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

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[Postural strategies and falls in elderly and in parkinsonism].

Identifieur interne : 001035 ( PubMed/Checkpoint ); précédent : 001034; suivant : 001036

[Postural strategies and falls in elderly and in parkinsonism].

Auteurs : G. Kemoun [France] ; E. Watelain ; L. Defebvre ; J D Guieu ; A. Destee

Source :

RBID : pubmed:12495821

English descriptors

Abstract

To use a posture analysis to show the evolution of postural pattern connected with falls.

PubMed: 12495821


Affiliations:


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pubmed:12495821

Le document en format XML

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<title xml:lang="en">[Postural strategies and falls in elderly and in parkinsonism].</title>
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<name sortKey="Kemoun, G" sort="Kemoun, G" uniqKey="Kemoun G" first="G" last="Kemoun">G. Kemoun</name>
<affiliation wicri:level="1">
<nlm:affiliation>Elan : Service de rééducation fonctionnelle et de réentraînement à l'effort, CH de Wattrelos, rue du Docteur Alexander-Fleming, France. gkemoun@nordnet.fr</nlm:affiliation>
<country xml:lang="fr">France</country>
<wicri:regionArea>Elan : Service de rééducation fonctionnelle et de réentraînement à l'effort, CH de Wattrelos, rue du Docteur Alexander-Fleming</wicri:regionArea>
<wicri:noRegion>rue du Docteur Alexander-Fleming</wicri:noRegion>
<wicri:noRegion>rue du Docteur Alexander-Fleming</wicri:noRegion>
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<name sortKey="Watelain, E" sort="Watelain, E" uniqKey="Watelain E" first="E" last="Watelain">E. Watelain</name>
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<name sortKey="Defebvre, L" sort="Defebvre, L" uniqKey="Defebvre L" first="L" last="Defebvre">L. Defebvre</name>
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<name sortKey="Guieu, J D" sort="Guieu, J D" uniqKey="Guieu J" first="J D" last="Guieu">J D Guieu</name>
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<name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destee">A. Destee</name>
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<name sortKey="Kemoun, G" sort="Kemoun, G" uniqKey="Kemoun G" first="G" last="Kemoun">G. Kemoun</name>
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<nlm:affiliation>Elan : Service de rééducation fonctionnelle et de réentraînement à l'effort, CH de Wattrelos, rue du Docteur Alexander-Fleming, France. gkemoun@nordnet.fr</nlm:affiliation>
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<name sortKey="Defebvre, L" sort="Defebvre, L" uniqKey="Defebvre L" first="L" last="Defebvre">L. Defebvre</name>
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<name sortKey="Guieu, J D" sort="Guieu, J D" uniqKey="Guieu J" first="J D" last="Guieu">J D Guieu</name>
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<name sortKey="Destee, A" sort="Destee, A" uniqKey="Destee A" first="A" last="Destee">A. Destee</name>
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<title level="j">Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique</title>
<idno type="ISSN">0168-6054</idno>
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<term>Accidental Falls</term>
<term>Aged</term>
<term>Disabled Persons</term>
<term>Female</term>
<term>Gait</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Parkinsonian Disorders (complications)</term>
<term>Posture</term>
<term>Risk Factors</term>
</keywords>
<keywords scheme="MESH" qualifier="complications" xml:lang="en">
<term>Parkinsonian Disorders</term>
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<keywords scheme="MESH" xml:lang="en">
<term>Accidental Falls</term>
<term>Aged</term>
<term>Disabled Persons</term>
<term>Female</term>
<term>Gait</term>
<term>Humans</term>
<term>Male</term>
<term>Middle Aged</term>
<term>Posture</term>
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<div type="abstract" xml:lang="en">To use a posture analysis to show the evolution of postural pattern connected with falls.</div>
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<Year>2002</Year>
<Month>12</Month>
<Day>23</Day>
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<Day>21</Day>
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<Year>2009</Year>
<Month>11</Month>
<Day>03</Day>
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<Year>2002</Year>
<Month>Nov</Month>
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<Title>Annales de readaptation et de medecine physique : revue scientifique de la Societe francaise de reeducation fonctionnelle de readaptation et de medecine physique</Title>
<ISOAbbreviation>Ann Readapt Med Phys</ISOAbbreviation>
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<ArticleTitle>[Postural strategies and falls in elderly and in parkinsonism].</ArticleTitle>
<Pagination>
<MedlinePgn>485-92</MedlinePgn>
</Pagination>
<Abstract>
<AbstractText Label="OBJECTIVE" NlmCategory="OBJECTIVE">To use a posture analysis to show the evolution of postural pattern connected with falls.</AbstractText>
<AbstractText Label="MATERIAL AND METHOD" NlmCategory="METHODS">It is a prospective study on two groups of 16 persons of more than 60 years. A group concerns 16 small disability off drug parkinsonian patients, a group concerns 16 healthy witnesses. All the persons benefited from a posture recording by means of a force platform and were followed during 1 year.</AbstractText>
<AbstractText Label="RESULTS" NlmCategory="RESULTS">Data analysis underlines three groups of persons corresponding to three postural patterns, independently of the presence of Parkinson disease. A group (n = 18) did not contain fallers, the second (n = 10 ) contained 20% of fallers, the third (n = 4) contained 100% of fallers. Differences between the groups were identified on 16 posturographic parameters.</AbstractText>
<AbstractText Label="DISCUSSION" NlmCategory="CONCLUSIONS">A group has a good functional value and one does not record any fall. Its characteristics, which correspond to a category of persons who compensate well for the phenomena of ageing, are found in the literature. A group has an intermediate functional value and regrets 20% of fallers. Kinetic profile reveals a tendency to the stiffness of the posture. This group is going to operate rather ankle strategies. A group has an inferior functional value and regrets 100% of fallers. Kinetic profile seems disrupted and not to be able to adapt itself in a satisfactory way to the situation otherwise than by stereotypical reactions. This group is going to operate systematically much less stabilizing hip strategies.</AbstractText>
<AbstractText Label="CONCLUSION" NlmCategory="CONCLUSIONS">A close determinism between physiological neuromotor ageing and Parkinson disease does exist. We showed with a prospective follow-up, the arisen of fall and showed the evolution of postural patterns related to fall. It appears as well that evolution mainly follows three stages leading from a small risk of fall gait pattern to a major risk of fall gait pattern.</AbstractText>
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