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A biomechanical analysis of turning during gait in individuals with different subtypes of Parkinson's disease.
Miri, Andressa Leticia; Laskovski, Larissa; Bueno, Maria Eduarda Brandão; Rodrigues, Dionatan Costa; Moura, Felipe Arruda; Smaili, Suhaila Mahmoud.
Afiliação
  • Miri AL; State University of Londrina (UEL), Paraná, Brazil. Electronic address: andressamiri@hotmail.com.
  • Laskovski L; State University of Londrina (UEL), Paraná, Brazil. Electronic address: larilask@gmail.com.
  • Bueno MEB; State University of Londrina (UEL), Paraná, Brazil. Electronic address: m.eduardafit@gmail.com.
  • Rodrigues DC; State University of Londrina (UEL), Paraná, Brazil. Electronic address: dionatand12@gmail.com.
  • Moura FA; State University of Londrina (UEL), Paraná, Brazil. Electronic address: felipemoura@uel.br.
  • Smaili SM; State University of Londrina (UEL), Paraná, Brazil. Electronic address: suhaila@uel.br.
Clin Biomech (Bristol, Avon) ; 112: 106166, 2024 02.
Article em En | MEDLINE | ID: mdl-38198906
ABSTRACT

BACKGROUND:

Turning while walking is a complex component of locomotor capacity, which can be challenging in the daily lives of people with Parkinson's disease. The aim of the study was to compare biomechanical strategies during turning of gait in individuals with Parkinson's disease and its different clinical subtypes.

METHODS:

A cross-sectional study, comprising of 43 individuals with idiopathic Parkinson's disease, divided in subgroups akineto-rigid, dominant tremor and mixed. Motor impairment was assessed using the Unified Parkinson's Disease Rating Scale. The gait biomechanical parameters (number of steps, step length, cadence, amplitude, velocity and radius of the turn) were analyzed during turning in a kinematics laboratory. In the statistical analysis, a comparison was made between subgroups, and correlations between biomechanical parameters.

FINDINGS:

There was no statistically significant difference between the subgroups. In the correlation analysis, notable correlations were found between the anticipatory step length and the following variables number of steps (r = -0.418), step length while turning (r = 0.805), step length after turning (r = 0.644), average velocity (r = 0.830), average velocity while turning (r = 0.755), and maximum velocity (rho = 0.835).

INTERPRETATION:

The difficulties primarily occur during the anticipatory phase of the turn, which affects the entire task. The greater the length of the anticipatory step, the greater the length of the step taken to turn as well as the step taken after turning. And the greater the velocity, the greater the step length, and to fewer steps taken to perform the task.
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Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Transtornos Neurológicos da Marcha Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Clin Biomech (Bristol, Avon) Assunto da revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Ano de publicação: 2024 Tipo de documento: Article

Texto completo: 1 Coleções: 01-internacional Base de dados: MEDLINE Assunto principal: Doença de Parkinson / Transtornos Neurológicos da Marcha Tipo de estudo: Observational_studies Limite: Humans Idioma: En Revista: Clin Biomech (Bristol, Avon) Assunto da revista: ENGENHARIA BIOMEDICA / FISIOLOGIA Ano de publicação: 2024 Tipo de documento: Article