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The Significance of Experiences of Nature for People with Parkinson's Disease, with Special Focus on Freezing of Gait-The Necessity for a Biophilic Environment. A Multi-Method Single Subject Study

Ottosson, Johan and Lavesson, Lillian and Pinzke, Stefan and Grahn, Patrik (2015). The Significance of Experiences of Nature for People with Parkinson's Disease, with Special Focus on Freezing of Gait-The Necessity for a Biophilic Environment. A Multi-Method Single Subject Study. International journal of environmental research and public health. 12:7, 7274-7299
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Abstract

Freezing of Gait (FOG) is a common condition in people with Parkinson's disease (PD). FOG entails suddenly experiencing difficulties moving or feeling that one's feet are as glued to the ground. It is triggered, e.g., when passing through doorways. Earlier studies suggest that being in natural environments affects FOG in a positive way. Five subjects were recruited to serve as five single subject cases. We used interviews, observations, questionnaires and collected gait pattern data with aid of an accelerometer. A special designed outdoor setting was used, where we investigated whether passing through hedge openings with or without built elements triggered FOG. We found that no one experienced a FOG reaction when they passed through hedge openings without built elements. However, FOG was triggered when a doorframe was inserted into a hedge opening, and/or when peripheral vision was blocked. We interpret the results such that the doorframe triggered a phobic reflex, causing a freezing reaction. Passing through hedge openings does not trigger FOG, which we interpret as a biophilic reaction. Our results, if repeated in future studies, may have significance to everyday lives of PD patients, who could get a simpler life by consciously prioritizing stays in natural surroundings.

Authors/Creators:Ottosson, Johan and Lavesson, Lillian and Pinzke, Stefan and Grahn, Patrik
Title:The Significance of Experiences of Nature for People with Parkinson's Disease, with Special Focus on Freezing of Gait-The Necessity for a Biophilic Environment. A Multi-Method Single Subject Study
Series/Journal:International journal of environmental research and public health (10382270)
Year of publishing :2015
Volume:12
Number:7
Page range:7274-7299
Number of Pages:26
Publisher:MDPI
ISSN:1660-4601
Language:English
Publication Type:Journal article
Refereed:Yes
Article category:Scientific peer reviewed
Version:Published version
Full Text Status:Public
Subjects:(A) Swedish standard research categories 2011 > 3 Medical and Health Sciences > 303 Health Sciences > Environmental Health and Occupational Health
(A) Swedish standard research categories 2011 > 4 Agricultural Sciences > 401 Agricultural, Forestry and Fisheries > Landscape Architecture
Keywords:natural environments, biophilia, perception, instincts, supporting environments, phobic reactions, attention
URN:NBN:urn:nbn:se:slu:epsilon-e-2951
Permanent URL:
http://urn.kb.se/resolve?urn=urn:nbn:se:slu:epsilon-e-2951
Additional ID:
Type of IDID
Web of Science (WoS)000359342300013
DOI10.3390/ijerph120707274
ID Code:12630
Faculty:LTV - Fakulteten för landskapsarkitektur, trädgårds- och växtproduktionsvetenskap
Department:(LTJ, LTV) > Department of Work Science, Business Economics, and Environmental Psychology
Deposited By: SLUpub Connector
Deposited On:25 Sep 2015 08:18
Metadata Last Modified:29 Feb 2016 22:25

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