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Geriatrics
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Movement Disorders in Older Adults
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Movement Disorders in Older Adults

A special issue of Geriatrics (ISSN 2308-3417). This special issue belongs to the section "Geriatric Neurology".

Deadline for manuscript submissions: closed (20 February 2023) | Viewed by 19674

Special Issue Editors

Dr. Jane E. Alty

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Guest Editor
School of Medicine, Hobart, Australia
Interests: Parkinson’s, dystonia, tremor, cognitive, artificial intelligence
Prof. Dr. Kallol Ray Chaudhuri

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Guest Editor
King's College Hospital, London, UK
Interests: nonmotor Parkinson’s; complementary therapies; Parkinson’s subtypes; restless legs syndrome
Special Issues, Collections and Topics in MDPI journals

Special Issue Information

Dear Colleagues,

With aging populations worldwide, we are seeing an increase in movement disorders associated with common age-related brain disorders such as stroke, and with neurodegenerative disorders such as Parkinson’s disease and atypical parkinsonian disorders. Older adults may be less represented in new drug trials, and may be less likely to be able to travel to specialist centers. Therefore, we need to consider nuanced approaches to diagnosing, monitoring, and managing movement disorders in older adults that are tailored to their preferences and their other potential comorbidities. Many older adults with movement disorders are likely to have polypharmacy and comorbidities that may impact general mobility and management of the movement disorder and this causes additional complexities.

We seek submissions for this Special Issue of Geriatrics focused on Movement Disorders in Older Adults. Submissions may include original research articles or comprehensive reviews and will undergo formal peer review.

Dr. Jane E. Alty
Prof. Dr. Kallol Ray Chaudhuri
Guest Editors

Manuscript Submission Information

Manuscripts should be submitted online at www.mdpi.com by registering and logging in to this website. Once you are registered, click here to go to the submission form. Manuscripts can be submitted until the deadline. All submissions that pass pre-check are peer-reviewed. Accepted papers will be published continuously in the journal (as soon as accepted) and will be listed together on the special issue website. Research articles, review articles as well as short communications are invited. For planned papers, a title and short abstract (about 100 words) can be sent to the Editorial Office for announcement on this website.

Submitted manuscripts should not have been published previously, nor be under consideration for publication elsewhere (except conference proceedings papers). All manuscripts are thoroughly refereed through a single-blind peer-review process. A guide for authors and other relevant information for submission of manuscripts is available on the Instructions for Authors page. Geriatrics is an international peer-reviewed open access semimonthly journal published by MDPI.

Please visit the Instructions for Authors page before submitting a manuscript. The Article Processing Charge (APC) for publication in this open access journal is 1800 CHF (Swiss Francs). Submitted papers should be well formatted and use good English. Authors may use MDPI's English editing service prior to publication or during author revisions.

Keywords

  • Parkinson’s
  • Gait
  • Tremor
  • Dystonia
  • Parkinsonism
  • Motor-cognitive
  • Polypharmacy
  • Quality of life
  • Dementia
  • Falls
  • Palliative care
  • Home monitoring

Published Papers (5 papers)

