Clinimetrics of freezing of gait.
Identifieur interne : 002243 ( Ncbi/Checkpoint ); précédent : 002242; suivant : 002244Clinimetrics of freezing of gait.
Auteurs : Anke H. Snijders [Pays-Bas] ; Maarten J. Nijkrake ; Maaike Bakker ; Marten Munneke ; Carina Wind ; Bastiaan R. BloemSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2008.
English descriptors
- KwdEn :
- Diagnostic Imaging, Freezing Reaction, Cataleptic (physiology), Gait, Gait Disorders, Neurologic (complications), Gait Disorders, Neurologic (diagnosis), Humans, Neuropsychological Tests, Parkinson Disease (complications), Parkinson Disease (diagnosis), Physical Examination, Questionnaires, Severity of Illness Index.
- MESH :
- complications : Gait Disorders, Neurologic, Parkinson Disease.
- diagnosis : Gait Disorders, Neurologic, Parkinson Disease.
- physiology : Freezing Reaction, Cataleptic.
- Diagnostic Imaging, Gait, Humans, Neuropsychological Tests, Physical Examination, Questionnaires, Severity of Illness Index.
Abstract
The clinical assessment of freezing of gait (FOG) provides great challenges. Patients often do not realize what FOG really is. Assessing FOG is further complicated by the episodic, unpredictable, and variable presentation, as well as the complex relationship with medication. Here, we provide some practical recommendations for a standardized clinical approach. During history taking, presence of FOG is best ascertained by asking about the characteristic feeling of "being glued to the floor." Detection of FOG is greatly facilitated by demonstrating what FOG actually looks like, not only to the patient but also to the spouse or other carer. History taking further focuses on the specific circumstances that provoke FOG and on its severity, preferably using standardized questionnaires. Physical examination should be done both during the ON and OFF state, to judge the influence of treatment. Evaluation includes a dedicated "gait trajectory" that features specific triggers to elicit FOG (gait initiation; a narrow passage; dual tasking; and rapid 360 degrees axial turns in both directions). Evaluating the response to external cues has diagnostic importance, and helps to determine possible therapeutic interventions. Because of the tight interplay between FOG and mental functions, the evaluation must include cognitive testing (mainly frontal executive functions) and judgment of mood. Neuroimaging is required for most patients in order to detect underlying pathology, in particular lesions of the frontal lobe or their connections to the basal ganglia. Various quantitative gait assessments have been proposed, but these methods have not proven value for clinical practice.
DOI: 10.1002/mds.22144
PubMed: 18668628
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 002120
- to stream PubMed, to step Curation: 002120
- to stream PubMed, to step Checkpoint: 002378
- to stream Ncbi, to step Merge: 002243
- to stream Ncbi, to step Curation: 002243
Links to Exploration step
pubmed:18668628Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Clinimetrics of freezing of gait.</title>
<author><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H" last="Snijders">Anke H. Snijders</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology and Parkinson Center Nijmegen, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Parkinson Center Nijmegen, Radboud University Nijmegen Medical Centre, Nijmegen</wicri:regionArea>
<placeName><settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nijkrake, Maarten J" sort="Nijkrake, Maarten J" uniqKey="Nijkrake M" first="Maarten J" last="Nijkrake">Maarten J. Nijkrake</name>
</author>
<author><name sortKey="Bakker, Maaike" sort="Bakker, Maaike" uniqKey="Bakker M" first="Maaike" last="Bakker">Maaike Bakker</name>
</author>
<author><name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name>
</author>
<author><name sortKey="Wind, Carina" sort="Wind, Carina" uniqKey="Wind C" first="Carina" last="Wind">Carina Wind</name>
</author>
<author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name>
</author>
</titleStmt>
<publicationStmt><idno type="wicri:source">PubMed</idno>
<date when="2008">2008</date>
<idno type="doi">10.1002/mds.22144</idno>
<idno type="RBID">pubmed:18668628</idno>
<idno type="pmid">18668628</idno>
<idno type="wicri:Area/PubMed/Corpus">002120</idno>
<idno type="wicri:Area/PubMed/Curation">002120</idno>
<idno type="wicri:Area/PubMed/Checkpoint">002378</idno>
<idno type="wicri:Area/Ncbi/Merge">002243</idno>
<idno type="wicri:Area/Ncbi/Curation">002243</idno>
<idno type="wicri:Area/Ncbi/Checkpoint">002243</idno>
</publicationStmt>
<sourceDesc><biblStruct><analytic><title xml:lang="en">Clinimetrics of freezing of gait.</title>
<author><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H" last="Snijders">Anke H. Snijders</name>
<affiliation wicri:level="3"><nlm:affiliation>Department of Neurology and Parkinson Center Nijmegen, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands.</nlm:affiliation>
<country xml:lang="fr">Pays-Bas</country>
<wicri:regionArea>Department of Neurology and Parkinson Center Nijmegen, Radboud University Nijmegen Medical Centre, Nijmegen</wicri:regionArea>
<placeName><settlement type="city">Nimègue</settlement>
