Prevalence of gait disorders in hospitalized neurological patients
Identifieur interne : 003778 ( Main/Exploration ); précédent : 003777; suivant : 003779Prevalence of gait disorders in hospitalized neurological patients
Auteurs : Henning Stolze [Allemagne] ; Stephan Klebe [Allemagne] ; Christoph Baecker [Allemagne] ; Christiane Zechlin [Allemagne] ; Lars Friege [Allemagne] ; Sabine Pohle [Allemagne] ; Günther Deuschl [Allemagne]Source :
- Movement Disorders [ 0885-3185 ] ; 2005-01.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Homme.
English descriptors
- KwdEn :
- Adult, Aged, Female, Gait Disorders, Neurologic (epidemiology), Gait Disorders, Neurologic (etiology), Gait disorder, Hospitalization (statistics & numerical data), Human, Humans, Male, Middle Aged, Nervous System Diseases (complications), Nervous System Diseases (epidemiology), Nervous system diseases, Neurologic Examination, Neurological disorder, Prevalence, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Risk factor, Severity of Illness Index, gait disorders, prevalence, risk factors.
- MESH :
- complications : Nervous System Diseases.
- epidemiology : Gait Disorders, Neurologic, Nervous System Diseases.
- etiology : Gait Disorders, Neurologic.
- statistics & numerical data : Hospitalization.
- Adult, Aged, Female, Humans, Male, Middle Aged, Neurologic Examination, Prevalence, Prospective Studies, Psychiatric Status Rating Scales, Risk Factors, Severity of Illness Index.
Abstract
The prevalence of gait disorders among neurological inpatients is unknown, although disturbed gait is a common symptom. Gait disorders often lead to loss of independence with restraints for the patients and caregivers and costs for the health system. We designed a prospective study and investigated all patients admitted to a neurological hospital during a 100‐day period for the presence of a gait disorder. Clinical investigation and several disease‐specific rating scales were carried out for 493 patients. In 60% of the patients, a disturbance of gait was diagnosed. Most frequent diagnoses were stroke (21%), Parkinson's disease (17%), and polyneuropathy (7%). Within these diagnoses, the rate of patients with disturbed gait was high in Parkinson's disease (93%), subcortical arteriosclerotic encephalopathy (85%), and motor neuron disease (83%). Advanced age, dementia, alcohol abuse, and treatment with antiepileptics, neuroleptics, benzodiazepines, and chemotherapeutics were identified as risk factors for a gait disorder. A decline of cognitive function was accompanied by a reduction of walking speed. According to these results, gait disorders are among the most frequent symptoms in neurology. © 2004 Movement Disorder Society
Url:
DOI: 10.1002/mds.20266
Affiliations:
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Le document en format XML
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Gait disorders often lead to loss of independence with restraints for the patients and caregivers and costs for the health system. We designed a prospective study and investigated all patients admitted to a neurological hospital during a 100‐day period for the presence of a gait disorder. Clinical investigation and several disease‐specific rating scales were carried out for 493 patients. In 60% of the patients, a disturbance of gait was diagnosed. Most frequent diagnoses were stroke (21%), Parkinson's disease (17%), and polyneuropathy (7%). Within these diagnoses, the rate of patients with disturbed gait was high in Parkinson's disease (93%), subcortical arteriosclerotic encephalopathy (85%), and motor neuron disease (83%). Advanced age, dementia, alcohol abuse, and treatment with antiepileptics, neuroleptics, benzodiazepines, and chemotherapeutics were identified as risk factors for a gait disorder. A decline of cognitive function was accompanied by a reduction of walking speed. According to these results, gait disorders are among the most frequent symptoms in neurology. © 2004 Movement Disorder Society</div></front></TEI><affiliations><list><country><li>Allemagne</li></country><region><li>Schleswig-Holstein</li></region><settlement><li>Kiel</li></settlement></list><tree><country name="Allemagne"><region name="Schleswig-Holstein"><name sortKey="Stolze, Henning" sort="Stolze, Henning" uniqKey="Stolze H" first="Henning" last="Stolze">Henning Stolze</name></region><name sortKey="Baecker, Christoph" sort="Baecker, Christoph" uniqKey="Baecker C" first="Christoph" last="Baecker">Christoph Baecker</name><name sortKey="Deuschl, Gunther" sort="Deuschl, Gunther" uniqKey="Deuschl G" first="Günther" last="Deuschl">Günther Deuschl</name><name sortKey="Friege, Lars" sort="Friege, Lars" uniqKey="Friege L" first="Lars" last="Friege">Lars Friege</name><name sortKey="Klebe, Stephan" sort="Klebe, Stephan" uniqKey="Klebe S" first="Stephan" last="Klebe">Stephan Klebe</name><name sortKey="Pohle, Sabine" sort="Pohle, Sabine" uniqKey="Pohle S" first="Sabine" last="Pohle">Sabine Pohle</name><name sortKey="Pohle, Sabine" sort="Pohle, Sabine" uniqKey="Pohle S" first="Sabine" last="Pohle">Sabine Pohle</name><name sortKey="Zechlin, Christiane" sort="Zechlin, Christiane" uniqKey="Zechlin C" first="Christiane" last="Zechlin">Christiane Zechlin</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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