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Is Freezing of Gait in Parkinson's Disease a Result of Multiple Gait Impairments? Implications for Treatment
Joint Authors
Plotnik, Meir
Giladi, Nir
Hausdorff, Jeffrey M.
Source
Case Reports in Transplantation
Issue
Vol. 2012, Issue 2012 (31 Dec. 2012), pp.1-8, 8 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2012-01-12
Country of Publication
Egypt
No. of Pages
8
Main Subjects
Abstract EN
Several gait impairments have been associated with freezing of gait (FOG) in patients with Parkinson's disease (PD).
These include deteriorations in rhythm control, gait symmetry, bilateral coordination of gait, dynamic postural control and step scaling.
We suggest that these seemingly independent gait features may have mutual interactions which, during certain circumstances, jointly drive the predisposed locomotion system into a FOG episode.
This new theoretical framework is illustrated by the evaluation of the potential relationships between the so-called “sequence effect”, that is, impairments in step scaling, and gait asymmetry just prior to FOG.
We further discuss what factors influence gait control to maintain functional gait.
“Triggers”, for example, such as attention shifts or trajectory transitions, may precede FOG.
We propose distinct categories of interventions and describe examples of existing work that support this idea: (a) interventions which aim to maintain a good level of locomotion control especially with respect to aspects related to FOG; (b) those that aim at avoiding FOG “triggers”; and (c) those that merely aim to escape from FOG once it occurs.
The proposed theoretical framework sets the stage for testable hypotheses regarding the mechanisms that lead to FOG and may also lead to new treatment ideas.
American Psychological Association (APA)
Plotnik, Meir& Giladi, Nir& Hausdorff, Jeffrey M.. 2012. Is Freezing of Gait in Parkinson's Disease a Result of Multiple Gait Impairments? Implications for Treatment. Case Reports in Transplantation،Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-473213
Modern Language Association (MLA)
Plotnik, Meir…[et al.]. Is Freezing of Gait in Parkinson's Disease a Result of Multiple Gait Impairments? Implications for Treatment. Case Reports in Transplantation No. 2012 (2012), pp.1-8.
https://search.emarefa.net/detail/BIM-473213
American Medical Association (AMA)
Plotnik, Meir& Giladi, Nir& Hausdorff, Jeffrey M.. Is Freezing of Gait in Parkinson's Disease a Result of Multiple Gait Impairments? Implications for Treatment. Case Reports in Transplantation. 2012. Vol. 2012, no. 2012, pp.1-8.
https://search.emarefa.net/detail/BIM-473213
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-473213