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Quantification of postural sway patterns in tardive dyskinesia
R E van Emmerik1, R L Sprague, K M Newell
1Faculty of Human Movement Sciences, Vrije Universiteit, Amsterdam, The Netherlands.
Summary
Individuals with both tardive dyskinesia (TD) and developmental disability exhibit distinct postural sway patterns. Their center of pressure shows a lateral orientation and reduced variability, aiding in TD diagnosis.
Area of Science:
- Neurology
- Biomechanics
- Disability Studies
Background:
- Tardive dyskinesia (TD) is a neurological disorder characterized by involuntary movements.
- Developmental disability can affect motor control and coordination.
- Understanding postural control in these populations is crucial for diagnosis and management.
Purpose of the Study:
- To assess and compare postural center of pressure (COP) patterns in individuals with TD and/or developmental disability during quiet standing.
- To differentiate postural sway characteristics between groups with TD, developmental disability, both, and healthy controls.
Main Methods:
- Force platform measurements were used to record COP displacements (lateral, vertical, anterior-posterior).
- Postural patterns were analyzed and compared across four groups: TD with developmental disability, developmental disability only, TD only, and healthy controls.
Main Results:
- Individuals with both TD and developmental disability showed a significantly different COP orientation and variability compared to other groups.
- The TD with developmental disability group exhibited a more prominent lateral COP orientation, unlike the anterior-posterior orientation in the other three groups.
- Reduced variability in COP orientation was observed in the TD with developmental disability group, indicating more regular sway.
Conclusions:
- Postural COP profile orientation and variability can serve as valuable indicators for investigating TD.
- These postural assessments may help distinguish between developmental disability and TD, particularly when co-occurring.