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Disentangling stability and flexibility degrees in Parkinson's disease using a computational postural control model
, Article Journal of NeuroEngineering and Rehabilitation ; Volume 16, Issue 1 , 2019 ; 17430003 (ISSN) ; Schouten, A. C ; Behzadipour, S ; Taghizadeh, G ; Firoozbakhsh, K ; Sharif University of Technology
BioMed Central Ltd
2019
Abstract
Background: Impaired postural control in Parkinson's disease (PD) seriously compromises life quality. Although balance training improves mobility and postural stability, lack of quantitative studies on the neurophysiological mechanisms of balance training in PD impedes the development of patient-specific therapies. We evaluated the effects of a balance-training program using functional balance and mobility tests, posturography, and a postural control model. Methods: Center-of-pressure (COP) data of 40 PD patients before and after a 12-session balance-training program, and 20 healthy control subjects were recorded in four conditions with two tasks on a rigid surface (R-tasks) and two on foam....
Using robotic mechanical perturbations for enhanced balance assessment
, Article Medical Engineering and Physics ; Volume 83 , 2020 , Pages 7-14 ; Behjat, A ; Torabi, A ; Behzadipour, S ; Sharif University of Technology
Elsevier Ltd
2020
Abstract
Balance impairment is critical for many patient groups such as those with neural and musculoskeletal disorders and also the elderly. Accurate and objective assessment of balance performance has led to the development of several indices based on the measurement of the center of pressure. In this study, a robotic device was designed and fabricated to provide controlled and repeatable mechanical perturbations to the standing platform of the user. The device uses servo-controlled actuators and two parallel mechanisms to provide independent rotations in mediolateral and anterior-posterior directions. The device also provides visual feedback of the center of pressure position to the user....
Postural control learning dynamics in Parkinson's disease: Early improvement with plateau in stability, and continuous progression in flexibility and mobility
, Article BioMedical Engineering Online ; Volume 19, Issue 1 , 2020 ; Behzadipour, S ; Schouten, A. C ; Taghizadeh, G ; Firoozbakhsh, K ; Sharif University of Technology
BioMed Central Ltd
2020
Abstract
Background: Balance training improves postural control in Parkinson's disease (PD). However, a systematic approach for the development of individualized, optimal training programs is still lacking, as the learning dynamics of the postural control in PD, over a training program, are poorly understood. Objectives: We investigated the learning dynamics of the postural control in PD, during a balance-training program, in terms of the clinical, posturographic, and novel model-based measures. Methods: Twenty patients with PD participated in a balance-training program, 3 days a week, for 6 weeks. Clinical tests assessed functional balance and mobility pre-training, mid-training, and post-training....