Backward walking in Parkinson's disease
Identifieur interne : 001E23 ( Main/Corpus ); précédent : 001E22; suivant : 001E24Backward walking in Parkinson's disease
Auteurs : Madeleine E. Hackney ; Gammon M. EarhartSource :
- Movement Disorders [ 0885-3185 ] ; 2009-01-30.
English descriptors
- KwdEn :
Abstract
We walk backward on a daily basis, such as when backing away from the kitchen sink or stepping back from a curb as a swiftly moving bus passes. This task may be particularly difficult for individuals with Parkinson's disease (PD) who often fall as a result of moving or being perturbed in the backward direction. The aim of this study was to assess backward walking (BW) in individuals with PD. Both forward walking (FW) and BW were assessed in 78 people with idiopathic PD (H&Y range: 0.5–3) in the ON state, and 74 age‐ and sex‐matched controls. In FW, those with PD had significantly shorter strides, lower swing percents, higher stance percents, and lower functional ambulation profiles than controls. Both groups walked significantly slower and with a wider base of support during BW than FW. Additionally, in BW those with PD walked significantly slower with shorter strides, lower swing percents, and higher double support and stance percents, and lower functional ambulation profiles compared with controls. Those with mild to moderate PD have impaired FW and BW, but differences between those with and without PD are more pronounced in BW. © 2008 Movement Disorder Society
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DOI: 10.1002/mds.22330
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ISTEX:F86B6A2E823E7EEC9A0297EB45482809180AFDE0Le document en format XML
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This task may be particularly difficult for individuals with Parkinson's disease (PD) who often fall as a result of moving or being perturbed in the backward direction. The aim of this study was to assess backward walking (BW) in individuals with PD. Both forward walking (FW) and BW were assessed in 78 people with idiopathic PD (H&Y range: 0.5–3) in the ON state, and 74 age‐ and sex‐matched controls. In FW, those with PD had significantly shorter strides, lower swing percents, higher stance percents, and lower functional ambulation profiles than controls. Both groups walked significantly slower and with a wider base of support during BW than FW. Additionally, in BW those with PD walked significantly slower with shorter strides, lower swing percents, and higher double support and stance percents, and lower functional ambulation profiles compared with controls. Those with mild to moderate PD have impaired FW and BW, but differences between those with and without PD are more pronounced in BW. © 2008 Movement Disorder Society</p></abstract></abstractGroup></contentMeta><noteGroup><note xml:id="fn1"><p>Potential conflict of interest: None reported.</p></note></noteGroup></header></component></istex:document></istex:metadataXml><mods version="3.6"><titleInfo lang="en"><title>Backward walking in Parkinson's disease</title></titleInfo><titleInfo type="abbreviated" lang="en"><title>PD Backward Walking</title></titleInfo><titleInfo type="alternative" contentType="CDATA" lang="en"><title>Backward walking in Parkinson's disease</title></titleInfo><name type="personal"><namePart type="given">Madeleine E.</namePart><namePart type="family">Hackney</namePart><namePart type="termsOfAddress">BFA</namePart><affiliation>Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri, USA</affiliation><role><roleTerm type="text">author</roleTerm></role></name><name type="personal"><namePart type="given">Gammon M.</namePart><namePart type="family">Earhart</namePart><namePart type="termsOfAddress">PhD, PT</namePart><affiliation>Program in Physical Therapy, Washington University School of Medicine, St. Louis, Missouri, USA</affiliation><affiliation>Department of Anatomy and Neurobiology, Washington University School of Medicine, St. Louis, Missouri, USA</affiliation><affiliation>Department of Neurology, Washington University School of Medicine, St. Louis, Missouri, USA</affiliation><description>Correspondence: Program in Physical Therapy, Washington University School of Medicine, Campus Box 8502, 4444 Forest Park Blvd., St. Louis, MO 63108</description><role><roleTerm type="text">author</roleTerm></role></name><typeOfResource>text</typeOfResource><genre type="article" displayLabel="article"></genre><originInfo><publisher>Wiley Subscription Services, Inc., A Wiley Company</publisher><place><placeTerm type="text">Hoboken</placeTerm></place><dateIssued encoding="w3cdtf">2009-01-30</dateIssued><dateCaptured encoding="w3cdtf">2008-03-12</dateCaptured><dateValid encoding="w3cdtf">2008-08-28</dateValid><copyrightDate encoding="w3cdtf">2009</copyrightDate></originInfo><language><languageTerm type="code" authority="rfc3066">en</languageTerm><languageTerm type="code" authority="iso639-2b">eng</languageTerm></language><physicalDescription><internetMediaType>text/html</internetMediaType><extent unit="tables">2</extent><extent unit="references">38</extent><extent unit="words">4792</extent></physicalDescription><abstract lang="en">We walk backward on a daily basis, such as when backing away from the kitchen sink or stepping back from a curb as a swiftly moving bus passes. This task may be particularly difficult for individuals with Parkinson's disease (PD) who often fall as a result of moving or being perturbed in the backward direction. The aim of this study was to assess backward walking (BW) in individuals with PD. Both forward walking (FW) and BW were assessed in 78 people with idiopathic PD (H&Y range: 0.5–3) in the ON state, and 74 age‐ and sex‐matched controls. In FW, those with PD had significantly shorter strides, lower swing percents, higher stance percents, and lower functional ambulation profiles than controls. Both groups walked significantly slower and with a wider base of support during BW than FW. Additionally, in BW those with PD walked significantly slower with shorter strides, lower swing percents, and higher double support and stance percents, and lower functional ambulation profiles compared with controls. Those with mild to moderate PD have impaired FW and BW, but differences between those with and without PD are more pronounced in BW. © 2008 Movement Disorder Society</abstract><note type="content">*Potential conflict of interest: None reported.</note><note type="funding">American Parkinson Disease Association</note><note type="funding">NIH - No. K01 HD048437; </note><subject lang="en"><genre>Keywords</genre><topic>gait</topic><topic>backward</topic><topic>Parkinson's disease</topic></subject><relatedItem type="host"><titleInfo><title>Movement Disorders</title><subTitle>Official Journal of the Movement Disorder Society</subTitle></titleInfo><titleInfo type="abbreviated"><title>Mov. 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