Falls in Parkinson's disease: kinematic evidence for impaired head and trunk control.
Identifieur interne : 002E05 ( Ncbi/Checkpoint ); précédent : 002E04; suivant : 002E06Falls in Parkinson's disease: kinematic evidence for impaired head and trunk control.
Auteurs : Michael H. Cole [Australie] ; Peter A. Silburn ; Joanne M. Wood ; Charles J. Worringham ; Graham K. KerrSource :
- Movement disorders : official journal of the Movement Disorder Society [ 1531-8257 ] ; 2010.
English descriptors
- KwdEn :
- Accidental Falls, Aged, Biomechanical Phenomena (physiology), Female, Follow-Up Studies, Gait Disorders, Neurologic (diagnosis), Gait Disorders, Neurologic (etiology), Head (physiopathology), Humans, Knee (innervation), Male, Movement (physiology), Parkinson Disease (complications), Psychomotor Performance (physiology), Retrospective Studies, Walking (physiology).
- MESH :
- complications : Parkinson Disease.
- diagnosis : Gait Disorders, Neurologic.
- etiology : Gait Disorders, Neurologic.
- innervation : Knee.
- physiology : Biomechanical Phenomena, Movement, Psychomotor Performance, Walking.
- physiopathology : Head.
- Accidental Falls, Aged, Female, Follow-Up Studies, Humans, Male, Retrospective Studies.
Abstract
Changes in stride characteristics and gait rhythmicity characterize gait in Parkinson's disease and are widely believed to contribute to falls in this population. However, few studies have examined gait in PD patients who fall. This study reports on the complexities of walking in PD patients who reported falling during a 12-month follow-up. Forty-nine patients clinically diagnosed with idiopathic PD and 34 controls had their gait assessed using three-dimensional motion analysis. Of the PD patients, 32 (65%) reported at least one fall during the follow-up compared with 17 (50%) controls. The results showed that PD patients had increased stride timing variability, reduced arm swing and walked with a more stooped posture than controls. Additionally, PD fallers took shorter strides, walked slower, spent more time in double-support, had poorer gait stability ratios and did not project their center of mass as far forward of their base of support when compared with controls. These stride changes were accompanied by a reduced range of angular motion for the hip and knee joints. Relative to walking velocity, PD fallers had increased mediolateral head motion compared with PD nonfallers and controls. Therefore, head motion could exceed "normal" limits, if patients increased their walking speed to match healthy individuals. This could be a limiting factor for improving gait in PD and emphasizes the importance of clinically assessing gait to facilitate the early identification of PD patients with a higher risk of falling.
DOI: 10.1002/mds.23292
PubMed: 20737542
Affiliations:
Links toward previous steps (curation, corpus...)
- to stream PubMed, to step Corpus: 001612
- to stream PubMed, to step Curation: 001612
- to stream PubMed, to step Checkpoint: 001886
- to stream Ncbi, to step Merge: 002E05
- to stream Ncbi, to step Curation: 002E05
Links to Exploration step
pubmed:20737542Le document en format XML
<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Falls in Parkinson's disease: kinematic evidence for impaired head and trunk control.</title><author><name sortKey="Cole, Michael H" sort="Cole, Michael H" uniqKey="Cole M" first="Michael H" last="Cole">Michael H. Cole</name><affiliation wicri:level="1"><nlm:affiliation>Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology</wicri:regionArea><wicri:noRegion>Queensland University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name></author><author><name sortKey="Wood, Joanne M" sort="Wood, Joanne M" uniqKey="Wood J" first="Joanne M" last="Wood">Joanne M. Wood</name></author><author><name sortKey="Worringham, Charles J" sort="Worringham, Charles J" uniqKey="Worringham C" first="Charles J" last="Worringham">Charles J. Worringham</name></author><author><name sortKey="Kerr, Graham K" sort="Kerr, Graham K" uniqKey="Kerr G" first="Graham K" last="Kerr">Graham K. Kerr</name></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2010">2010</date><idno type="doi">10.1002/mds.23292</idno><idno type="RBID">pubmed:20737542</idno><idno type="pmid">20737542</idno><idno type="wicri:Area/PubMed/Corpus">001612</idno><idno type="wicri:Area/PubMed/Curation">001612</idno><idno type="wicri:Area/PubMed/Checkpoint">001886</idno><idno type="wicri:Area/Ncbi/Merge">002E05</idno><idno type="wicri:Area/Ncbi/Curation">002E05</idno><idno type="wicri:Area/Ncbi/Checkpoint">002E05</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Falls in Parkinson's disease: kinematic evidence for impaired head and trunk control.</title><author><name sortKey="Cole, Michael H" sort="Cole, Michael H" uniqKey="Cole M" first="Michael H" last="Cole">Michael H. Cole</name><affiliation wicri:level="1"><nlm:affiliation>Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology, Australia.