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Research

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9 pages, 1316 KiB  
Article
Effects of Insole with Toe-Grip Bar on Barefoot Balance and Walking Function in Patients with Parkinson’s Disease: A Randomized Controlled Trial
by Hideki Nakano, Shin Murata, Hideyuki Nakae, Masayuki Soma, Haruhisa Isida, Yuumi Maruyama, Hitoshi Nagara and Yuko Nagara
Geriatrics 2022, 7(6), 128; https://doi.org/10.3390/geriatrics7060128 - 16 Nov 2022
Cited by 2 | Viewed by 1677
Abstract
The maintenance and improvement of balance and walking function in patients with Parkinson’s disease (PD) is essential. Toe dysfunction in patients with PD is related to balance and walking. Recently, insoles have been developed to improve toe function, but their effects on the [...] Read more.
The maintenance and improvement of balance and walking function in patients with Parkinson’s disease (PD) is essential. Toe dysfunction in patients with PD is related to balance and walking. Recently, insoles have been developed to improve toe function, but their effects on the physical functions of patients with PD remain unclear. In this randomized controlled study, we investigated the effects of insoles with a toe-grip bar on balance and walking function in such patients. Twenty-nine patients with PD in Hoehn and Yahr stages II–IV were randomly assigned to an intervention or control group. Patients in the intervention and control groups wore shoes having insoles with and without a toe-grip bar for 4 weeks, respectively. The center of gravity sway of standing posture (total trajectory length, envelope area, and maximum anterior–posterior center of pressure [AP-COP] distance) and walking parameters at normal and fast speeds were measured pre- and post-intervention in the rehabilitation room. All measurements were performed with the participants being barefoot. The maximum AP-COP distance and step length of the fast-walking condition were significantly improved in the intervention compared to the control group (p < 0.05). Thus, insoles with a toe-grip bar may improve balance and walking function in patients with PD. Full article
(This article belongs to the Special Issue Movement Disorders in Older Adults)
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13 pages, 1968 KiB  
Article
Increased Knowledge of Adult-Onset Dystonia Amongst Medical Students via Brief Video Education: A Systematic Review and Cohort Study
by Sana Khan, Nina Sowemimo, Jane Alty and Jeremy Cosgrove
Geriatrics 2022, 7(3), 58; https://doi.org/10.3390/geriatrics7030058 - 18 May 2022
Viewed by 2368
Abstract
Most doctors have limited knowledge of dystonia, a movement disorder that can affect people of all ages; this contributes to diagnostic delay and poor quality of life. We investigated whether a brief educational intervention could improve knowledge of dystonia amongst medical students. We [...] Read more.
Most doctors have limited knowledge of dystonia, a movement disorder that can affect people of all ages; this contributes to diagnostic delay and poor quality of life. We investigated whether a brief educational intervention could improve knowledge of dystonia amongst medical students. We conducted a systematic review on undergraduate knowledge of dystonia and created an eight-minute video on the condition. We invited medical students at the University of Leeds, UK, to answer 15 multiple choice questions before and immediately after watching the video, and again one month later. Only one previous study specifically assessed medical students’ knowledge of dystonia whilst five others tested their knowledge of movement disorders, or neurology generally, with some questions on dystonia. Of the University of Leeds medical students, 87 (100%), 77 (89%) and 40 (46%) completed the baseline, immediate-recall and delayed-recall questionnaires, respectively. The mean score for students who completed all three questionnaires increased from 7.7 (out of 15) to 12.5 on the immediate-recall questionnaire (p < 0.001), and to 10.1 on the delayed-recall questionnaire (p < 0.001). At baseline, 76% of students rated their confidence in recognising dystonia as low. After watching the video, 78% rated their confidence as a high, and none rated it low. A brief video improved their knowledge substantially, with sustained effects. This method could be incorporated into medical curricula to reduce diagnostic delays. Full article
(This article belongs to the Special Issue Movement Disorders in Older Adults)
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9 pages, 484 KiB  
Article
Aromatherapy Massage vs. Foot Reflexology on the Severity of Restless Legs Syndrome in Female Patients Undergoing Hemodialysis
by Mahbobeh Ghasemi, Nahid Rejeh, Tahereh Bahrami, Majideh Heravi-Karimooi, Seyed Davood Tadrisi and Mojtaba Vaismoradi
Geriatrics 2021, 6(4), 99; https://doi.org/10.3390/geriatrics6040099 - 11 Oct 2021
Cited by 3 | Viewed by 4835
Abstract
This study aimed to compare the effects of reflexology and aromatherapy massage on the severity of restless legs syndrome (RLS) in 105 female patients undergoing hemodialysis. A randomized placebo-controlled clinical trial was conducted in a hemodialysis center with 48 beds in a high [...] Read more.
This study aimed to compare the effects of reflexology and aromatherapy massage on the severity of restless legs syndrome (RLS) in 105 female patients undergoing hemodialysis. A randomized placebo-controlled clinical trial was conducted in a hemodialysis center with 48 beds in a high turnover hospital in an urban area of Iran. Intervention groups received reflexology (n = 35) and aromatherapy massage using lavender essential oil (n = 35) for 24 sessions, and the placebo group (n = 35) received simple foot massage. The restless legs syndrome rating scale was used to assess RLS severity in the groups before the intervention and after 4 and 8 weeks of the interventions. Results obtained by the mixed model analysis 3 * 3 (3 groups * 3 times) revealed the significant effect of time, group, and the time–group interrelationship (p = 0.001). Aromatherapy massage reduced the RLS severity, but reflexology did not appear to cause any significant reduction in it. Therefore, we suggest that aromatherapy massage be incorporated into routine care for relieving the ailment and suffering of patients undergoing hemodialysis. Full article
(This article belongs to the Special Issue Movement Disorders in Older Adults)
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27 pages, 41427 KiB  
Article
Proof of Concept of Novel Visuo-Spatial-Motor Fall Prevention Training for Old People
by Henk Koppelaar, Parastou Kordestani-Moghadam, Sareh Kouhkani, Farnoosh Irandoust, Gijs Segers, Lonneke de Haas, Thijmen Bantje and Martin van Warmerdam
Geriatrics 2021, 6(3), 66; https://doi.org/10.3390/geriatrics6030066 - 29 Jun 2021
Cited by 1 | Viewed by 5280
Abstract
Falls in the geriatric population are one of the most important causes of disabilities in this age group. Its consequences impose a great deal of economic burden on health and insurance systems. This study was conducted by a multidisciplinary team with the aim [...] Read more.
Falls in the geriatric population are one of the most important causes of disabilities in this age group. Its consequences impose a great deal of economic burden on health and insurance systems. This study was conducted by a multidisciplinary team with the aim of evaluating the effect of visuo-spatial-motor training for the prevention of falls in older adults. The subjects consisted of 31 volunteers aged 60 to 92 years who were studied in three groups: (1) A group under standard physical training, (2) a group under visuo-spatial-motor interventions, and (3) a control group (without any intervention). The results of the study showed that visual-spatial motor exercises significantly reduced the risk of falls of the subjects. Full article
(This article belongs to the Special Issue Movement Disorders in Older Adults)
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Review

