How Do I Examine Parkinsonian Gait?. Issue 4 (11th March 2016)
- Record Type:
- Journal Article
- Title:
- How Do I Examine Parkinsonian Gait?. Issue 4 (11th March 2016)
- Main Title:
- How Do I Examine Parkinsonian Gait?
- Authors:
- Giladi, Nir
Herman, Talia - Abstract:
- Abstract: Gait disturbances and falls are common among older adults and patients with Parkinson's disease. These symptoms curtail mobility, independence, and quality of life. This video illustrates important aspects of parkinsonian gait and highlights features that should be focused on during the clinical examination. These include walking speed, step length, step width, posture, arm swing, shuffling, foot clearance, turning abilities, and freezing of gait. We emphasize the need to distinguish between continuous and episodic walking difficulties and to incorporate walking while dual tasking into the gait assessment. We also demonstrate how to quantify the Timed up and Go test using a stopwatch and how to carry out other clinical tests that can be used to help to characterize mobility, such as the pull test and tandem stand. We show how to test for and provoke freezing of gait by guiding the patient through a series of demanding walking trajectories, turns, and using dual tasking and other relatively challenging conditions. Finally, the walking pattern of a patient with cautious gait of unknown origin (so‐called high‐level gait disorder) is shown. This case illustrates the contribution of fear of falling and the effects of hand support. In general, the video demonstrates the power of clinical observation and its utility when examining the gait of older adults and patients with Parkinson's disease.
- Is Part Of:
- Movement disorders clinical practice. Volume 3:Issue 4(2016:Dec.)
- Journal:
- Movement disorders clinical practice
- Issue:
- Volume 3:Issue 4(2016:Dec.)
- Issue Display:
- Volume 3, Issue 4 (2016)
- Year:
- 2016
- Volume:
- 3
- Issue:
- 4
- Issue Sort Value:
- 2016-0003-0004-0000
- Page Start:
- 427
- Page End:
- 427
- Publication Date:
- 2016-03-11
- Subjects:
- Movement Disorders
Movement disorders -- Periodicals
Movement disorders
Periodicals
Periodicals
616 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1002/%28ISSN%292330-1619 ↗
http://onlinelibrary.wiley.com/ ↗ - DOI:
- 10.1002/mdc3.12347 ↗
- Languages:
- English
- ISSNs:
- 2330-1619
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 5980.317300
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 1.xml