MovDisordV3, Main, Exploration, bibRecord, 004428

Influence of pallidal stimulation and levodopa on gait and preparatory postural adjustments in Parkinson's disease

Identifieur interne : 004428 ( Main/Exploration ); précédent : 004427; suivant : 004429

Influence of pallidal stimulation and levodopa on gait and preparatory postural adjustments in Parkinson's disease

Auteurs : Luc J. P. Defebvre [France] ; Pierre Krystkowiak [France] ; Jean-Louis Blatt [France] ; Alain Duhamel [France] ; Jean-Louis Bourriez [France] ; Myriame Périna [France] ; Serge Blond [France] ; Jean-Daniel Guieu [France] ; Alain Destée [France]

Source :

Movement Disorders [ 0885-3185 ] ; 2002-01.

RBID : ISTEX:32AD527100BE5F9DBA677ED9752C9D1A2C8122AB

Descripteurs français

Pascal (Inist)
- Adulte, Antiparkinsonien, Chimiothérapie, Cinématique, Equilibre, Lévodopa, Marche à pied, Pallidum, Parkinson maladie, Pronostic, Stimulus électrique, Traitement instrumental.
Wicri :
- topic : Adulte.

English descriptors

KwdEn :
- Adult, Antiparkinson Agents (pharmacology), Antiparkinson Agents (therapeutic use), Antiparkinson agent, Chemotherapy, Combined Modality Therapy, Disability Evaluation, Electric Stimulation Therapy (methods), Electrical stimulus, Equilibrium, Female, Gait (drug effects), Globus Pallidus (physiology), Humans, Instrumentation therapy, Kinematics, Levodopa, Levodopa (pharmacology), Levodopa (therapeutic use), L‐dopa, Male, Middle Aged, Movement Disorders (diagnosis), Pallidum, Parkinson Disease (drug therapy), Parkinson Disease (therapy), Parkinson disease, Parkinson's disease, Posture, Prognosis, Walking, gait, pallidal stimulation, preparatory postural adjustments.
MESH :
- chemical , pharmacology : Antiparkinson Agents, Levodopa.
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- diagnosis : Movement Disorders.
- drug effects : Gait.
- drug therapy : Parkinson Disease.
- methods : Electric Stimulation Therapy.
- physiology : Globus Pallidus.
- therapy : Parkinson Disease.
- Combined Modality Therapy, Disability Evaluation, Female, Humans, Male, Middle Aged, Posture.

Abstract

In order to assess the influence of the bilateral internal globus pallidus (GPi) stimulation on gait and postural instability in Parkinson's disease (PD), we compared gait kinematic parameters and preparatory postural adjustments before and 3 months after stimulation in off‐ and on‐drug conditions for seven patients. Gait kinematic parameters and displacements of centre of pressure (CP) and shoulder computed before a lateral raising task of the leg, were recorded using optoelectric Vicon system. Levodopa (L‐dopa) induced a clear benefit for gait velocity (related to an increase of stride length) and also an increase of swing phase duration. GPi stimulation had a limited effect, since the increase of gait velocity was induced by a concomitant increase of stride length and cadence corresponding to a compensatory mechanism. The benefit on swing phase duration was also moderate. Displacements of CP were improved mainly by L‐dopa. GPi stimulation and L‐dopa had the same beneficial effect on the speed at which the CP was transferred back towards the support side, the ankle velocity, the onset time for ankle displacement, and the decrease of shoulder amplitude towards the support side, which reflects a better postural adjustment phase. This study, based on an objective method, revealed that chronic bilateral GPi stimulation may improve gait and preparatory postural adjustments in severe PD patients with a more limited effect than L‐dopa. © 2001 Movement Disorder Society.

Url:

https://api.istex.fr/document/32AD527100BE5F9DBA677ED9752C9D1A2C8122AB/fulltext/pdf

DOI: 10.1002/mds.1262

Affiliations:

Le document en format XML

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<profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Adult</term>
<term>Antiparkinson Agents (pharmacology)</term>
<term>Antiparkinson Agents (therapeutic use)</term>
<term>Antiparkinson agent</term>
<term>Chemotherapy</term>
<term>Combined Modality Therapy</term>
<term>Disability Evaluation</term>
<term>Electric Stimulation Therapy (methods)</term>
<term>Electrical stimulus</term>
<term>Equilibrium</term>
<term>Female</term>
<term>Gait (drug effects)</term>
<term>Globus Pallidus (physiology)</term>
<term>Humans</term>
<term>Instrumentation therapy</term>
<term>Kinematics</term>
<term>Levodopa</term>
<term>Levodopa (pharmacology)</term>
<term>Levodopa (therapeutic use)</term>
<term>L‐dopa</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Movement Disorders (diagnosis)</term>
<term>Pallidum</term>
<term>Parkinson Disease (drug therapy)</term>
<term>Parkinson Disease (therapy)</term>
<term>Parkinson disease</term>
<term>Parkinson's disease</term>
<term>Posture</term>
<term>Prognosis</term>
<term>Walking</term>
<term>gait</term>
<term>pallidal stimulation</term>
<term>preparatory postural adjustments</term>
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<keywords scheme="MESH" type="chemical" qualifier="pharmacology" xml:lang="en"><term>Antiparkinson Agents</term>
<term>Levodopa</term>
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<keywords scheme="MESH" qualifier="drug effects" xml:lang="en"><term>Gait</term>
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<keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term>
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<keywords scheme="MESH" qualifier="therapy" xml:lang="en"><term>Parkinson Disease</term>
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<term>Antiparkinsonien</term>
<term>Chimiothérapie</term>
<term>Cinématique</term>
<term>Equilibre</term>
<term>Lévodopa</term>
<term>Marche à pied</term>
<term>Pallidum</term>
<term>Parkinson maladie</term>
<term>Pronostic</term>
<term>Stimulus électrique</term>
<term>Traitement instrumental</term>
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<front><div type="abstract" xml:lang="en">In order to assess the influence of the bilateral internal globus pallidus (GPi) stimulation on gait and postural instability in Parkinson's disease (PD), we compared gait kinematic parameters and preparatory postural adjustments before and 3 months after stimulation in off‐ and on‐drug conditions for seven patients. Gait kinematic parameters and displacements of centre of pressure (CP) and shoulder computed before a lateral raising task of the leg, were recorded using optoelectric Vicon system. Levodopa (L‐dopa) induced a clear benefit for gait velocity (related to an increase of stride length) and also an increase of swing phase duration. GPi stimulation had a limited effect, since the increase of gait velocity was induced by a concomitant increase of stride length and cadence corresponding to a compensatory mechanism. The benefit on swing phase duration was also moderate. Displacements of CP were improved mainly by L‐dopa. GPi stimulation and L‐dopa had the same beneficial effect on the speed at which the CP was transferred back towards the support side, the ankle velocity, the onset time for ankle displacement, and the decrease of shoulder amplitude towards the support side, which reflects a better postural adjustment phase. This study, based on an objective method, revealed that chronic bilateral GPi stimulation may improve gait and preparatory postural adjustments in severe PD patients with a more limited effect than L‐dopa. © 2001 Movement Disorder Society.</div>
</front>
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Movement Disorders (revue)

Influence of pallidal stimulation and levodopa on gait and preparatory postural adjustments in Parkinson's disease

Influence of pallidal stimulation and levodopa on gait and preparatory postural adjustments in Parkinson's disease

Source :

Descripteurs français

English descriptors

Abstract

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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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