La maladie de Parkinson en France (serveur d'exploration)

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WALKING PATTERNS IN PARKINSON'S DISEASE WITH AND WITHOUT FREEZING OF GAIT

Identifieur interne : 000F40 ( PascalFrancis/Curation ); précédent : 000F39; suivant : 000F41

WALKING PATTERNS IN PARKINSON'S DISEASE WITH AND WITHOUT FREEZING OF GAIT

Auteurs : W. Nanhoe-Mahabier [Pays-Bas] ; A. H. Snijders [Pays-Bas] ; A. Delval [Pays-Bas, France] ; V. Weerdesteyn [Pays-Bas] ; J. Duysens [Belgique] ; S. Overeem [Pays-Bas] ; B. R. Bloem [Pays-Bas]

Source :

RBID : Pascal:11-0253424

Descripteurs français

English descriptors

Abstract

The pathophysiology underlying freezing of gait (FOG) in Parkinson's disease remains incompletely understood. Patients with FOG ("freezers") have a higher temporal variability and asymmetry of strides compared to patients without FOG ("non-freezers"). We aimed to extend this view, by assessing spatial variability and asymmetry of steps and interlimb coordination between the upper and lower limbs during gait. Twelve freezers, 15 non-freezers, and 15 age-matched controls were instructed to walk overground and on a treadmill. Kinematic data were recorded with a motion analysis system. Both freezers and non-freezers showed an increased spatial variability of leg movements compared to controls. In addition, both patient groups had a deficit in interlimb coordination, not only between ipsilateral arms and legs, but also between diagonally positioned limbs. The only difference between freezers and non-freezers was a decreased step length during treadmill walking. We conclude that parkinsonian gait-regardless of FOG-is irregular, not only in the legs, but also with respect to interlimb coordination between the arms and legs. FOG is reflected by abnormal treadmill walking, presumably because this provides a greater challenge to the defective supraspinal control than overqround walking, hampering the ability of freezers to increase their stride length when necessary.
pA  
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A08 01  1  ENG  @1 WALKING PATTERNS IN PARKINSON'S DISEASE WITH AND WITHOUT FREEZING OF GAIT
A11 01  1    @1 NANHOE-MAHABIER (W.)
A11 02  1    @1 SNIJDERS (A. H.)
A11 03  1    @1 DELVAL (A.)
A11 04  1    @1 WEERDESTEYN (V.)
A11 05  1    @1 DUYSENS (J.)
A11 06  1    @1 OVEREEM (S.)
A11 07  1    @1 BLOEM (B. R.)
A14 01      @1 Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 1 aut. @Z 2 aut. @Z 3 aut. @Z 6 aut. @Z 7 aut.
A14 02      @1 Department of Neurology and Movement Disorders, Salengro Hospital, Lille Regional University Hospital @2 Lille @3 FRA @Z 3 aut.
A14 03      @1 Department of Rehabilitation, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre @2 Nijmegen @3 NLD @Z 4 aut.
A14 04      @1 Department of Biomedical Kinesiology, Research Centre for Movement Control and Neuroplasticity, Katholieke Universiteit Leuven @2 Leuven @3 BEL @Z 5 aut.
