Annals of Clinical Neurophysiology

The Korean Society of Clinical Neurophysiology (대한임상신경생리학회)
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Analysis of Gait Parameters According to the Clinical Features of Parkinson's Disease Using 3-D Motion Analysis System with Electrogoniometer

3차원 전기측각 보행분석기를 이용한 파킨슨씨병 환자의 임상 양상에 따른 보행 분석

  • Baek, Hye-Jin (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Yoon, Joon-Shik (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Kim, Sei-Joo (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Lee, Gyu-Ho (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Koh, Seong-Beom (Department of Neurology, Korea University School of Medicine)
  • 백혜진 (고려대학교 의과대학 재활의학교실) ;
  • 윤준식 (고려대학교 의과대학 재활의학교실) ;
  • 김세주 (고려대학교 의과대학 재활의학교실) ;
  • 이규호 (고려대학교 의과대학 재활의학교실) ;
  • 고성범 (고려대학교 의과대학 신경학교실)
  • Received : 2008.12.29
  • Accepted : 2009.04.03
  • Published : 2009.06.30
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Abstract

Background: To investigate the differences of locomotor dynamics between Parkinson's disease (PD) patients with tremor dominant symptom and patients with postural instability dominant symptom. Methods: 66 subjects with PD were classified into two subgroups, tremor-dominant group and postural instability and gait disorder group by Unified Parkinson's disease rating scale (UPDRS). The spatial, temporal and electrodynamic gait parameters were recorded automatically using computerized 3-D motion analysis system with electrogoniometer. Results: There was no significant difference in cadence, pelvic tilt range, hip flexion range, knee flexion range and ankle dorsiflexion range. Postural instability and gait disorder group showed decreased gait velocity, short stride length, decreased range of motion in pelvic obliquity, pelvic rotation and ankle plantar flexion. Conclusions: There was meaningful difference in locomotor dynamics between Parkinson's disease(PD) patients with tremor dominant symptom and patients with postural instability dominant symptom.

Keywords

References

  1. Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology 1967;17:427-442. https://doi.org/10.1212/WNL.17.5.427
  2. Victor M, Ropper AH. Adams and Victor's Principles of Neurology. 7th ed. US : McGraw Hill. 2001.
  3. Bloem BR, van Vugt JP, Beckley DJ. Postural instability and falls in Parkinson's disease. Adv Neurol 2001;87:209-223.
  4. Koller WC, Glatt S, Vetere-Overfield B, Hassanein R. Falls and Parkinson's disease. Clin Neuropharmacol 1989;12:98-105. https://doi.org/10.1097/00002826-198904000-00003
  5. Jankovic J, McDermott M, Carter J. Variable expression of Parkinson's disease; a base-line analysis of the DATATOP cohort. The Parkinson Study Group. Neurology 1990;40:1529- 1534. https://doi.org/10.1212/WNL.40.10.1529
  6. Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clin-ical diagnosis of idiopathic Parkinsons disease: a clinico-patho-logical study of 100 cases. J Neurol Neurosurg Psychiatry 1992;55:181-184. https://doi.org/10.1136/jnnp.55.3.181
  7. Brown P, Steiger MJ. Basal ganglia gait disorders. In: Bronstein AM, Brandt T, Woollacott MH, editors. Clinical dis-orders of balance, posture and gait. London: Arnold. 1996;156-167.
  8. Giladi N, McMahon D, Przedborski S, Flaster E, Guillory S, Kostic V. Motor blocks in Parkinson's disease. Neurology 1992;42:333–339. https://doi.org/10.1212/WNL.42.2.333
  9. O'Sullivan JD, Said CM, Dillon LC, Hoffman M, Hughes AJ. Gait analysis in patient with Parkinson's disease and motor fluctuations: influence of levodopa and comparison with other measures of motor function. Mov Disord 1998;13:900-906. https://doi.org/10.1002/mds.870130607
  10. Morris ME, Iansek R, Matyas TA, Summers JJ. The patho-genesis of gait hypokinesia in Parkinson's disease. Brain 1994;117:1169-1181. https://doi.org/10.1093/brain/117.5.1169
  11. Morris ME, Iansek R, Matyas TA, Summers JJ. Stride length regulation in Parkinson's disease. Normalization strategies and underlying mechanisms. Brain 1996;119:551-568. https://doi.org/10.1093/brain/119.2.551
  12. Morris M, Iansek R, Matyas T, Summers J. abnormalities in the stride length-cadence relation in parkinsonian gait. Mov Disord 1998;13:61-69. https://doi.org/10.1002/mds.870130115
  13. Faist M, Xie J, Kurz D, Berger W, Maurer C, Pollak P, Lucking CH. Effect of bilateral subthalamic nucleus stim-ulation on gait in Parkinson's disease. Brain 2001;124:1590-1600. https://doi.org/10.1093/brain/124.8.1590
  14. Cunnington R, Iansek R, Thickbroom GW, Laing BA, Mastaglia FL, Bradshaw JL, Phillips JG. Effect of magnetic stimulation over supplementary motor area on movement in Parkinson's disease. Brain 1996;119:815-822. https://doi.org/10.1093/brain/119.3.815
  15. Garcia-Rill E. The basal ganglia and the locomotor regions. Brain 1986;396:47-63. https://doi.org/10.1016/0165-0173(86)90009-3
  16. Elble RJ, Thomas SS, Higgins C, Colliver J. Stride-dependent changes in gait of older people. J Neurol 1991;238:1-5. https://doi.org/10.1007/BF00319700
  17. Perry J. Gait analysis. normal and pathological function, 1st ed. Thorofare: Slack. 1992;55-96.