</nlm:affiliation><country xml:lang="fr">Australie</country><wicri:regionArea>Movement Neuroscience Program, Institute of Health and Biomedical Innovation, Queensland University of Technology</wicri:regionArea><wicri:noRegion>Queensland University of Technology</wicri:noRegion></affiliation></author><author><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name></author><author><name sortKey="Wood, Joanne M" sort="Wood, Joanne M" uniqKey="Wood J" first="Joanne M" last="Wood">Joanne M. Wood</name></author><author><name sortKey="Worringham, Charles J" sort="Worringham, Charles J" uniqKey="Worringham C" first="Charles J" last="Worringham">Charles J. Worringham</name></author><author><name sortKey="Kerr, Graham K" sort="Kerr, Graham K" uniqKey="Kerr G" first="Graham K" last="Kerr">Graham K. Kerr</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="2010" type="published">2010</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Biomechanical Phenomena (physiology)</term><term>Female</term><term>Follow-Up Studies</term><term>Gait Disorders, Neurologic (diagnosis)</term><term>Gait Disorders, Neurologic (etiology)</term><term>Head (physiopathology)</term><term>Humans</term><term>Knee (innervation)</term><term>Male</term><term>Movement (physiology)</term><term>Parkinson Disease (complications)</term><term>Psychomotor Performance (physiology)</term><term>Retrospective Studies</term><term>Walking (physiology)</term></keywords><keywords scheme="MESH" qualifier="complications" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="diagnosis" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="etiology" xml:lang="en"><term>Gait Disorders, Neurologic</term></keywords><keywords scheme="MESH" qualifier="innervation" xml:lang="en"><term>Knee</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Biomechanical Phenomena</term><term>Movement</term><term>Psychomotor Performance</term><term>Walking</term></keywords><keywords scheme="MESH" qualifier="physiopathology" xml:lang="en"><term>Head</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Accidental Falls</term><term>Aged</term><term>Female</term><term>Follow-Up Studies</term><term>Humans</term><term>Male</term><term>Retrospective Studies</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Changes in stride characteristics and gait rhythmicity characterize gait in Parkinson's disease and are widely believed to contribute to falls in this population. However, few studies have examined gait in PD patients who fall. This study reports on the complexities of walking in PD patients who reported falling during a 12-month follow-up. Forty-nine patients clinically diagnosed with idiopathic PD and 34 controls had their gait assessed using three-dimensional motion analysis. Of the PD patients, 32 (65%) reported at least one fall during the follow-up compared with 17 (50%) controls. The results showed that PD patients had increased stride timing variability, reduced arm swing and walked with a more stooped posture than controls. Additionally, PD fallers took shorter strides, walked slower, spent more time in double-support, had poorer gait stability ratios and did not project their center of mass as far forward of their base of support when compared with controls. These stride changes were accompanied by a reduced range of angular motion for the hip and knee joints. Relative to walking velocity, PD fallers had increased mediolateral head motion compared with PD nonfallers and controls. Therefore, head motion could exceed "normal" limits, if patients increased their walking speed to match healthy individuals. This could be a limiting factor for improving gait in PD and emphasizes the importance of clinically assessing gait to facilitate the early identification of PD patients with a higher risk of falling.</div></front></TEI><affiliations><list><country><li>Australie</li></country></list><tree><noCountry><name sortKey="Kerr, Graham K" sort="Kerr, Graham K" uniqKey="Kerr G" first="Graham K" last="Kerr">Graham K. Kerr</name><name sortKey="Silburn, Peter A" sort="Silburn, Peter A" uniqKey="Silburn P" first="Peter A" last="Silburn">Peter A. Silburn</name><name sortKey="Wood, Joanne M" sort="Wood, Joanne M" uniqKey="Wood J" first="Joanne M" last="Wood">Joanne M. Wood</name><name sortKey="Worringham, Charles J" sort="Worringham, Charles J" uniqKey="Worringham C" first="Charles J" last="Worringham">Charles J. Worringham</name></noCountry><country name="Australie"><noRegion><name sortKey="Cole, Michael H" sort="Cole, Michael H" uniqKey="Cole M" first="Michael H" last="Cole">Michael H. Cole</name></noRegion></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 002E05 | SxmlIndent | more
Ou
HfdSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd -nk 002E05 | 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:20737542
|texte= Falls in Parkinson's disease: kinematic evidence for impaired head and trunk control.
}}
Pour générer des pages wiki
HfdIndexSelect -h $EXPLOR_AREA/Data/Ncbi/Checkpoint/RBID.i -Sk "pubmed:20737542" \
| HfdSelect -Kh $EXPLOR_AREA/Data/Ncbi/Checkpoint/biblio.hfd \
| NlmPubMed2Wicri -a MovDisordV3
| This area was generated with Dilib version V0.6.23. |  |