Movement Disorders (revue)

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The Role of Gait Rhythmicity and Bilateral Coordination of Stepping in the Pathophysiology of Freezing of Gait in Parkinson's Disease

Identifieur interne : 001186 ( PascalFrancis/Corpus ); précédent : 001185; suivant : 001187

The Role of Gait Rhythmicity and Bilateral Coordination of Stepping in the Pathophysiology of Freezing of Gait in Parkinson's Disease

Auteurs : Meir Plotnik ; Jeffrey M. Hausdorff

Source :

RBID : Pascal:08-0414962

Descripteurs français

English descriptors

Abstract

Freezing of gait (FOG) is a disabling episodic gait disturbance that is common among patients with Parkinson's disease (PD). In this review, we describe a new approach for understanding the mechanisms underlying this puzzling phenomenon. We propose that impairments in the ongoing regulation of gait, even during periods in which freezing is not present, set the stage for the occurrence of a FOG episode. More specifically, three "interictal" walking attributes are associated with FOG: gait rhythmicity, gait asymmetry, and bilateral dyscoordination of left-right stepping. Gait is less rhythmic, more asymmetric, and less coordinated among PD patients with FOG, when compared with PD patients without FOG. We describe the relationship between these changes and other features of patients with FOG and discuss whether these gait changes may predispose to FOG or if they also cause FOG, perhaps, when they are altered beyond a certain threshold or exacerbated by another trigger.

Notice en format standard (ISO 2709)

Pour connaître la documentation sur le format Inist Standard.

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A08 01  1  ENG  @1 The Role of Gait Rhythmicity and Bilateral Coordination of Stepping in the Pathophysiology of Freezing of Gait in Parkinson's Disease
A09 01  1  ENG  @1 Freezing of Gait in Parkinsonism
A11 01  1    @1 PLOTNIK (Meir)
A11 02  1    @1 HAUSDORFF (Jeffrey M.)
A12 01  1    @1 GILADI (Nir) @9 ed.
A12 02  1    @1 NIEUWBOER (Alice) @9 ed.
A14 01      @1 Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center @2 Tel-Aviv @3 ISR @Z 1 aut. @Z 2 aut.
A14 02      @1 Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University @2 Tel-Aviv @3 ISR @Z 2 aut.
A14 03      @1 Division on Aging, Harvard Medical School @2 Boston, Massachusetts @3 USA @Z 2 aut.
A15 01      @1 Department of Neurology, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University @2 Tel-Aviv @3 ISR @Z 1 aut.
A15 02      @1 Department Revalidatiewetenschappen Faculteit Bewegings- en Revalidatiewetenschappen, Katholieke Universiteit Leuven @2 Leuven (Heverlee) @3 BEL @Z 2 aut.
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A43 01      @1 INIST @2 20953 @5 354000196264240040
A44       @0 0000 @1 © 2008 INIST-CNRS. All rights reserved.
A45       @0 34 ref.
A47 01  1    @0 08-0414962
A60       @1 P
A61       @0 A
A64 01  1    @0 Movement disorders
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C01 01    ENG  @0 Freezing of gait (FOG) is a disabling episodic gait disturbance that is common among patients with Parkinson's disease (PD). In this review, we describe a new approach for understanding the mechanisms underlying this puzzling phenomenon. We propose that impairments in the ongoing regulation of gait, even during periods in which freezing is not present, set the stage for the occurrence of a FOG episode. More specifically, three "interictal" walking attributes are associated with FOG: gait rhythmicity, gait asymmetry, and bilateral dyscoordination of left-right stepping. Gait is less rhythmic, more asymmetric, and less coordinated among PD patients with FOG, when compared with PD patients without FOG. We describe the relationship between these changes and other features of patients with FOG and discuss whether these gait changes may predispose to FOG or if they also cause FOG, perhaps, when they are altered beyond a certain threshold or exacerbated by another trigger.
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C03 01  X  SPA  @0 Parkinson enfermedad @2 NM @5 01
C03 02  X  FRE  @0 Pathologie du système nerveux @5 02
C03 02  X  ENG  @0 Nervous system diseases @5 02
C03 02  X  SPA  @0 Sistema nervioso patología @5 02
C03 03  X  FRE  @0 Coordination @5 09
C03 03  X  ENG  @0 Coordination @5 09
C03 03  X  SPA  @0 Coordinación @5 09
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C03 04  X  ENG  @0 Pathophysiology @5 10
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C03 05  X  ENG  @0 Freezing @5 11
C03 05  X  SPA  @0 Congelación @5 11
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C03 06  X  SPA  @0 Asimetría @5 12
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C07 01  X  ENG  @0 Cerebral disorder @5 37
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C07 03  X  FRE  @0 Maladie dégénérative @5 39
C07 03  X  ENG  @0 Degenerative disease @5 39
C07 03  X  SPA  @0 Enfermedad degenerativa @5 39
C07 04  X  FRE  @0 Pathologie du système nerveux central @5 40
C07 04  X  ENG  @0 Central nervous system disease @5 40
C07 04  X  SPA  @0 Sistema nervosio central patología @5 40
N21       @1 266
N44 01      @1 OTO
N82       @1 OTO

Format Inist (serveur)

