Unusual gait disorders

Author(s):  
Samuel Kim ◽  
Victor S. C. Fung
Keyword(s):  
2020 ◽  
Vol 90 (3-4) ◽  
pp. 195-199 ◽  
Author(s):  
Gaelle Chevallereau ◽  
Mathilde Legeay ◽  
Guillaume T. Duval ◽  
Spyridon N. Karras ◽  
Bruno Fantino ◽  
...  

Abstract. Despite the high prevalence of hypovitaminosis D in older adults, universal vitamin D supplementation is not recommended due to potential risk of intoxication. Our aim here was to determine the clinical profiles of older community-dwellers with hypovitaminosis D. The perspective is to build novel strategies to screen for and supplement those with hypovitaminosis D. A classification tree (CHAID analysis) was performed on multiple datasets standardizedly collected from 1991 older French community-dwelling volunteers ≥ 65 years in 2009–2012. Hypovitaminosis D was defined as serum 25-hydroxyvitamin D ≤ 50 nmol/L. CHAID analysis retained 5 clinical profiles of older community-dwellers with different risks of hypovitaminosis D up to 87.3%, based on various combinations of the following characteristics: polymorbidity, obesity, sadness and gait disorders. For instance, the probability of hypovitaminosis D was 1.42-fold higher [95CI: 1.27–1.59] for those with polymorbidity and gait disorders compared to those with no polymorbidity, no obesity and no sadness. In conclusion, these easily-recordable measures may be used in clinical routine to identify older community-dwellers for whom vitamin D supplementation should be initiated.


2019 ◽  
Vol 20 (2) ◽  
pp. 79-84
Author(s):  
Matei Teodorescu ◽  
◽  
Marius-Nicolae Popescu ◽  
Luminiţa Dumitru ◽  
Mihai Berteanu ◽  
...  

2020 ◽  
Vol 11 (04) ◽  
pp. 640-642
Author(s):  
Halil Onder

AbstractGait disorders are common in the elderly as there are various causes of neurological and non-neurological conditions. On the other hand, most of the gait parameters do change with advancing age which is identified as age-related physiological changes in gait. At this point, the discrimination between age-related physiological changes and gait disorders may be strictly challenging. After identifying gait as an abnormal pattern, classification of it and making the responsible pathophysiology also require high-level expertise in this regard. Herein, we present a rare patient with corticobasal degeneration (CBD) who had admitted initially due to complaints of gait problems. Over a long time, the patient had received the misdiagnosis of gait abnormality due to musculoskeletal problems by multiple physicians. However, the detailed neurological exam showed a higher level gait disorder (HLGD). Further investigations at this point yielded the diagnosis of CBD.


Sensors ◽  
2021 ◽  
Vol 21 (3) ◽  
pp. 789
Author(s):  
David Kreuzer ◽  
Michael Munz

With an ageing society comes the increased prevalence of gait disorders. The restriction of mobility leads to a considerable reduction in the quality of life, because associated falls increase morbidity and mortality. Consideration of gait analysis data often alters surgical recommendations. For that reason, the early and systematic diagnostic treatment of gait disorders can spare a lot of suffering. As modern gait analysis systems are, in most cases, still very costly, many patients are not privileged enough to have access to comparable therapies. Low-cost systems such as inertial measurement units (IMUs) still pose major challenges, but offer possibilities for automatic real-time motion analysis. In this paper, we present a new approach to reliably detect human gait phases, using IMUs and machine learning methods. This approach should form the foundation of a new medical device to be used for gait analysis. A model is presented combining deep 2D-convolutional and LSTM networks to perform a classification task; it predicts the current gait phase with an accuracy of over 92% on an unseen subject, differentiating between five different phases. In the course of the paper, different approaches to optimize the performance of the model are presented and evaluated.


2020 ◽  
Vol 79 ◽  
pp. e100-e101
Author(s):  
J. Sharma ◽  
S. Naidu ◽  
S. Srinivasan

2021 ◽  
Vol 90 ◽  
pp. 1-8
Author(s):  
Rebecca A. States ◽  
Joseph J. Krzak ◽  
Yasser Salem ◽  
Ellen M. Godwin ◽  
Amy Winter Bodkin ◽  
...  

Sign in / Sign up

Export Citation Format

Share Document