<region type="province" nuts="2">Gueldre</region>
</placeName>
</affiliation>
</author>
<author><name sortKey="Nijkrake, Maarten J" sort="Nijkrake, Maarten J" uniqKey="Nijkrake M" first="Maarten J" last="Nijkrake">Maarten J. Nijkrake</name>
</author>
<author><name sortKey="Bakker, Maaike" sort="Bakker, Maaike" uniqKey="Bakker M" first="Maaike" last="Bakker">Maaike Bakker</name>
</author>
<author><name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name>
</author>
<author><name sortKey="Wind, Carina" sort="Wind, Carina" uniqKey="Wind C" first="Carina" last="Wind">Carina Wind</name>
</author>
<author><name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</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>Diagnostic Imaging</term>
<term>Freezing Reaction, Cataleptic (physiology)</term>
<term>Gait</term>
<term>Gait Disorders, Neurologic (complications)</term>
<term>Gait Disorders, Neurologic (diagnosis)</term>
<term>Humans</term>
<term>Neuropsychological Tests</term>
<term>Parkinson Disease (complications)</term>
<term>Parkinson Disease (diagnosis)</term>
<term>Physical Examination</term>
<term>Questionnaires</term>
<term>Severity of Illness Index</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Gait Disorders, Neurologic</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Gait Disorders, Neurologic</term>
<term>Parkinson Disease</term>
</keywords>
<keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Freezing Reaction, Cataleptic</term>
</keywords>
<keywords scheme="MESH" xml:lang="en"><term>Diagnostic Imaging</term>
<term>Gait</term>
<term>Humans</term>
<term>Neuropsychological Tests</term>
<term>Physical Examination</term>
<term>Questionnaires</term>
<term>Severity of Illness Index</term>
</keywords>
</textClass>
</profileDesc>
</teiHeader>
<front><div type="abstract" xml:lang="en">The clinical assessment of freezing of gait (FOG) provides great challenges. Patients often do not realize what FOG really is. Assessing FOG is further complicated by the episodic, unpredictable, and variable presentation, as well as the complex relationship with medication. Here, we provide some practical recommendations for a standardized clinical approach. During history taking, presence of FOG is best ascertained by asking about the characteristic feeling of "being glued to the floor." Detection of FOG is greatly facilitated by demonstrating what FOG actually looks like, not only to the patient but also to the spouse or other carer. History taking further focuses on the specific circumstances that provoke FOG and on its severity, preferably using standardized questionnaires. Physical examination should be done both during the ON and OFF state, to judge the influence of treatment. Evaluation includes a dedicated "gait trajectory" that features specific triggers to elicit FOG (gait initiation; a narrow passage; dual tasking; and rapid 360 degrees axial turns in both directions). Evaluating the response to external cues has diagnostic importance, and helps to determine possible therapeutic interventions. Because of the tight interplay between FOG and mental functions, the evaluation must include cognitive testing (mainly frontal executive functions) and judgment of mood. Neuroimaging is required for most patients in order to detect underlying pathology, in particular lesions of the frontal lobe or their connections to the basal ganglia. Various quantitative gait assessments have been proposed, but these methods have not proven value for clinical practice.</div>
</front>
</TEI>
<affiliations><list><country><li>Pays-Bas</li>
</country>
<region><li>Gueldre</li>
</region>
<settlement><li>Nimègue</li>
</settlement>
</list>
<tree><noCountry><name sortKey="Bakker, Maaike" sort="Bakker, Maaike" uniqKey="Bakker M" first="Maaike" last="Bakker">Maaike Bakker</name>
<name sortKey="Bloem, Bastiaan R" sort="Bloem, Bastiaan R" uniqKey="Bloem B" first="Bastiaan R" last="Bloem">Bastiaan R. Bloem</name>
<name sortKey="Munneke, Marten" sort="Munneke, Marten" uniqKey="Munneke M" first="Marten" last="Munneke">Marten Munneke</name>
<name sortKey="Nijkrake, Maarten J" sort="Nijkrake, Maarten J" uniqKey="Nijkrake M" first="Maarten J" last="Nijkrake">Maarten J. Nijkrake</name>
<name sortKey="Wind, Carina" sort="Wind, Carina" uniqKey="Wind C" first="Carina" last="Wind">Carina Wind</name>
</noCountry>
<country name="Pays-Bas"><region name="Gueldre"><name sortKey="Snijders, Anke H" sort="Snijders, Anke H" uniqKey="Snijders A" first="Anke H" last="Snijders">Anke H. Snijders</name>
</region>
</country>
</tree>
</affiliations>
</record>
Pour manipuler ce document sous Unix (Dilib)
EXPLOR_STEP=$WICRI_ROOT/Wicri/Santé/explor/MovDisordV3/Data/Ncbi/Checkpoint
HfdSelect -h $EXPLOR_STEP/biblio.hfd -nk 002243 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 002243 | SxmlIndent | more
Pour mettre un lien sur cette page dans le réseau Wicri
{{Explor lien |wiki= Wicri/Santé |area= MovDisordV3 |flux= Ncbi |étape= Checkpoint |type= RBID |clé= pubmed:18668628 |texte= Clinimetrics of freezing of gait. }}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:18668628" \ | HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \ | NlmPubMed2Wicri -a MovDisordV3
This area was generated with Dilib version V0.6.23. |