MovDisordV3, Main, Exploration, bibRecord, 001C88

Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control

Identifieur interne : 001C88 ( Main/Exploration ); précédent : 001C87; suivant : 001C89

Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control

Auteurs : Michael H. Cole [Australie] ; Peter A. Silburn [Australie] ; Joanne M. Wood [Australie] ; Charles J. Worringham [Australie] ; Graham K. Kerr [Australie]

Source :

Movement Disorders [ 0885-3185 ] ; 2010-10-30.

RBID : ISTEX:9BA340270241E35A37FA7130E1F15C0A85B7E39C

Descripteurs français

Pascal (Inist)
- Cinématique, Maladie de Parkinson, Mouvement, Pathologie du système nerveux, Posture, Tronc, Tête.

English descriptors

KwdEn :
- Accidental Falls, Aged, Biomechanical Phenomena (physiology), Female, Follow-Up Studies, Gait Disorders, Neurologic (diagnosis), Gait Disorders, Neurologic (etiology), Head, Head (physiopathology), Humans, Kinematics, Knee (innervation), Male, Motion, Movement (physiology), Nervous system diseases, Parkinson Disease (complications), Parkinson disease, Posture, Psychomotor Performance (physiology), Retrospective Studies, Trunk, Walking (physiology), falls, gait, kinematics, motion analysis, postural control.
MESH :
- complications : Parkinson Disease.
- diagnosis : Gait Disorders, Neurologic.
- etiology : Gait Disorders, Neurologic.
- innervation : Knee.
- physiology : Biomechanical Phenomena, Movement, Psychomotor Performance, Walking.
- physiopathology : Head.
- Accidental Falls, Aged, Female, Follow-Up Studies, Humans, Male, Retrospective Studies.

Abstract

Changes in stride characteristics and gait rhythmicity characterize gait in Parkinson's disease and are widely believed to contribute to falls in this population. However, few studies have examined gait in PD patients who fall. This study reports on the complexities of walking in PD patients who reported falling during a 12‐month follow‐up. Forty‐nine patients clinically diagnosed with idiopathic PD and 34 controls had their gait assessed using three‐dimensional motion analysis. Of the PD patients, 32 (65%) reported at least one fall during the follow‐up compared with 17 (50%) controls. The results showed that PD patients had increased stride timing variability, reduced arm swing and walked with a more stooped posture than controls. Additionally, PD fallers took shorter strides, walked slower, spent more time in double‐support, had poorer gait stability ratios and did not project their center of mass as far forward of their base of support when compared with controls. These stride changes were accompanied by a reduced range of angular motion for the hip and knee joints. Relative to walking velocity, PD fallers had increased mediolateral head motion compared with PD nonfallers and controls. Therefore, head motion could exceed “normal” limits, if patients increased their walking speed to match healthy individuals. This could be a limiting factor for improving gait in PD and emphasizes the importance of clinically assessing gait to facilitate the early identification of PD patients with a higher risk of falling. © 2010 Movement Disorder Society

Url:

https://api.istex.fr/document/9BA340270241E35A37FA7130E1F15C0A85B7E39C/fulltext/pdf

DOI: 10.1002/mds.23292

Affiliations:

Australie

Le document en format XML

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<front><div type="abstract" xml:lang="en">Changes in stride characteristics and gait rhythmicity characterize gait in Parkinson's disease and are widely believed to contribute to falls in this population. However, few studies have examined gait in PD patients who fall. This study reports on the complexities of walking in PD patients who reported falling during a 12‐month follow‐up. Forty‐nine patients clinically diagnosed with idiopathic PD and 34 controls had their gait assessed using three‐dimensional motion analysis. Of the PD patients, 32 (65%) reported at least one fall during the follow‐up compared with 17 (50%) controls. The results showed that PD patients had increased stride timing variability, reduced arm swing and walked with a more stooped posture than controls. Additionally, PD fallers took shorter strides, walked slower, spent more time in double‐support, had poorer gait stability ratios and did not project their center of mass as far forward of their base of support when compared with controls. These stride changes were accompanied by a reduced range of angular motion for the hip and knee joints. Relative to walking velocity, PD fallers had increased mediolateral head motion compared with PD nonfallers and controls. Therefore, head motion could exceed “normal” limits, if patients increased their walking speed to match healthy individuals. This could be a limiting factor for improving gait in PD and emphasizes the importance of clinically assessing gait to facilitate the early identification of PD patients with a higher risk of falling. © 2010 Movement Disorder Society</div>
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Movement Disorders (revue)

Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control

Falls in Parkinson's disease: Kinematic evidence for impaired head and trunk control

Source :

Descripteurs français

English descriptors

Abstract

Links toward previous steps (curation, corpus...)

Le document en format XML

Pour manipuler ce document sous Unix (Dilib)

Pour mettre un lien sur cette page dans le réseau Wicri

	Movement Disorders (revue)
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