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Arm swing deviations in patients with Parkinson’s disease at different gait velocities

Asymmetry of arm swing (AS) has been described as a characteristic of normal physiological gait. In patients with Parkinson’s disease (PWPD), a one-sided reduction of AS can occur already as a prodromal symptom. There is limited evidence regarding AS in PWPD, but a growing interest in AS as a focus...

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Autores principales: Mainka, Stefan, Lauermann, Maximilian, Ebersbach, Georg
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Vienna 2023
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121495/
https://www.ncbi.nlm.nih.gov/pubmed/36917345
http://dx.doi.org/10.1007/s00702-023-02619-4
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author Mainka, Stefan
Lauermann, Maximilian
Ebersbach, Georg
author_facet Mainka, Stefan
Lauermann, Maximilian
Ebersbach, Georg
author_sort Mainka, Stefan
collection PubMed
description Asymmetry of arm swing (AS) has been described as a characteristic of normal physiological gait. In patients with Parkinson’s disease (PWPD), a one-sided reduction of AS can occur already as a prodromal symptom. There is limited evidence regarding AS in PWPD, but a growing interest in AS as a focus of exercise therapy. The differences of AS between 32 healthy subjects (HS) and 36 mildly-to-moderately impaired PWPD were assessed in overground walking at various gait speeds. Assessments were carried out with a sensor-based gait measurement system over a 40 m walk in very slow, slow, preferred, fast, and very fast gait speed. Longitudinal and AS kinematics were compared with ANOVA function and regression analysis. PWPD exhibited a one-sided reduction of AS compared to HS at normal, fast, and very fast walking. AS coordination, representing the timing of reciprocity of right and left AS, was reduced in PWPD in very slow and normal walking. With respect to leg movements, PWPD exhibited an increase in stride time variability in very slow gait. There were no group differences for cadence, stride length, and gait velocity. This study informs about the kinematics of AS at various gait velocities ranging from very slow to very fast in mildly-to-moderately impaired PWPD. Reduced one-sided AS can be considered as a very early sign of parkinsonian gait disturbance that precedes alterations of locomotive leg movements and improves at faster gait speeds.
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spelling pubmed-101214952023-04-23 Arm swing deviations in patients with Parkinson’s disease at different gait velocities Mainka, Stefan Lauermann, Maximilian Ebersbach, Georg J Neural Transm (Vienna) Neurology and Preclinical Neurological Studies - Original Article Asymmetry of arm swing (AS) has been described as a characteristic of normal physiological gait. In patients with Parkinson’s disease (PWPD), a one-sided reduction of AS can occur already as a prodromal symptom. There is limited evidence regarding AS in PWPD, but a growing interest in AS as a focus of exercise therapy. The differences of AS between 32 healthy subjects (HS) and 36 mildly-to-moderately impaired PWPD were assessed in overground walking at various gait speeds. Assessments were carried out with a sensor-based gait measurement system over a 40 m walk in very slow, slow, preferred, fast, and very fast gait speed. Longitudinal and AS kinematics were compared with ANOVA function and regression analysis. PWPD exhibited a one-sided reduction of AS compared to HS at normal, fast, and very fast walking. AS coordination, representing the timing of reciprocity of right and left AS, was reduced in PWPD in very slow and normal walking. With respect to leg movements, PWPD exhibited an increase in stride time variability in very slow gait. There were no group differences for cadence, stride length, and gait velocity. This study informs about the kinematics of AS at various gait velocities ranging from very slow to very fast in mildly-to-moderately impaired PWPD. Reduced one-sided AS can be considered as a very early sign of parkinsonian gait disturbance that precedes alterations of locomotive leg movements and improves at faster gait speeds. Springer Vienna 2023-03-14 2023 /pmc/articles/PMC10121495/ /pubmed/36917345 http://dx.doi.org/10.1007/s00702-023-02619-4 Text en © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) .
spellingShingle Neurology and Preclinical Neurological Studies - Original Article
Mainka, Stefan
Lauermann, Maximilian
Ebersbach, Georg
Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title_full Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title_fullStr Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title_full_unstemmed Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title_short Arm swing deviations in patients with Parkinson’s disease at different gait velocities
title_sort arm swing deviations in patients with parkinson’s disease at different gait velocities
topic Neurology and Preclinical Neurological Studies - Original Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10121495/
https://www.ncbi.nlm.nih.gov/pubmed/36917345
http://dx.doi.org/10.1007/s00702-023-02619-4
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