- Balance, Gait, and Falls Prevention
- Cerebral Palsy and Movement Disorders
- Parkinson's Disease Mechanisms and Treatments
- Motor Control and Adaptation
- Muscle activation and electromyography studies
- Neurological disorders and treatments
- Botulinum Toxin and Related Neurological Disorders
- Vestibular and auditory disorders
- Stroke Rehabilitation and Recovery
- Neuroscience and Music Perception
- Transcranial Magnetic Stimulation Studies
- Diabetic Foot Ulcer Assessment and Management
- Genetic Neurodegenerative Diseases
- Advanced Neuroimaging Techniques and Applications
- Occupational Therapy Practice and Research
- EEG and Brain-Computer Interfaces
- Hearing Loss and Rehabilitation
- Effects of Vibration on Health
- Voice and Speech Disorders
- Hemispheric Asymmetry in Neuroscience
- Children's Physical and Motor Development
- Musculoskeletal pain and rehabilitation
- Ophthalmology and Eye Disorders
- Older Adults Driving Studies
- Functional Brain Connectivity Studies
Washington University in St. Louis
2016-2025
University of Washington
2023
Hesco (United States)
2012-2020
GTx (United States)
2018
American Physical Therapy Association
2000-2017
Saint Louis University
2011
VA Palo Alto Health Care System
2010
Oregon Health & Science University
2001-2004
University of Calgary
2001-2002
Centre for Movement Disorders
2000-2001
Recent research has shown that dance, specifically tango, may be an appropriate and effective strategy for ameliorating functional mobility deficits in people who are frail elderly. Individuals with Parkinson's disease (PD) experience declines even more pronounced than those experienced by elderly individuals without PD. The purpose of this study was to compare the effects two movement programs: tango classes or exercise classes. Nineteen subjects PD were randomly assigned a group class...
Background. Tango dancing has been effective in improving measures of physical function people with Parkinson disease (PD). However, all previous studies were institution-based, tested participants on medication, and employed short-term interventions. Objective. To determine the effects a 12-month community-based tango program for individuals PD severity function. Methods. Sixty-two randomly assigned to twice weekly, Argentine or Control group (no intervention). Participants assessed off...
Gait impairments, balance and falls are prevalent in individuals with Parkinson disease (PD). Although the Berg Balance Scale (BBS) can be considered reference standard for determination of fall risk, it has a noted ceiling effect. Development ceiling-free measures that assess good at discriminating "fallers" from "nonfallers" is needed.The purpose this study was to compare Functional Assessment (FGA) Evaluation Systems Test (BESTest) BBS among PD evaluate tests' reliability, validity,...
Exercise is known to reduce disability and improve quality of life in people with Parkinson disease (PD). Although barriers exercise have been studied older adults, chronic progressive neurological diseases, such as PD, are not well defined.
Partnered tango dance can improve balance and gait in individuals with Parkinson’s disease (PD). may allow these to challenge more than nonpartnered dance. Alternatively, partnered practice could reduce gains because the participant rely on partner as a aid when challenged. The authors compared effects of mobility 39 people (11 women) mild-moderate PD (Hoehn Yahr stages I-III). Participants were randomly assigned or attended 1-hour classes twice per week, completing 20 lessons within 10...
Background and Purpose: The Balance Evaluation Systems Test(BESTest) has been shown to be a reliable valid measure of balance in individuals with Parkinson disease (PD). A less time-consuming assessment may increase clinical utility. We compared the discriminative fall risk ability Mini-BESTest that BESTest determined reliability normal distribution scores for each section PD. Methods: Eighty idiopathic PD were assessed using Mini-BESTest. faller was defined as an individual 2 or more falls...
Background and Purpose: Gait dysfunction in people with Parkinson disease (PwPD) is common debilitating. Internal cues (ie, mental singing) may provide a useful alternative to external cueing listening music) improve walking for PwPD. In this study, we individually tailored each participant by allowing them choose their own cue song selecting the rate that elicited longest strides. Methods: Fifty-six participants (28 controls 28 PwPD) performed trials single-session, cross-sectional study....
Background and Purpose: Pegboard tests of hand dexterity are commonly used in clinical settings to assess upper extremity function various populations. For individuals with Parkinson disease (PD), the utility pegboard has not been fully evaluated. Our purpose was examine commercially available 9-Hole Peg Test (9HPT) using a large sample PD determine average values, test-retest reliability, factors predictive 9HPT performance. Methods: A total 262 participants (67% men, Hoehn & Yahr stage =...
The benefits of exercise for reducing disability in people with Parkinson disease (PD) are becoming more evident. Optimal benefit, however, requires regular and sustained participation. Factors associated engaging have received little scientific scrutiny PD. purpose this study was to explore factors behavior patients PD using the International Classification Functioning, Disability Health (ICF) as a guiding framework. This cross-sectional study. participants were 260 from 4 institutions....
Background and Purpose: Relatively little is known about the natural evolution of physical activity–related participation restrictions associated with Parkinson's disease (PD). We examined this issue prospectively, using continuous monitoring technology to capture free-living ambulatory activity persons PD engaging in life situations. specifically sought (1) explore natural, long-term changes daily (2) compare responsiveness parameters clinical measures gait severity. Methods: Thirty-three...
Objective: To determine the effects of participation in a 2-year community-based dance class on disease severity and functional mobility people with Parkinson (PD). Design: Randomized controlled trial. Settings/Location: Dance classes took place location. Outcome measures were collected university laboratory. Patients: Ten individuals PD randomly assigned to Argentine tango (AT) group (n=5 [4 men]; mean age±standard deviation, 69.6±6.6 years) or control 66±11.0 years). Interventions: The AT...
The newly developed brief-balance evaluation system test (brief-BESTest) may be useful for measuring balance and predicting falls in individuals with Parkinson disease (PD).The purposes of this study were: (1) to describe the performance those PD using brief-BESTest, (2) determine relationships among scores derived from 3 versions BESTest (i.e., full BESTest, mini-BESTest, brief-BESTest), (3) compare accuracy brief-BESTest that mini-BESTest identifying recurrent fallers people PD.This was a...
Approximately 50% of people with Parkinson disease experience freezing gait, described as a transient inability to produce effective stepping. Complex gait tasks such turning typically elicit more commonly than simple tasks, forward walking. Despite the frequency this debilitating and dangerous symptom, brain mechanisms underlying remain unclear. Gait imagery during functional magnetic resonance imaging permits investigation activity associated locomotion. We used approach better understand...
Background and Purpose: We addressed questions about the potential discrepancy between improvements in activity capacity performance daily life. asked whether this is: Common routine, outpatient care, or an artifact of intervention studies? Unique to upper limb (UL) rehabilitation, is it seen walking rehabilitation too? Only persons with stroke, a broader neurorehabilitation problem? Methods: A longitudinal, observational cohort 156 participants stroke Parkinson disease (PD) receiving at 5...