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障碍物颜色对帕金森病患者避障过程中运动和注视行为的影响。

Influence of obstacle color on locomotor and gaze behaviors during obstacle avoidance in people with Parkinson's disease.

作者信息

Penedo Tiago, Polastri Paula Fávaro, Rodrigues Sérgio Tosi, Simieli Lucas, Baptista André Macari, Moretto Gabriel Felipe, Imaizumi Luis Felipe Itikawa, Santinelli Felipe Balistieri, Barbieri Fabio Augusto

机构信息

Department of Physical Education, Human Movement Research Laboratory (MOVI-LAB), School of Science, São Paulo State University (UNESP), Av. Eng. Luiz Edmundo Carrijo Coube, 14-01, Vargem Limpa, Bauru, SP, CEP: 17033-360, Brazil.

Department of Physical Education, Laboratory of Information, Vision and Action (LIVIA), School of Science, São Paulo State University (UNESP), Bauru, Brazil.

出版信息

Exp Brain Res. 2018 Dec;236(12):3319-3325. doi: 10.1007/s00221-018-5385-1. Epub 2018 Sep 25.

DOI:10.1007/s00221-018-5385-1
PMID:30255196
Abstract

The color of an obstacle may enable a more detailed view of the environment to facilitate obstacle avoidance. However, people with Parkinson's disease (PD) present visual contrast and color detection dysfunction, which could affect obstacle avoidance according to obstacle color. Thus, the aim of this study was to investigate the influence of obstacle color on locomotor and gaze behavior during obstacle avoidance in people with PD and neurologically healthy older individuals. Thirteen people with PD and eleven matched-control group individuals, with normal visual acuity (20/20 on the Snellen chart), performed 20 trials (5 trials for each obstacle color condition) of the obstacle avoidance task with the following obstacle colors: white, black, red, and blue. Participants were positioned at the beginning of a walkway with their eyes closed and, after the start command, opened their eyes, started walking at their preferred velocity, and crossed the obstacle. Spatial-temporal parameters and fixations on the obstacle (gaze behavior) were measured using a three-dimensional camera system and mobile eye-tracker, respectively. Our main findings were the absence of significant color interaction on locomotor and gaze behaviors, the absence of significant main effect of color on gaze behavior, and an effect of obstacle color on locomotor behavior, specifically in the placement of the heel from the obstacle after crossing and toe-clearance for both trailing and leading limbs, which indicates that obstacle color can play a role in obstacle avoidance during walking. However, there was no consistent obstacle color that influenced the locomotor behavior. Therefore, the conclusion of this study is that obstacle color seems to affect locomotor behavior, but not gaze behavior, during walking with obstacle avoidance in people with PD and neurologically healthy individuals. However, no particular obstacle color causes a consistent effect on locomotor behavior.

摘要

障碍物的颜色可以让人更详细地了解周围环境,便于避开障碍物。然而,帕金森病(PD)患者存在视觉对比度和颜色检测功能障碍,这可能会根据障碍物颜色影响避障能力。因此,本研究的目的是调查障碍物颜色对PD患者和神经功能正常的老年人在避障过程中运动和注视行为的影响。13名PD患者和11名匹配的对照组个体,视力正常(斯内伦视力表上为20/20),对以下颜色的障碍物进行了20次避障任务试验(每种障碍物颜色条件下进行5次试验):白色、黑色、红色和蓝色。参与者闭眼站在走道起点,听到开始指令后睁开眼睛,以自己喜欢的速度开始行走,穿过障碍物。分别使用三维摄像系统和移动眼动仪测量时空参数和对障碍物的注视(注视行为)。我们的主要发现是,颜色对运动和注视行为没有显著的交互作用,颜色对注视行为没有显著的主效应,障碍物颜色对运动行为有影响,具体表现在穿过障碍物后脚跟与障碍物的位置以及后肢和前肢的脚趾离地情况,这表明障碍物颜色在行走过程中的避障中可以发挥作用。然而,没有一种一致的障碍物颜色会影响运动行为。因此,本研究的结论是,在PD患者和神经功能正常的个体避障行走过程中,障碍物颜色似乎会影响运动行为,但不会影响注视行为。然而,没有特定的障碍物颜色会对运动行为产生一致的影响。

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本文引用的文献

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Do people with Parkinson's disease look at task relevant stimuli when walking? An exploration of eye movements.帕金森病患者在行走时会注视与任务相关的刺激物吗?一项眼动探索。
Behav Brain Res. 2018 Aug 1;348:82-89. doi: 10.1016/j.bbr.2018.03.003. Epub 2018 Mar 17.
2
Gait & Posture Special Issue: Gait adaptations in response to obstacle type in fallers with Parkinson's disease.《步态与姿势》特刊:帕金森病患者跌倒者对障碍物类型的步态适应性
Gait Posture. 2018 Mar;61:368-374. doi: 10.1016/j.gaitpost.2018.01.030. Epub 2018 Jan 31.
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Obstacle circumvention and eye coordination during walking to least and most affected side in people with Parkinson's disease.
帕金森病患者和健康老年人无障碍行走时的时空参数:一个公共数据集。
Front Aging Neurosci. 2024 Mar 28;16:1354738. doi: 10.3389/fnagi.2024.1354738. eCollection 2024.
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Retinal Degeneration: A Window to Understand the Origin and Progression of Parkinson's Disease?视网膜变性:了解帕金森病起源和进展的窗口?
Front Neurosci. 2022 Feb 4;15:799526. doi: 10.3389/fnins.2021.799526. eCollection 2021.
帕金森病患者向受影响最小和最大的一侧行走时的障碍物规避与眼部协调
Behav Brain Res. 2018 Jul 2;346:105-114. doi: 10.1016/j.bbr.2017.11.032. Epub 2017 Nov 24.
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Gaze and motor behavior of people with PD during obstacle circumvention.帕金森病患者在绕过障碍物时的注视和运动行为。
Gait Posture. 2017 Oct;58:504-509. doi: 10.1016/j.gaitpost.2017.09.016. Epub 2017 Sep 20.
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Time to Refocus Assessment of Vision in Older Adults? Contrast Sensitivity but Not Visual Acuity Is Associated With Gait in Older Adults.是时候重新关注老年人的视力评估了?对比敏感度而非视力与老年人的步态有关。
J Gerontol A Biol Sci Med Sci. 2017 Nov 9;72(12):1663-1668. doi: 10.1093/gerona/glx021.
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Ocular and visual disorders in Parkinson's disease: Common but frequently overlooked.帕金森病中的眼部和视觉障碍:常见但常被忽视。
Parkinsonism Relat Disord. 2017 Jul;40:1-10. doi: 10.1016/j.parkreldis.2017.02.014. Epub 2017 Feb 21.
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Brain. 2016 Nov 1;139(11):2827-2843. doi: 10.1093/brain/aww175.
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