The effects of combined glucosamine sulfate and chondroitin sulfate supplements on condylar cartilage remodeling during functional appliance therapy. A Micro-CT study.

Glucosamine and chondroitin sulphate supplementation is used to prevent the degeneration of articular surfaces and also to enhance repair and regeneration of cartilage. The ability for adaptation of condylar cartilage to mandibular forward positioning is what constitutes the fundamental rationale for orthodontic functional therapy, which partially contributes to the correction of jaw discrepancies in growing Skeletal II mandibular retrusive patients. The purpose of this study was to qualitatively and quantitatively analyse the effect of Glucosamine sulphate (GS) and Chondroitin sulphate (CS) supplementation on condylar remodeling with functional appliance therapy in rats. One hundred and forty 3-week-old female Sprague-Dawley rats were randomly divided into 4 groups consisting of; baseline controls, supplementation only, functional appliances only and those receiving both supplements and functional appliances. Supplements were preloaded for a period of 2 weeks prior to the placement of functional appliances at five weeks of age. The animals were sacrificed at days 0, 7 and 21 after appliance placement. The appliances were removed in the remaining experimental animals on day 21 with sacrifice on day 28 to analyse post growth modification changes. Condylar samples were then soaked in 0.2 M Gadolinium Chloride (GdCl3) (aq) for 6 days and analyzed using micro-computed tomography (μCT) for morphological characteristics and linear and volumetric measurements of the mandibular condyle. The results demonstrated supplement therapy increased the volume of cartilage with and without functional appliance therapy. Functional appliance therapy alone resulted in increases in cartilage volume over untreated animals, with peak volume increases occurring by day 7 of appliance wear followed with decreases as endochondral ossification ensued. Supplement therapy was found to enhance the normal biological response to functional appliance therapy in the rat model

Test-Retest Reliability of Dual-Task Outcome Measures in People With Parkinson's Disease

Dual-task training is gaining ground as a physical therapy intervention in people with Parkinson's disease (PD). Future studies evaluating the effect of such interventions need reliable outcome measures. To date, the test-retest reliability of dual-task measures in patients with PD remains largely unknown.status: publishe

Dual tasking in Parkinson's disease: should we train hazardous behavior?

Dual-task (DT) circumstances aggravate gait disorders in Parkinson's disease (PD) and are associated with an increased risk of falling and reduced functional mobility. Clinical rehabilitation guidelines for PD consider DT interventions as potentially hazardous and recommend avoiding them in daily life. The current article challenges this notion and addresses the necessity of implementing DT training in PD. First, underlying reasons for DT interference in PD and current theoretical models are discussed. Subsequently, different training approaches to tackle DT difficulties are put forward. Finally, the effectiveness and limitations of DT training in PD are reviewed. We conclude that there is a need for DT interventions in PD and recommend randomized, power-based studies to further test their efficacy.peerreview_statement: The publishing and review policy for this title is described in its Aims & Scope. aims_and_scope_url: http://www.tandfonline.com/action/journalInformation?show=aimsScope&journalCode=iern20status: publishe

Determinants of Dual-Task Training Effect Size in Parkinson Disease: Who Will Benefit Most?

BACKGROUND AND PURPOSE: Dual-task interventions show positive effects in people with Parkinson disease (PD), but it remains unclear which factors determine the size of these benefits. As a secondary analysis of the DUALITY trial, the aim of this study was to assess the determinants of the effect size after 2 types of dual-task practice. METHODS: We randomly allocated 121 participants with PD to receive either integrated or consecutive dual-task training. Dual-task walking performance was assessed during (i) a backward digit span task (digit), (ii) an auditory Stroop task (Stroop), and (iii) a functional mobile phone task. Baseline descriptive, motor, and cognitive variables were correlated with the change in dual-task gait velocity after the intervention. Factors correlated with the change in dual-task gait velocity postintervention (P < 0.20) were entered into a stepwise forward multiple linear regression model. RESULTS: Lower dual-task gait velocity and higher cognitive capacity (Scales for Outcomes in Parkinson's Disease-Cognition [ScopaCog]) at baseline were related to larger improvements in dual-task gait velocity after both integrated and consecutive dual-task training for all 3 tasks (β[gait] = -0.45, β[ScopaCog] = 0.34, R = 0.23, P < 0.001, for digit; β[gait] = -0.52, β[ScopaCog] = 0.29, R = 0.26, P < 0.001, for Stroop; and β[gait] = -0.40, β[ScopaCog] = 0.30, R = 0.18, P < 0.001, for mobile phone task). DISCUSSION AND CONCLUSIONS: Participants with PD who showed a slow dual-task gait velocity and good cognitive functioning at baseline benefited most from the dual-task training, irrespective of the type of training and type of dual-task outcome.Video Abstract available for more insights from the authors (see Video, Supplemental Digital Content 1, available at: http://links.lww.com/JNPT/A242).status: publishe

Are factors related to dual-task performance in people with Parkinson's disease dependent on the type of dual task?

Impaired dual-task performance significantly impacts upon functional mobility in people with Parkinson's disease (PD). The aim of this study was to identify determinants of dual-task performance in people with PD in three different dual tasks to assess their possible task-dependency.publisher: Elsevier articletitle: Are factors related to dual-task performance in people with Parkinson's disease dependent on the type of dual task? journaltitle: Parkinsonism & Related Disorders articlelink: http://dx.doi.org/10.1016/j.parkreldis.2015.11.020 content_type: article copyright: Copyright © 2015 Elsevier Ltd. All rights reserved.status: publishe

Training dual tasks together or apart in Parkinson's disease: Results from the DUALITY trial

Many controversies surround the usefulness of dual-task training in Parkinson's disease (PD). This study (1) compared the efficacy of two different dual-task training programs for improving dual-task gait and (2) assessed the possible fall risk of such training.status: publishe