NO : PASCAL 08-0414962 INIST
ET : The Role of Gait Rhythmicity and Bilateral Coordination of Stepping in the Pathophysiology of Freezing of Gait in Parkinson's Disease
AU : PLOTNIK (Meir); HAUSDORFF (Jeffrey M.); GILADI (Nir); NIEUWBOER (Alice)
AF : Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center/Tel-Aviv/Israël (1 aut., 2 aut.); Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University/Tel-Aviv/Israël (2 aut.); Division on Aging, Harvard Medical School/Boston, Massachusetts/Etats-Unis (2 aut.); Department of Neurology, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University/Tel-Aviv/Israël (1 aut.); Department Revalidatiewetenschappen Faculteit Bewegings- en Revalidatiewetenschappen, Katholieke Universiteit Leuven/Leuven (Heverlee)/Belgique (2 aut.)
DT : Publication en série; Niveau analytique
SO : Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. SUP2; S444-S450; Bibl. 34 ref.
LA : Anglais
EA : Freezing of gait (FOG) is a disabling episodic gait disturbance that is common among patients with Parkinson's disease (PD). In this review, we describe a new approach for understanding the mechanisms underlying this puzzling phenomenon. We propose that impairments in the ongoing regulation of gait, even during periods in which freezing is not present, set the stage for the occurrence of a FOG episode. More specifically, three "interictal" walking attributes are associated with FOG: gait rhythmicity, gait asymmetry, and bilateral dyscoordination of left-right stepping. Gait is less rhythmic, more asymmetric, and less coordinated among PD patients with FOG, when compared with PD patients without FOG. We describe the relationship between these changes and other features of patients with FOG and discuss whether these gait changes may predispose to FOG or if they also cause FOG, perhaps, when they are altered beyond a certain threshold or exacerbated by another trigger.
CC : 002B17; 002B17G
FD : Maladie de Parkinson; Pathologie du système nerveux; Coordination; Physiopathologie; Congélation; Asymétrie
FG : Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central
ED : Parkinson disease; Nervous system diseases; Coordination; Pathophysiology; Freezing; Asymmetry
EG : Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease
SD : Parkinson enfermedad; Sistema nervioso patología; Coordinación; Fisiopatología; Congelación; Asimetría
LO : INIST-20953.354000196264240040
ID : 08-0414962

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Pascal:08-0414962

Le document en format XML

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<ET>The Role of Gait Rhythmicity and Bilateral Coordination of Stepping in the Pathophysiology of Freezing of Gait in Parkinson's Disease</ET>
<AU>PLOTNIK (Meir); HAUSDORFF (Jeffrey M.); GILADI (Nir); NIEUWBOER (Alice)</AU>
<AF>Movement Disorders Unit, Department of Neurology, Tel-Aviv Sourasky Medical Center/Tel-Aviv/Israël (1 aut., 2 aut.); Department of Physical Therapy, Sackler Faculty of Medicine, Tel-Aviv University/Tel-Aviv/Israël (2 aut.); Division on Aging, Harvard Medical School/Boston, Massachusetts/Etats-Unis (2 aut.); Department of Neurology, Tel-Aviv Sourasky Medical Center, Sackler School of Medicine, Tel-Aviv University/Tel-Aviv/Israël (1 aut.); Department Revalidatiewetenschappen Faculteit Bewegings- en Revalidatiewetenschappen, Katholieke Universiteit Leuven/Leuven (Heverlee)/Belgique (2 aut.)</AF>
<DT>Publication en série; Niveau analytique</DT>
<SO>Movement disorders; ISSN 0885-3185; Etats-Unis; Da. 2008; Vol. 23; No. SUP2; S444-S450; Bibl. 34 ref.</SO>
<LA>Anglais</LA>
<EA>Freezing of gait (FOG) is a disabling episodic gait disturbance that is common among patients with Parkinson's disease (PD). In this review, we describe a new approach for understanding the mechanisms underlying this puzzling phenomenon. We propose that impairments in the ongoing regulation of gait, even during periods in which freezing is not present, set the stage for the occurrence of a FOG episode. More specifically, three "interictal" walking attributes are associated with FOG: gait rhythmicity, gait asymmetry, and bilateral dyscoordination of left-right stepping. Gait is less rhythmic, more asymmetric, and less coordinated among PD patients with FOG, when compared with PD patients without FOG. We describe the relationship between these changes and other features of patients with FOG and discuss whether these gait changes may predispose to FOG or if they also cause FOG, perhaps, when they are altered beyond a certain threshold or exacerbated by another trigger.</EA>
<CC>002B17; 002B17G</CC>
<FD>Maladie de Parkinson; Pathologie du système nerveux; Coordination; Physiopathologie; Congélation; Asymétrie</FD>
<FG>Pathologie de l'encéphale; Syndrome extrapyramidal; Maladie dégénérative; Pathologie du système nerveux central</FG>
<ED>Parkinson disease; Nervous system diseases; Coordination; Pathophysiology; Freezing; Asymmetry</ED>
<EG>Cerebral disorder; Extrapyramidal syndrome; Degenerative disease; Central nervous system disease</EG>
<SD>Parkinson enfermedad; Sistema nervioso patología; Coordinación; Fisiopatología; Congelación; Asimetría</SD>
<LO>INIST-20953.354000196264240040</LO>
<ID>08-0414962</ID>
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