 3. Medical management of movement disorders Louis C. S. Tan and Kulthida Methawasin 4. Functional neurosurgery of movement disorders Travis S. Tierney and Andres M. Lozano 5. Peripheral surgical and movement modification therapies for movement disorders Barry Rawicki Part III. Roles of the Multidisciplinary Team: 6. The role of physiotherapy in the rehabilitation of people with movement disorders Lynn Rochester, Sue Lord and Meg E. Morris 7. The role of occupational therapy in the rehabilitation of people with movement disorders Ana Aragon, Jill Kings and Diane Playford 8. The role of nursing in the rehabilitation of people with movement disorders Allison F. Williams, Siok Bee Tan and Victor McConvey 9. The role of neuropsychology in the rehabilitation of people with movement disorders Georg Dirnberger and Marjan Jahanshahi 10. The role of the speech pathologist in the rehabilitation of people with movement disorders Deborah Theodoros 11. The role of social work in the rehabilitation of people with movement disorders Ralph Hampson and Lynette Joubert Part IV. Rehabilitation of Specific Conditions: 12. Rehabilitation principles in chronic neurological conditions in adults and children John Olver, Gavin Williams, Brooke Adaire and Meg Morris 13. Rehabilitation of Parkinsons disease Robert Iansek and Meg E. Morris 14. Rehabilitation of Parkinsonian syndromes David R. Williams 15. Rehabilitation of Huntingtons disease Belinda Bilney and Alan Pearce 16. Rehabilitation of dystonia Daniele Volpe and Giovanni Abbruzzese 17. Rehabilitation of Friedreich ataxia Sarah Milne, Emma Campagna, Martin B. Delatycki and Louise A. Corben 18. Rehabilitation of cerebral palsy Pam Thomason and H. Kerr Graham 19. Rehabilitation of developmental disorders and motor dysfunction Nicole Rinehart, Rachael MacDonald, Chloe Stanley-Cary and Jennifer L. McGinley Part V. Measurement of Therapy Outcomes: 20. Selection of clinical outcome measures in rehabilitation of people with movement disorders: theory and practice Jennifer L. McGinley and Mary Danoudis Index.