Clinical syndromes: Parkinsonian gait.
Identifieur interne : 000A63 ( Main/Exploration ); précédent : 000A62; suivant : 000A64Clinical syndromes: Parkinsonian gait.
Auteurs : Georg Ebersbach [Allemagne] ; Caroline Moreau ; Florin Gandor ; Luc Defebvre [France] ; David DevosSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2013.
English descriptors
- KwdEn :
- MESH :
- complications : Parkinson Disease.
- diagnosis : Gait Disorders, Neurologic.
- etiology : Cognition Disorders, Gait Disorders, Neurologic.
- physiology : Freezing Reaction, Cataleptic.
- Accidental Falls, Diagnosis, Differential, Humans.
Abstract
Disturbances of gait manifest in almost all cases of Parkinson's disease (PD), often leading to loss of mobility and increased mortality. In this review a clinically oriented approach to gait disorders in different stages of PD is presented. In addition, interactions between motor behavior and mental processing will be discussed. Analyzing the clinical features of gait can be helpful to differentiate PD from atypical forms of parkinsonism. Bedside tests to distinguish parkinsonian gait disorders are reviewed. There is still an unmet need to effectively treat complex gait disturbances, which are frequently not responsive to dopamine replacement medication. We thus present current approaches for the management of dopa-refractory gait disorders.
DOI: 10.1002/mds.25675
PubMed: 24132843
Affiliations:
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Le document en format XML
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<author><name sortKey="Devos, David" sort="Devos, David" uniqKey="Devos D" first="David" last="Devos">David Devos</name>
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<term>Freezing Reaction, Cataleptic (physiology)</term>
<term>Gait Disorders, Neurologic (diagnosis)</term>
<term>Gait Disorders, Neurologic (etiology)</term>
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<term>Parkinson Disease (complications)</term>
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<front><div type="abstract" xml:lang="en">Disturbances of gait manifest in almost all cases of Parkinson's disease (PD), often leading to loss of mobility and increased mortality. In this review a clinically oriented approach to gait disorders in different stages of PD is presented. In addition, interactions between motor behavior and mental processing will be discussed. Analyzing the clinical features of gait can be helpful to differentiate PD from atypical forms of parkinsonism. Bedside tests to distinguish parkinsonian gait disorders are reviewed. There is still an unmet need to effectively treat complex gait disturbances, which are frequently not responsive to dopamine replacement medication. We thus present current approaches for the management of dopa-refractory gait disorders.</div>
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