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13 pages, 2021 KiB  
Review
A Narrative Review of Specialist Parkinson’s Nurses: Evolution, Evidence and Expectation
by Emma Tenison, Alice James, Louise Ebenezer and Emily J. Henderson
Geriatrics 2022, 7(2), 46; https://doi.org/10.3390/geriatrics7020046 - 07 Apr 2022
Cited by 9 | Viewed by 3774
Abstract
Extended nursing roles have existed since the 1940s. The first specialist nurse for Parkinson’s disease, a complex neurodegenerative disease, was appointed in the United Kingdom (UK) in 1989. A review was undertaken using MEDLINE and Cumulative Index to the Nursing and Allied Health [...] Read more.
Extended nursing roles have existed since the 1940s. The first specialist nurse for Parkinson’s disease, a complex neurodegenerative disease, was appointed in the United Kingdom (UK) in 1989. A review was undertaken using MEDLINE and Cumulative Index to the Nursing and Allied Health Literature (CINAHL), relating to the role and evidence for Parkinson’s disease nurse specialists (PDNSs). PDNSs fulfil many roles. Trials of their effectiveness have failed to show a positive benefit on health outcomes, but their input appears to improve the wellbeing of people with Parkinson’s. Now embedded in the UK Parkinson’s multidisciplinary team, this care model has since been adopted widely, including successful dissemination of training to countries in Sub-Saharan Africa. The lack of evidence to support the benefit of PDNSs may reflect an insufficient duration and intensity of the intervention, the outcome measures selected or the need to combine PDNS input with other evidence-based interventions. Whilst the current evidence base for their effectiveness is limited, their input appears to improve subjective patient wellbeing and they are considered a vital resource in management. Better evidence in the future will support the development of these roles and may facilitate the application of specialist nurses to other disease areas. Full article
(This article belongs to the Special Issue Movement Disorders in Older Adults)
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