A20       @1 217-224
A21       @1 2011
A23 01      @0 ENG
A43 01      @1 INIST @2 17194 @5 354000191560000220
A44       @0 0000 @1 © 2011 INIST-CNRS. All rights reserved.
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C01 01    ENG  @0 The pathophysiology underlying freezing of gait (FOG) in Parkinson's disease remains incompletely understood. Patients with FOG ("freezers") have a higher temporal variability and asymmetry of strides compared to patients without FOG ("non-freezers"). We aimed to extend this view, by assessing spatial variability and asymmetry of steps and interlimb coordination between the upper and lower limbs during gait. Twelve freezers, 15 non-freezers, and 15 age-matched controls were instructed to walk overground and on a treadmill. Kinematic data were recorded with a motion analysis system. Both freezers and non-freezers showed an increased spatial variability of leg movements compared to controls. In addition, both patient groups had a deficit in interlimb coordination, not only between ipsilateral arms and legs, but also between diagonally positioned limbs. The only difference between freezers and non-freezers was a decreased step length during treadmill walking. We conclude that parkinsonian gait-regardless of FOG-is irregular, not only in the legs, but also with respect to interlimb coordination between the arms and legs. FOG is reflected by abnormal treadmill walking, presumably because this provides a greater challenge to the defective supraspinal control than overqround walking, hampering the ability of freezers to increase their stride length when necessary.
C02 01  X    @0 002A25
C02 02  X    @0 002B17G
C03 01  X  FRE  @0 Marche à pied @5 01
C03 01  X  ENG  @0 Walking @5 01
C03 01  X  SPA  @0 Caminata @5 01
C03 02  X  FRE  @0 Maladie de Parkinson @2 NM @5 09
C03 02  X  ENG  @0 Parkinson disease @2 NM @5 09
C03 02  X  SPA  @0 Parkinson enfermedad @2 NM @5 09
C03 03  X  FRE  @0 Générateur central pattern @4 CD @5 96
C03 03  X  ENG  @0 Central pattern generator @4 CD @5 96
C07 01  X  FRE  @0 Locomotion @5 20
C07 01  X  ENG  @0 Locomotion @5 20
C07 01  X  SPA  @0 Locomoción @5 20
C07 02  X  FRE  @0 Maladie dégénérative @5 21
C07 02  X  ENG  @0 Degenerative disease @5 21
C07 02  X  SPA  @0 Enfermedad degenerativa @5 21
C07 03  X  FRE  @0 Pathologie du système nerveux @5 22
C07 03  X  ENG  @0 Nervous system diseases @5 22
C07 03  X  SPA  @0 Sistema nervioso patología @5 22
C07 04  X  FRE  @0 Pathologie de l'encéphale @5 23
C07 04  X  ENG  @0 Cerebral disorder @5 23
C07 04  X  SPA  @0 Encéfalo patología @5 23
C07 05  X  FRE  @0 Syndrome extrapyramidal @5 24
C07 05  X  ENG  @0 Extrapyramidal syndrome @5 24
C07 05  X  SPA  @0 Extrapiramidal síndrome @5 24
C07 06  X  FRE  @0 Pathologie du système nerveux central @5 25
C07 06  X  ENG  @0 Central nervous system disease @5 25
C07 06  X  SPA  @0 Sistema nervosio central patología @5 25
N21       @1 171
N44 01      @1 OTO
N82       @1 OTO

