Visual control improves the accuracy of hand positioning in Huntington’s disease

• Authors: Emilia J. Sitek , Witold Sołtan , Agnieszka Konkel , Dariusz Wieczorek , Michał Schinwelski , Piotr Robowski , Jarosław Sławek

Title variants

PL

Kontrola wzrokowa zwiększa precyzję ułożenia dłoni w chorobie Huntingtona

• Languages of publication: EN

Abstracts

EN

Background: The study aimed at demonstrating dependence of visual feedback during hand and finger positioning task performance among Huntington’s disease patients in comparison to patients with Parkinson’s disease and cervical dystonia. Material and methods: Eighty-nine patients participated in the study (23 with Huntington’s disease, 25 with Parkinson’s disease with dyskinesias, 21 with Parkinson’s disease without dyskinesias, and 20 with cervical dystonia), scoring ≥20 points on Mini-Mental State Examination in order to assure comprehension of task instructions. Neurological examination comprised of the motor section from the Unified Huntington’s Disease Rating Scale for Huntington’s disease, the Unified Parkinson’s Disease Rating Scale Part II–IV for Parkinson’s disease and the Toronto Western Spasmodic Torticollis Rating Scale for cervical dystonia. In order to compare hand position accuracy under visually controlled and blindfolded conditions, the patient imitated each of the 10 examiner’s hand postures twice, once under the visual control condition and once with no visual feedback provided. Results: Huntington’s disease patients imitated examiner’s hand positions less accurately under blindfolded condition in comparison to Parkinson’s disease without dyskinesias and cervical dystonia participants. Under visually controlled condition there were no significant inter-group differences. Conclusions: Huntington’s disease patients exhibit higher dependence on visual feedback while performing motor tasks than Parkinson’s disease and cervical dystonia patients. Possible improvement of movement precision in Huntington’s disease with the use of visual cues could be potentially useful in the patients’ rehabilitation.

PL

Wprowadzenie: Badanie miało na celu ukazanie wpływu wzrokowego sprzężenia zwrotnego na poziom wykonania prób ułożenia dłoni oraz palców wśród pacjentów z chorobą Huntingtona w porównaniu z pacjentami z chorobą Parkinsona i dystonią szyjną. Materiał i metody: W badaniu wzięło udział 89 pacjentów (23 z chorobą Huntingtona, 25 z chorobą Parkinsona i dyskinezami, 21 z chorobą Parkinsona bez dyskinez i 20 z dystonią szyjną), z wynikiem ≥20 punktów w MiniMental State Examination, co zapewniało rozumienie instrukcji testowych. Badanie neurologiczne obejmowało podskale ruchowe z Ujednoliconej Skali Oceny Choroby Huntingtona, Ujednoliconej Skali Oceny Choroby Parkinsona – części II–IV oraz Skalę Oceny Dystonii Szyjnej z Toronto. W celu porównania precyzji ułożenia ręki w warunkach pod kontrolą wzrokową oraz bez niej pacjent odtwarzał dwukrotnie 10 pozycji prezentowanych przez badającego – jeden raz w każdym z powyższych warunków. Wyniki: Pacjenci z chorobą Huntingtona wykazali się mniejszą precyzją w próbach naśladowania ułożenia ręki badającego w warunkach bez kontroli wzrokowej w porównaniu z uczestnikami z chorobą Parkinsona bez dyskinez i dystonią szyjną. W przypadku prób z kontrolą wzrokową nie wystąpiły istotne różnice między grupami. Wnioski: Pacjenci z chorobą Huntingtona wykazują większą zależność od wzrokowego sprzężenia zwrotnego przy wykonywaniu zadań ruchowych niż pacjenci z chorobą Parkinsona i dystonią szyjną. Możliwość uzyskania poprawy precyzji ruchów po dostarczeniu wskazówek wzrokowych u pacjentów z chorobą Huntingtona można wykorzystać w rehabilitacji tej grupy chorych.

Keywords

EN

Huntington’s disease; Parkinson’s disease; cervical dystonia; movement disorders; visual feedback

Discipline

• MEDICINE: MEDICINE

• Publisher: Medical Communications
• Journal: Aktualności Neurologiczne
• Year: 2017
• Volume: 17
• Issue: 2
• Pages: 69–75

Contributors

author

Emilia J. Sitek

• Department of Neurological and Psychiatric Nursing, Medical University of Gdansk, Gdansk, Poland; Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

author

Witold Sołtan

• Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

author

Agnieszka Konkel

• Department of Neurological and Psychiatric Nursing, Medical University of Gdansk, Gdansk, Poland; Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

author

Dariusz Wieczorek

• Department of Rehabilitation, Medical University of Gdansk, Gdansk, Poland

author

Michał Schinwelski

• Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

author

Piotr Robowski

• Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

author

Jarosław Sławek

• Department of Neurological and Psychiatric Nursing, Medical University of Gdansk, Gdansk, Poland; Department of Neurology, St. Adalbert Hospital, Copernicus PL Ltd., Gdansk, Poland

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• Document Type: article