P124. Evaluation of gait parameters in functional gait disorders

2018 ◽  
Vol 129 (8) ◽  
pp. e114 ◽  
Author(s):  
K. Breitkopf ◽  
J. Decker ◽  
M. Wuehr ◽  
F. Schenkel ◽  
T. Brandt ◽  
...  
Author(s):  
Aziz Shaibani

Gait is a complicated process that is initiated and maintained by different mechanisms, both neurological (including neuromuscular) and nonneurological (including musculoskeletal). Neuromuscular clinics receive referrals about patients who may have nonneuromuscular disorders such as Parkinson disease, focal foot dystonia, and multiple sclerosis (MS). It is important for neuromuscular specialists to be aware of other gait disorders as well. Important neuromuscular disorders of gait include neuropathies (foot drop, sensory ataxia), myopathies, muscle stiffness and spasms, myotonia, and motor neuron disease. Functional gait disorder comprises a significant entity that may lead to extensive, unnecessary investigations that can be saved if the specialist is aware of the characteristic features of these symptoms.


2020 ◽  
Author(s):  
Sarah Thompson ◽  
Kaitlin Hays ◽  
Alan Weintraub ◽  
Jessica M Ketchum ◽  
Robert G Kowalski

Abstract Rhythmic auditory stimulation (RAS) has been well researched with stroke survivors and individuals who have Parkinson’s disease, but little research exists on RAS with people who have experienced traumatic brain injury (TBI). This pilot study aimed to (1) assess the feasibility of the study design and (2) explore potential benefits. This single-arm clinical trial included 10 participants who had a 2-week control period between baseline and pretreatment. Participants had RAS daily for a 2-week treatment period and immediately completed post-treatment assessments. Participants then had a 1-week control period and completed follow-up assessment. The starting cadence was evaluated each day of the intervention period due to the variation in daily functioning in this population. All 10 participants were 1–20 years post-TBI with notable deviations in spatial-temporal aspects of gait including decreased velocity, step symmetry, and cadence. All participants had a high risk of falling as defined by achieving less than 22 on the Functional Gait Assessment (FGA). The outcome measures included the 10-m walk test, spatial and temporal gait parameters, FGA, and Physical Activity Enjoyment Scale. There were no adverse events during the study and gait parameters improved. After the intervention, half of the participants achieved a score of more than 22 on the FGA, indicating that they were no longer at high risk of experiencing falls.


2018 ◽  
Vol 22 (5) ◽  
pp. 1653-1661 ◽  
Author(s):  
Djordje Slijepcevic ◽  
Matthias Zeppelzauer ◽  
Anna-Maria Gorgas ◽  
Caterine Schwab ◽  
Michael Schuller ◽  
...  

2015 ◽  
Vol 5 (3) ◽  
pp. 350-360 ◽  
Author(s):  
Anaïck Perrochon ◽  
Achille E. Tchalla ◽  
Joelle Bonis ◽  
Florian Perucaud ◽  
Stéphane Mandigout

Background: Exercise programs are presumed to rehabilitate gait disorders and to reduce the risk of falling in dementia patients. This study aimed to analyze the specific effects of multicomponent exercise on gait disorders and to determine the association between gait impairments and the risk of falling in dementia patients before and after intervention. Methods: We conducted an 8-week multicomponent exercise program in 16 dementia patients (age 86.7 ± 5.4 years). All participants were assessed several times for gait analysis (Locométrix®), Tinetti score and physical activity (Body Media SenseWear® Pro armband). Results: After 8 weeks of the exercise program, the mean gait speed was 0.12 m/s faster than before the intervention (0.55 ± 0.17 vs. 0.67 ± 0.14 m/s). The multicomponent exercise program improved gait performance and Tinetti score (p < 0.05). Gait performance (gait speed, stride length) was correlated with the Tinetti score (p < 0.05). Conclusion: Analysis of spatiotemporal gait parameters using an accelerometer method provided a quick and easy tool to estimate the benefits of an exercise program and the risk of falling.


Neurology ◽  
2021 ◽  
pp. 10.1212/WNL.0000000000012886
Author(s):  
Jan Coebergh ◽  
Ioanna Zimianiti ◽  
Diego Kaski

2015 ◽  
Vol 2015 ◽  
pp. 1-10 ◽  
Author(s):  
Sara A. Myers ◽  
Neil B. Huben ◽  
Jennifer M. Yentes ◽  
John D. McCamley ◽  
Elizabeth R. Lyden ◽  
...  

Accumulating evidence suggests revascularization of peripheral arterial disease (PAD) limbs results in limited improvement in functional gait parameters, suggesting underlying locomotor system pathology. Spatial and temporal (ST) gait parameters are well studied in patients with PAD at baseline and are abnormal when compared to controls. The purpose of this study was to systematically review and critically analyze the available data on ST gait parameters before and after interventions. A full review of literature was conducted and articles were included which examined ST gait parameters before and after intervention (revascularization and exercise). Thirty-three intervention articles were identified based on 154 articles that evaluated ST gait parameters in PAD. Four articles fully assessed ST gait parameters before and after intervention and were included in our analysis. The systematic review of the literature revealed a limited number of studies assessing ST gait parameters. Of those found, results demonstrated the absence of improvement in gait parameters due to either exercise or surgical intervention. Our study demonstrates significant lack of research examining the effectiveness of treatments on ST gait parameters in patients with PAD. Based on the four published articles, ST gait parameters failed to significantly improve in patients with PAD following intervention.


2021 ◽  
Vol 91 ◽  
pp. 32-36
Author(s):  
Michele Tinazzi ◽  
Andrea Pilotto ◽  
Francesca Morgante ◽  
Enrico Marcuzzo ◽  
Sofia Cuoco ◽  
...  

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