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Comparison of the Total Stance Time And the Phase Ratio in Parkinson's Disease Patients And Normal Subjects

파킨슨씨 병 환자와 정상인의 입각기시간과 상비율의 비교

  • Published : 2006.12.12

Abstract

The purpose of this study is to investigate the gait characteristics in Parkinson's disease patients. Specifically, the total stance time and the ratio of each stance phase (heel strike, mid-stance, propulsion) are analyzed from the foot-pressure measurement system which requires low cost and small space compared to the conventional gait analysis system. The gait characteristics were analyzed in 23 Parkinson's disease patients (before and after L-dopa medication), 34 elderly (sixties) normal subjects and 21 young (twenties) normal subjects. Bradykinesia global score (self-developed score of slowness of body movement) of patients before medication was determined to see the relationship between the score and the gait characteristics. The total stance time was greater in the erde. of patients, elderly, youngs (p<0.05). The phase ratio of heel strike and propulsion was smaller and that of mid-stance was greater in the order of patients, elderly, youngs (p<0.05). However, there was no significant difference in the above gait characteristics of patients before and after medication. There was a tendency, though statistically non-significant, that the total stance time is longer and the propulsion phase ratio is shorter in patients with greater Bradikinesia global scale, and this tendency was relieved after medication.

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References

  1. W.C. Koller, S. Glatt, B. Vetere-Overfiled, R. Hassanein, 'Falls and Parkinson's disease,' Clin. Neurolpharmacol, vol. 12, pp.98-105,1989 https://doi.org/10.1097/00002826-198904000-00003
  2. R.A. Roos, J.C. Jongen, E.A. van der Velde, 'Clinical course of patients with idiopathic Parkinson's disease,' Mov Disord, vol. 11, pp.236-242, 1996 https://doi.org/10.1002/mds.870110304
  3. K. Stefan, M.H. Ewald, 'Heel to toe motion characteristics in Parkinson patients during free walking,' Clinical Biomechanics, vol.16, pp.806-812, 2001 https://doi.org/10.1016/S0268-0033(01)00069-9
  4. C.I. Hass, D.E. Waddell, R.P. Fleming, J.L. Juncos, R.J. Gregor, 'Gait initiation and dynamic balance control in Parkinson's disease,' Arch Phys Med Rehabil, vol.86, pp.2172-2176, 2005.5 https://doi.org/10.1016/j.apmr.2005.05.013
  5. M. Victor, A.H. Ropper, Adams and Victor's Principles of Neurology, 7th ed, McGraw Hill, pp. 1128-1137, 2001
  6. Morris M, lansek, R, Matyas T, Summers J, 'Abmormalities in the stride length -cadence relation in parkinsonian gait,' Mov Disord, vol.13, pp.61-69, 1998 https://doi.org/10.1002/mds.870130115
  7. O. Blin, A.M. Ferranden, G. Serratrice, 'Quantitative analysis of gait in Parkinson patients: increased variability of stride length,' J. Neural. Sci., vol.98, pp.91-97, 1990 https://doi.org/10.1016/0022-510X(90)90184-O
  8. S.W. Pedersen, B. Oberg, L.E. Larsson, B. Lindval, 'Gait analysis, isokinetic muscle strength measurement in patients with Parkinson's disease,' Scand. J. Rehabil. Med., vol.29, pp.67-64, 1997
  9. M. Vokaer, N.A. Azar, D.Z. de Beyl, 'Effects of levodopa on upper limb mobility and gait in Parkinson's disease,' J. Neural. Neurosurg. Psychiatry., vol.74, pp.1304-1307, 2003 https://doi.org/10.1136/jnnp.74.9.1304
  10. A.J. Hughes, S.E. Daniel, A.J. Lees, 'Improved accuracy of clinical diagnosis of Lewy body Parkinson's disease,' Neurology, vol.57, pp.1497 -1499, 2001 https://doi.org/10.1212/WNL.57.8.1497
  11. N. Giladi, 'Gait disturbances in advanced stages of Parkinson's disease,' Adv Neural, vol.86, pp.273-278, 2001
  12. G. Kemoun, L. Defebvre, 'Gait disorders in Parkinson disease. Gait freezing and falls: therapeutic management,' Presse Med, vol.30, pp.460-468, 2001
  13. S. Lubik, W. Fogel, V. Tronnier, M. Krause, J. Konig, W.H. Jost, 'Gait analysis in patients with advanced Parkinson disease: different or additive effects on gait induced by levodopa and chronic STN stimulation,' J Neural Transm, vol.113, pp.163-173,2006 https://doi.org/10.1007/s00702-005-0310-8
  14. N. Allert, J. Volkmann, S. Dotse, H. Hefter, V. Sturm, H.J. Freund, 'Effects of bilateral pallidal or subthalamic stimulation on gait in advanced Parkinson's disease,' Mov. Disord., vol.16, pp.1076-1085, 2001 https://doi.org/10.1002/mds.1222
  15. M.P. Murray, S.B. Sepic, G.M. Gardner, W.J. Downs, 'Walking patterns of men with parkinsonism,' Am. J Phys. Med., vol.57, pp.278-294, 1978
  16. G.M. Stem, S.E. Franklyn, FJ. Imrns, S.P. Prestidge, 'Quantitative assessments of gait and mobility in Parkinson's disease,' J Neural. Transm. Suppl., vol.19, pp.201-214, 1983
  17. C.D. Marsden, 'The mysterious motor function of the basal ganglia,' Neurology, vol.32, pp.514-539, 1982 https://doi.org/10.1212/WNL.32.5.514