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Le document en format XML

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<div type="abstract" xml:lang="en">The pathophysiology underlying freezing of gait (FOG) in Parkinson's disease remains incompletely understood. Patients with FOG ("freezers") have a higher temporal variability and asymmetry of strides compared to patients without FOG ("non-freezers"). We aimed to extend this view, by assessing spatial variability and asymmetry of steps and interlimb coordination between the upper and lower limbs during gait. Twelve freezers, 15 non-freezers, and 15 age-matched controls were instructed to walk overground and on a treadmill. Kinematic data were recorded with a motion analysis system. Both freezers and non-freezers showed an increased spatial variability of leg movements compared to controls. In addition, both patient groups had a deficit in interlimb coordination, not only between ipsilateral arms and legs, but also between diagonally positioned limbs. The only difference between freezers and non-freezers was a decreased step length during treadmill walking. We conclude that parkinsonian gait-regardless of FOG-is irregular, not only in the legs, but also with respect to interlimb coordination between the arms and legs. FOG is reflected by abnormal treadmill walking, presumably because this provides a greater challenge to the defective supraspinal control than overqround walking, hampering the ability of freezers to increase their stride length when necessary.</div>
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<s0>002B17G</s0>
</fC02>
<fC03 i1="01" i2="X" l="FRE">
<s0>Marche à pied</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="ENG">
<s0>Walking</s0>
<s5>01</s5>
</fC03>
<fC03 i1="01" i2="X" l="SPA">
<s0>Caminata</s0>
<s5>01</s5>
</fC03>
<fC03 i1="02" i2="X" l="FRE">
<s0>Maladie de Parkinson</s0>
<s2>NM</s2>
<s5>09</s5>
</fC03>
<fC03 i1="02" i2="X" l="ENG">
<s0>Parkinson disease</s0>
<s2>NM</s2>
<s5>09</s5>
</fC03>
<fC03 i1="02" i2="X" l="SPA">
<s0>Parkinson enfermedad</s0>
<s2>NM</s2>
<s5>09</s5>
</fC03>
<fC03 i1="03" i2="X" l="FRE">
<s0>Générateur central pattern</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC03 i1="03" i2="X" l="ENG">
<s0>Central pattern generator</s0>
<s4>CD</s4>
<s5>96</s5>
</fC03>
<fC07 i1="01" i2="X" l="FRE">
<s0>Locomotion</s0>
<s5>20</s5>
</fC07>
<fC07 i1="01" i2="X" l="ENG">
<s0>Locomotion</s0>
<s5>20</s5>
</fC07>
<fC07 i1="01" i2="X" l="SPA">
<s0>Locomoción</s0>
<s5>20</s5>
</fC07>
<fC07 i1="02" i2="X" l="FRE">
<s0>Maladie dégénérative</s0>
<s5>21</s5>
</fC07>
<fC07 i1="02" i2="X" l="ENG">
<s0>Degenerative disease</s0>
<s5>21</s5>
</fC07>
<fC07 i1="02" i2="X" l="SPA">
<s0>Enfermedad degenerativa</s0>
<s5>21</s5>
</fC07>
<fC07 i1="03" i2="X" l="FRE">
<s0>Pathologie du système nerveux</s0>
<s5>22</s5>
</fC07>
<fC07 i1="03" i2="X" l="ENG">
<s0>Nervous system diseases</s0>
<s5>22</s5>
</fC07>
<fC07 i1="03" i2="X" l="SPA">
<s0>Sistema nervioso patología</s0>
<s5>22</s5>
</fC07>
<fC07 i1="04" i2="X" l="FRE">
<s0>Pathologie de l'encéphale</s0>
<s5>23</s5>
</fC07>
<fC07 i1="04" i2="X" l="ENG">
<s0>Cerebral disorder</s0>
<s5>23</s5>
</fC07>
<fC07 i1="04" i2="X" l="SPA">
<s0>Encéfalo patología</s0>
<s5>23</s5>
</fC07>
<fC07 i1="05" i2="X" l="FRE">
<s0>Syndrome extrapyramidal</s0>
<s5>24</s5>
</fC07>
<fC07 i1="05" i2="X" l="ENG">
<s0>Extrapyramidal syndrome</s0>
<s5>24</s5>
</fC07>
<fC07 i1="05" i2="X" l="SPA">
<s0>Extrapiramidal síndrome</s0>
<s5>24</s5>
</fC07>
<fC07 i1="06" i2="X" l="FRE">
<s0>Pathologie du système nerveux central</s0>
<s5>25</s5>
</fC07>
<fC07 i1="06" i2="X" l="ENG">
<s0>Central nervous system disease</s0>
<s5>25</s5>
</fC07>
<fC07 i1="06" i2="X" l="SPA">
<s0>Sistema nervosio central patología</s0>
<s5>25</s5>
</fC07>
<fN21>
<s1>171</s1>
</fN21>
<fN44 i1="01">
<s1>OTO</s1>
</fN44>
<fN82>
<s1>OTO</s1>
</fN82>
</pA>
</standard>
</inist>
</record>

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   |area=    ParkinsonFranceV1
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   |texte=   WALKING PATTERNS IN PARKINSON'S DISEASE WITH AND WITHOUT FREEZING OF GAIT
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