Bicycling Breaks the Ice for Freezers of Gait
Identifieur interne : 001C85 ( Main/Merge ); précédent : 001C84; suivant : 001C86Bicycling Breaks the Ice for Freezers of Gait
Auteurs : Anke H. Snijders [Pays-Bas] ; Ivan Toni [Pays-Bas] ; Evžen Ruzicka [République tchèque] ; Bastiaan R. Bloem [Pays-Bas]Source :
- Movement disorders [ 0885-3185 ] ; 2011.
Descripteurs français
- Pascal (Inist)
- Wicri :
- topic : Congélation.
English descriptors
Abstract
Patients with freezing of gait (FOG) have episodic problems with generating adequate steps. This phenomenon is both common and debilitating in patients with Parkinson's disease (PD) or atypical parkinsonism. We recently presented a video case of a patient with longstanding PD and severe FOG, who showed a remarkably preserved ability to ride a bicycle. Here, we comment on the scientific and clinical implications of this single case observation, and show the video of a similar case. We first consider several pathophysiological explanations for this striking discrepancy between walking and cycling in PD. We then discuss the merits and shortcomings of cycling as a potential new avenue for rehabilitation and exercise training in patients grounded by FOG. Finally, we provide some directions for future research stimulated by this fascinating observation.
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Pascal:11-0211278Le document en format XML
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Snijders</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Toni, Ivan" sort="Toni, Ivan" uniqKey="Toni I" first="Ivan" last="Toni">Ivan Toni</name><affiliation wicri:level="1"><inist:fA14 i1="02"><s1>Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Donders Centre for Cognitive Neuroimaging, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</wicri:noRegion></affiliation><affiliation wicri:level="1"><inist:fA14 i1="03"><s1>Donders Centre for Cognition, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</s1><s3>NLD</s3><sZ>2 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Donders Centre for Cognition, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen</wicri:noRegion></affiliation></author><author><name sortKey="Ruzicka, Evzen" sort="Ruzicka, Evzen" uniqKey="Ruzicka E" first="Evžen" last="Ruzicka">Evžen Ruzicka</name><affiliation wicri:level="3"><inist:fA14 i1="04"><s1>Department of Neurology and Centre of Clinical Neuroscience, First Faculty of Medicine and General University Hospital, Charles University</s1><s2>Prague</s2><s3>CZE</s3><sZ>3 aut.</sZ></inist:fA14><country>République tchèque</country><placeName><settlement type="city">Prague</settlement><region type="région" nuts="2">Bohême centrale</region></placeName></affiliation></author><author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name><affiliation wicri:level="1"><inist:fA14 i1="01"><s1>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre</s1><s3>NLD</s3><sZ>1 aut.</sZ><sZ>4 aut.</sZ></inist:fA14><country>Pays-Bas</country><wicri:noRegion>Department of Neurology and Parkinson Centre Nijmegen, Donders Institute for Brain, Cognition and Behaviour, Radboud University Nijmegen Medical Centre</wicri:noRegion></affiliation></author></analytic><series><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno><imprint><date when="2011">2011</date></imprint></series></biblStruct></sourceDesc><seriesStmt><title level="j" type="main">Movement disorders</title><title level="j" type="abbreviated">Mov. disord.</title><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Freezing</term><term>Nervous system diseases</term><term>Parkinson disease</term><term>Rehabilitation</term></keywords><keywords scheme="Pascal" xml:lang="fr"><term>Maladie de Parkinson</term><term>Pathologie du système nerveux</term><term>Congélation</term><term>Réhabilitation</term></keywords><keywords scheme="Wicri" type="topic" xml:lang="fr"><term>Congélation</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Patients with freezing of gait (FOG) have episodic problems with generating adequate steps. This phenomenon is both common and debilitating in patients with Parkinson's disease (PD) or atypical parkinsonism. We recently presented a video case of a patient with longstanding PD and severe FOG, who showed a remarkably preserved ability to ride a bicycle. Here, we comment on the scientific and clinical implications of this single case observation, and show the video of a similar case. We first consider several pathophysiological explanations for this striking discrepancy between walking and cycling in PD. We then discuss the merits and shortcomings of cycling as a potential new avenue for rehabilitation and exercise training in patients grounded by FOG. Finally, we provide some directions for future research stimulated by this fascinating observation.</div></front></TEI><affiliations><list><country><li>Pays-Bas</li><li>République tchèque</li></country><region><li>Bohême centrale</li></region><settlement><li>Prague</li></settlement></list><tree><country name="Pays-Bas"><noRegion><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H." last="Snijders">Anke H. Snijders</name></noRegion><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R." last="Bloem">Bastiaan R. Bloem</name><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H." last="Snijders">Anke H. Snijders</name><name sortKey="Toni, Ivan" sort="Toni, Ivan" uniqKey="Toni I" first="Ivan" last="Toni">Ivan Toni</name><name sortKey="Toni, Ivan" sort="Toni, Ivan" uniqKey="Toni I" first="Ivan" last="Toni">Ivan Toni</name></country><country name="République tchèque"><region name="Bohême centrale"><name sortKey="Ruzicka, Evzen" sort="Ruzicka, Evzen" uniqKey="Ruzicka E" first="Evžen" last="Ruzicka">Evžen Ruzicka</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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