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Obstacle Avoidance Increases Asymmetry of Crossing Step in Individuals With Parkinson's Disease and Neurologically Healthy Individuals |
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| Authors: | Fabio Augusto Barbieri Lucas Simieli Diego Orcioli-Silva André Macari Baptista Mayara Borkowske Pestana Victor Spiandor Beretta |
| Affiliation: | 1. Human Movement Research Laboratory (MOVI-LAB), Faculty of Science, Department of Physical Education, Universidade Estadual Paulista–UNESP, Bauru, Brazil;2. Posture and Gait Studies Laboratory (LEPLO), Bioscience Institute, Department of Physical Education, Universidade Estadual Paulista–UNESP, Rio Claro, Brazil;3. Posture and Gait Studies Laboratory (LEPLO), Bioscience Institute, Department of Physical Education, Universidade Estadual Paulista–UNESP, Rio Claro, Brazil |
| Abstract: | The authors' aim was to investigate gait asymmetry of crossing step during obstacle avoidance while walking in people with Parkinson's disease (PD) under and without the effects of dopaminergic medication. Thirteen individuals with PD and 13 neurologically healthy individuals performed 5 trials of unobstructed gait and 10 trials of obstacle crossing during gait (5 trials with each leg) and spatiotemporal parameters were analyzed. Obstacle crossing increased step duration of the crossing step for the most-affected or nondominant limb compared to the crossing step with the least-affected or dominant limb. Individuals with PD without the effects of medication increased step duration for the step with the least-affected limb compared to the step with the most-affected limb during obstacle crossing. |
| Keywords: | asymmetry dopaminergic medication gait obstacle avoidance |