Footstep adjustments used to turn during walking in Parkinson's disease
Identifieur interne : 003415 ( Main/Merge ); précédent : 003414; suivant : 003416Footstep adjustments used to turn during walking in Parkinson's disease
Auteurs : Frances Huxham [Australie] ; Richard Baker [Australie] ; Meg E. Morris [Australie] ; Robert Iansek [Australie]Source :
- Movement Disorders [ 0885-3185 ] ; 2008-04-30.
English descriptors
- KwdEn :
- Aged, Antiparkinson Agents (therapeutic use), Female, Gait, Gait Disorders, Neurologic (etiology), Humans, Levodopa (therapeutic use), Male, Parkinson Disease (drug therapy), Parkinson Disease (physiopathology), Parkinson's disease, Reference Values, Walking (physiology), basal ganglia, footstep patterns, steering, turns.
- MESH :
- chemical , therapeutic use : Antiparkinson Agents, Levodopa.
- drug therapy : Parkinson Disease.
- etiology : Gait Disorders, Neurologic.
- physiology : Walking.
- physiopathology : Parkinson Disease.
- Aged, Female, Gait, Humans, Male, Reference Values.
Abstract
Turning during walking is frequently problematic in Parkinson's disease (PD). The spatiotemporal characteristics of footstep adjustments used to turn 60 and 120 degrees were examined in 10 people with PD and 10 age, gender‐ and height‐matched control subjects, using three‐dimensional motion analysis. Control subjects used a recognizable pattern of spatial and temporal footstep modulations to turn. Participants with PD demonstrated significant differences in almost all variables. They (1) failed to turn as far as their peers; (2) showed a similar but scaled‐down pattern of spatial adjustments to turn; (3) used shorter strides when walking, with exaggerated reductions when turning; and (4) demonstrated small but significant temporal differences in step time adjustments. Group differences were more marked for the larger turn. Spatial results, interpreted in light of hypothesized basal ganglia dysfunction, are consistent with a normal motor command but impaired ability to maintain movement amplitude. Differences in adjustment of step time to turn may reflect impaired locomotor timing control in subjects with PD during challenging gait tasks. © 2008 Movement Disorder Society
Url:
DOI: 10.1002/mds.21932
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Morris</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>School of Physiotherapy, The University of Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Geriatric Research Unit, Kingston Centre Southern Health, Cheltenham, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-04-30">2008-04-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="817">817</biblScope><biblScope unit="page" to="823">823</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D420A5E792E1BC70DBEA5DDA65DCC5BC4EB45539</idno><idno type="DOI">10.1002/mds.21932</idno><idno type="ArticleID">MDS21932</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Female</term><term>Gait</term><term>Gait Disorders, Neurologic (etiology)</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (physiopathology)</term><term>Parkinson's disease</term><term>Reference Values</term><term>Walking (physiology)</term><term>basal ganglia</term><term>footstep patterns</term><term>steering</term><term>turns</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Reference Values</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Turning during walking is frequently problematic in Parkinson's disease (PD). The spatiotemporal characteristics of footstep adjustments used to turn 60 and 120 degrees were examined in 10 people with PD and 10 age, gender‐ and height‐matched control subjects, using three‐dimensional motion analysis. Control subjects used a recognizable pattern of spatial and temporal footstep modulations to turn. Participants with PD demonstrated significant differences in almost all variables. They (1) failed to turn as far as their peers; (2) showed a similar but scaled‐down pattern of spatial adjustments to turn; (3) used shorter strides when walking, with exaggerated reductions when turning; and (4) demonstrated small but significant temporal differences in step time adjustments. Group differences were more marked for the larger turn. Spatial results, interpreted in light of hypothesized basal ganglia dysfunction, are consistent with a normal motor command but impaired ability to maintain movement amplitude. 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Morris</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>School of Physiotherapy, The University of Melbourne, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation><affiliation wicri:level="1"><country xml:lang="fr">Australie</country><wicri:regionArea>Geriatric Research Unit, Kingston Centre Southern Health, Cheltenham, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author></analytic><monogr></monogr><series><title level="j">Movement Disorders</title><title level="j" type="abbrev">Mov. Disord.</title><idno type="ISSN">0885-3185</idno><idno type="eISSN">1531-8257</idno><imprint><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><pubPlace>Hoboken</pubPlace><date type="published" when="2008-04-30">2008-04-30</date><biblScope unit="vol">23</biblScope><biblScope unit="issue">6</biblScope><biblScope unit="page" from="817">817</biblScope><biblScope unit="page" to="823">823</biblScope></imprint><idno type="ISSN">0885-3185</idno></series><idno type="istex">D420A5E792E1BC70DBEA5DDA65DCC5BC4EB45539</idno><idno type="DOI">10.1002/mds.21932</idno><idno type="ArticleID">MDS21932</idno></biblStruct></sourceDesc><seriesStmt><idno type="ISSN">0885-3185</idno></seriesStmt></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Parkinson's disease</term><term>basal ganglia</term><term>footstep patterns</term><term>steering</term><term>turns</term></keywords></textClass><langUsage><language