Movement Disorders (revue)

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Early postural adjustments associated with gait initiation and age‐related walking difficulties

Identifieur interne : 000478 ( Istex/Corpus ); précédent : 000477; suivant : 000479

Early postural adjustments associated with gait initiation and age‐related walking difficulties

Auteurs : Sandhiran Patchay ; Yves Gahéry ; Georges Serratrice

Source :

RBID : ISTEX:7F1DABE348259BB3CB1AEE79992C9276CA785BAE

English descriptors

Abstract

To better understand the functional role of early postural adjustments associated with gait initiation, we studied ground reaction forces before the first step in a group of 10 young and 18 elderly normal subjects as well as in a group of 11 patients with marche à petits pas, an age‐related gait disorder in which difficulties in executing the first step are encountered. Kinematic data and ground reaction forces were recorded synchronously and processed by an ELITE motion analysis system. Start difficulties in the patients might be explained by impaired amplitudes and directions of anteroposterior forces as well as smaller values of vertical forces than in the controls walking with comparable step lengths. Indeed, the abnormalities of anteroposterior forces lead to defective propulsive forces, whereas the smaller upward reaction forces make the elevation of the starting leg more difficult. These perturbations are likely to reflect impairments of muscular synergies of the lower limbs manifested by disturbances in the agonist–antagonist coupling, and lack of coordination between both limbs. © 2002 Movement Disorder Society

Url:
DOI: 10.1002/mds.10074

Links to Exploration step

ISTEX:7F1DABE348259BB3CB1AEE79992C9276CA785BAE

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<affiliation>Service de Neurologie et des Maladies Neuromusculaires, Centre Hospitalo‐Universitaire Timone, Marseille, France</affiliation>
<affiliation>Current Address: Department of Psychology, Royal Holloway, University of London, Egham, Surrey TW20 0EX, United Kingdom</affiliation>
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<name type="personal">
<namePart type="given">Yves</namePart>
<namePart type="family">Gahéry</namePart>
<namePart type="termsOfAddress">PhD</namePart>
<affiliation>UMR 6562 Université de Provence ‐ CNRS, Laboratoire de Neurobiologie Intégrative et Adaptative, Marseille, France</affiliation>
<description>Correspondence: UMR 6562 Université de Provence ‐ CNRS, Laboratoire de Neurobiologie Intégrative et Adaptative, 52 Faculté St‐Jérôme, Case 361, F‐13397 Marseille Cedex 20, France</description>
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<name type="personal">
<namePart type="given">Georges</namePart>
<namePart type="family">Serratrice</namePart>
<namePart type="termsOfAddress">MD</namePart>
<affiliation>Service de Neurologie et des Maladies Neuromusculaires, Centre Hospitalo‐Universitaire Timone, Marseille, France</affiliation>
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<dateIssued encoding="w3cdtf">2002-03</dateIssued>
<dateCaptured encoding="w3cdtf">2000-12-13</dateCaptured>
<dateValid encoding="w3cdtf">2001-10-04</dateValid>
<copyrightDate encoding="w3cdtf">2002</copyrightDate>
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<abstract lang="en">To better understand the functional role of early postural adjustments associated with gait initiation, we studied ground reaction forces before the first step in a group of 10 young and 18 elderly normal subjects as well as in a group of 11 patients with marche à petits pas, an age‐related gait disorder in which difficulties in executing the first step are encountered. Kinematic data and ground reaction forces were recorded synchronously and processed by an ELITE motion analysis system. Start difficulties in the patients might be explained by impaired amplitudes and directions of anteroposterior forces as well as smaller values of vertical forces than in the controls walking with comparable step lengths. Indeed, the abnormalities of anteroposterior forces lead to defective propulsive forces, whereas the smaller upward reaction forces make the elevation of the starting leg more difficult. These perturbations are likely to reflect impairments of muscular synergies of the lower limbs manifested by disturbances in the agonist–antagonist coupling, and lack of coordination between both limbs. © 2002 Movement Disorder Society</abstract>
<subject lang="en">
<genre>Keywords</genre>
<topic>gait initiation</topic>
<topic>aging</topic>
<topic>marche à petits pas</topic>
<topic>postural adjustments</topic>
<topic>ground reaction forces</topic>
<topic>center of pressure</topic>
</subject>
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<title>Movement Disorders</title>
<subTitle>Official Journal of the Movement Disorder Society</subTitle>
</titleInfo>
<titleInfo type="abbreviated">
<title>Mov. Disord.</title>
</titleInfo>
<subject>
<genre>article category</genre>
<topic>Research Article</topic>
</subject>
<identifier type="ISSN">0885-3185</identifier>
<identifier type="eISSN">1531-8257</identifier>
<identifier type="DOI">10.1002/(ISSN)1531-8257</identifier>
<identifier type="PublisherID">MDS</identifier>
<part>
<date>2002</date>
<detail type="volume">
<caption>vol.</caption>
<number>17</number>
</detail>
<detail type="issue">
<caption>no.</caption>
<number>2</number>
</detail>
<extent unit="pages">
<start>317</start>
<end>326</end>
<total>10</total>
</extent>
</part>
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<identifier type="DOI">10.1002/mds.10074</identifier>
<identifier type="ArticleID">MDS10074</identifier>
<accessCondition type="use and reproduction" contentType="copyright">Copyright © 2002 Movement Disorders Society</accessCondition>
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<recordContentSource>WILEY</recordContentSource>
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