Danse-thérapie et Parkinson

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<title xml:lang="en">GAIT DYNAMICS, FRACTALS AND FALLS: FINDING MEANING IN THE STRIDE-TO-STRIDE FLUCTUATIONS OF HUMAN WALKING</title>
<author>
<name sortKey="Hausdorff, Jeffrey M" sort="Hausdorff, Jeffrey M" uniqKey="Hausdorff J" first="Jeffrey M" last="Hausdorff">Jeffrey M. Hausdorff</name>
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<idno type="pmid">17618701</idno>
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<idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2267927</idno>
<idno type="RBID">PMC:2267927</idno>
<idno type="doi">10.1016/j.humov.2007.05.003</idno>
<date when="2007">2007</date>
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<title xml:lang="en" level="a" type="main">GAIT DYNAMICS, FRACTALS AND FALLS: FINDING MEANING IN THE STRIDE-TO-STRIDE FLUCTUATIONS OF HUMAN WALKING</title>
<author>
<name sortKey="Hausdorff, Jeffrey M" sort="Hausdorff, Jeffrey M" uniqKey="Hausdorff J" first="Jeffrey M" last="Hausdorff">Jeffrey M. Hausdorff</name>
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<title level="j">Human movement science</title>
<idno type="ISSN">0167-9457</idno>
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<date when="2007">2007</date>
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<p id="P1">Until recently, quantitative studies of walking have typically focused on properties of a typical or average stride, ignoring the stride-to-stride fluctuations and considering these fluctuations to be noise. Work over the past two decades has demonstrated, however, that the alleged noise actually conveys important information. The magnitude of the stride-to-stride fluctuations and their changes over time during a walk – gait dynamics – may be useful in understanding the physiology of gait, in quantifying age-related and pathologic alterations in the locomotor control system, and in augmenting objective measurement of mobility and functional status Indeed, alterations in gait dynamics may help to determine disease severity, medication utility, and fall risk, and to objectively document improvements in response to therapeutic interventions, above and beyond what can be gleaned from measures based on the average, typical stride. This review discusses support for the idea that gait dynamics has meaning and may be useful in providing insight into the neural control of locomtion and for enhancing functional assessment of aging, chronic disease, and their impact on mobility.</p>
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<pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
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<journal-id journal-id-type="nlm-journal-id">8300127</journal-id>
<journal-id journal-id-type="pubmed-jr-id">22449</journal-id>
<journal-id journal-id-type="nlm-ta">Hum Mov Sci</journal-id>
<journal-title>Human movement science</journal-title>
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<article-title>GAIT DYNAMICS, FRACTALS AND FALLS: FINDING MEANING IN THE STRIDE-TO-STRIDE FLUCTUATIONS OF HUMAN WALKING</article-title>
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<contrib contrib-type="author">
<name>
<surname>Hausdorff</surname>
<given-names>Jeffrey M</given-names>
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<degrees>PhD</degrees>
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<aff id="A1">Laboratory for Gait & Neurodynamics, Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center; Dept of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University, Tel Aviv, Israel; Division on Aging, Harvard Medical School, Boston, USA</aff>
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<author-notes>
<corresp id="cor1">
<underline>Address for Correspondence</underline>
, Jeffrey M. Hausdorff, PhD, Laboratory for Gait & Neurodynamics, Movement Disorders Unit, Tel-Aviv Sourasky Medical Center, 6 Weizmann St., Tel-Aviv, 64239, Israel, Tel: +972 3 697 3081, Fax: +972 3 697 4911</corresp>
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<pub-date pub-type="nihms-submitted">
<day>24</day>
<month>9</month>
<year>2007</year>
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<pub-date pub-type="epub">
<day>5</day>
<month>7</month>
<year>2007</year>
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<pub-date pub-type="ppub">
<month>8</month>
<year>2007</year>
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<pub-date pub-type="pmc-release">
<day>1</day>
<month>8</month>
<year>2008</year>
</pub-date>
<volume>26</volume>
<issue>4</issue>
<fpage>555</fpage>
<lpage>589</lpage>
<abstract>
<p id="P1">Until recently, quantitative studies of walking have typically focused on properties of a typical or average stride, ignoring the stride-to-stride fluctuations and considering these fluctuations to be noise. Work over the past two decades has demonstrated, however, that the alleged noise actually conveys important information. The magnitude of the stride-to-stride fluctuations and their changes over time during a walk – gait dynamics – may be useful in understanding the physiology of gait, in quantifying age-related and pathologic alterations in the locomotor control system, and in augmenting objective measurement of mobility and functional status Indeed, alterations in gait dynamics may help to determine disease severity, medication utility, and fall risk, and to objectively document improvements in response to therapeutic interventions, above and beyond what can be gleaned from measures based on the average, typical stride. This review discusses support for the idea that gait dynamics has meaning and may be useful in providing insight into the neural control of locomtion and for enhancing functional assessment of aging, chronic disease, and their impact on mobility.</p>
</abstract>
<kwd-group>
<kwd>gait</kwd>
<kwd>gait variability</kwd>
<kwd>fractals</kwd>
<kwd>aging</kwd>
<kwd>falls</kwd>
<kwd>review</kwd>
<kwd>Parkinson's disease</kwd>
<kwd>executive function</kwd>
</kwd-group>
<contract-num rid="AG1">R01 AG014100-08</contract-num>
<contract-num rid="AG1">P60 AG008812-11A19005</contract-num>
<contract-num rid="RR1">P41 RR013622-05S10040</contract-num>
<contract-sponsor id="AG1">National Institute on Aging : NIA</contract-sponsor>
<contract-sponsor id="RR1">National Center for Research Resources : NCRR</contract-sponsor>
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</front>
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