ident="en">en</language></langUsage></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Turning during walking is frequently problematic in Parkinson's disease (PD). The spatiotemporal characteristics of footstep adjustments used to turn 60 and 120 degrees were examined in 10 people with PD and 10 age, gender‐ and height‐matched control subjects, using three‐dimensional motion analysis. Control subjects used a recognizable pattern of spatial and temporal footstep modulations to turn. Participants with PD demonstrated significant differences in almost all variables. They (1) failed to turn as far as their peers; (2) showed a similar but scaled‐down pattern of spatial adjustments to turn; (3) used shorter strides when walking, with exaggerated reductions when turning; and (4) demonstrated small but significant temporal differences in step time adjustments. Group differences were more marked for the larger turn. Spatial results, interpreted in light of hypothesized basal ganglia dysfunction, are consistent with a normal motor command but impaired ability to maintain movement amplitude. Differences in adjustment of step time to turn may reflect impaired locomotor timing control in subjects with PD during challenging gait tasks. © 2008 Movement Disorder Society</div></front></TEI></ISTEX><PubMed><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Footstep adjustments used to turn during walking in Parkinson's disease.</title><author><name sortKey="Huxham, Frances" sort="Huxham, Frances" uniqKey="Huxham F" first="Frances" last="Huxham">Frances Huxham</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria, Australia. fhuxham@bigpond.net.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Richard" sort="Baker, Richard" uniqKey="Baker R" first="Richard" last="Baker">Richard Baker</name></author><author><name sortKey="Morris, Meg E" sort="Morris, Meg E" uniqKey="Morris M" first="Meg E" last="Morris">Meg E. Morris</name></author><author><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2008">2008</date><idno type="doi">10.1002/mds.21932</idno><idno type="RBID">pubmed:18200603</idno><idno type="pmid">18200603</idno><idno type="wicri:Area/PubMed/Corpus">002326</idno><idno type="wicri:Area/PubMed/Curation">002326</idno><idno type="wicri:Area/PubMed/Checkpoint">002287</idno><idno type="wicri:Area/Ncbi/Merge">002033</idno><idno type="wicri:Area/Ncbi/Curation">002033</idno><idno type="wicri:Area/Ncbi/Checkpoint">002033</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Footstep adjustments used to turn during walking in Parkinson's disease.</title><author><name sortKey="Huxham, Frances" sort="Huxham, Frances" uniqKey="Huxham F" first="Frances" last="Huxham">Frances Huxham</name><affiliation wicri:level="1"><nlm:affiliation>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria, Australia. fhuxham@bigpond.net.au</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Centre for Clinical Research Excellence in Gait Analysis and Gait Rehabilitation, Victoria</wicri:regionArea><wicri:noRegion>Victoria</wicri:noRegion></affiliation></author><author><name sortKey="Baker, Richard" sort="Baker, Richard" uniqKey="Baker R" first="Richard" last="Baker">Richard Baker</name></author><author><name sortKey="Morris, Meg E" sort="Morris, Meg E" uniqKey="Morris M" first="Meg E" last="Morris">Meg E. Morris</name></author><author><name sortKey="Iansek, Robert" sort="Iansek, Robert" uniqKey="Iansek R" first="Robert" last="Iansek">Robert Iansek</name></author></analytic><series><title level="j">Movement disorders : official journal of the Movement Disorder Society</title><idno type="eISSN">1531-8257</idno><imprint><date when="2008" type="published">2008</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Aged</term><term>Antiparkinson Agents (therapeutic use)</term><term>Female</term><term>Gait</term><term>Gait Disorders, Neurologic (etiology)</term><term>Humans</term><term>Levodopa (therapeutic use)</term><term>Male</term><term>Parkinson Disease (drug therapy)</term><term>Parkinson Disease (physiopathology)</term><term>Reference Values</term><term>Walking (physiology)</term></keywords><keywords scheme="MESH" type="chemical" qualifier="therapeutic use" xml:lang="en"><term>Antiparkinson Agents</term><term>Levodopa</term></keywords><keywords scheme="MESH" qualifier="drug therapy" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Aged</term><term>Female</term><term>Gait</term><term>Humans</term><term>Male</term><term>Reference Values</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Turning during walking is frequently problematic in Parkinson's disease (PD). The spatiotemporal characteristics of footstep adjustments used to turn 60 and 120 degrees were examined in 10 people with PD and 10 age, gender- and height-matched control subjects, using three-dimensional motion analysis. Control subjects used a recognizable pattern of spatial and temporal footstep modulations to turn. Participants with PD demonstrated significant differences in almost all variables. They (1) failed to turn as far as their peers; (2) showed a similar but scaled-down pattern of spatial adjustments to turn; (3) used shorter strides when walking, with exaggerated reductions when turning; and (4) demonstrated small but significant temporal differences in step time adjustments. Group differences were more marked for the larger turn. Spatial results, interpreted in light of hypothesized basal ganglia dysfunction, are consistent with a normal motor command but impaired ability to maintain movement amplitude. Differences in adjustment of step time to turn may reflect impaired locomotor timing control in subjects with PD during challenging gait tasks.</div></front></TEI></PubMed></double></record>Pour manipuler ce document sous Unix (Dilib)
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