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Temporal Enhancement of Motor Control in Parkinson’s Disease patients

Temporal Enhancement of Motor Control in Parkinson’s Disease patients. Marta Bieńkiewicz PhD Student Queen’s University Belfast. T emporal E nhancement of M otor P erformance U sing S ensory G uides. T emporal control of the movement

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Temporal Enhancement of Motor Control in Parkinson’s Disease patients

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  1. Temporal Enhancement of Motor Control in Parkinson’s Disease patients Marta Bieńkiewicz PhD StudentQueen’s University Belfast

  2. Temporal Enhancement of Motor Performance Using Sensory Guides • Temporal control of the movement • Difficulties with timing the movement in Parkinson’s Disease • Using cues to stimulate perception action coupling

  3. Clinical symptoms of idiopathic Parkinson’s Disease • Four major motor dysfunctions: • bradykinesia • rigidity • tremor at rest • postural instability • bradykinesia 1 /500 in UK Every year 10,000 are diagnosed (www.parkinsons.org.uk)

  4. Progressive neurodegeneration Anatomically Parkinson’s Disease exhibits a progressive degeneration of the substantianigra cells that are interconnected with dopaminergic neurons in the striatum part of the basal ganglia.

  5. Paradoxical kinesia Perception and action coupling Asmus et al. (2008). Kick and rush: Paradoxical kinesia in Parkinson disease.Neurology.2008; 71: 695

  6. PARADOXICAL KINESIA

  7. Pilot – Parkinson’s Disease Self-paced Moving ball

  8. Pilot – Parkinson’s Disease Self-paced No vision – moving ball

  9. HEIGHT OF THE RAMP

  10. Research questions • 1.) How PDs and healthy adults differ in temporal control of the movement under different spatial, temporal and informational constraints? • 2.) Can paradoxical kinesia be explained by coupling the movement to the sensory information available?

  11. Goals • AritificalSesoryGuidesin PD. • Goal-directedactions. • Effectiveness of cueingmethods.

  12. Focus 1.) Upper limb movements 2.) Turning 3.) Freezing

  13. G TEMPUS Special thanks to:Dr Cathy CraigDr David CraigWill Young Thank you for your attention! mbienkiewicz01@qub.ac.uk

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