Gait & posture最新文献

{"title":"Dual-task performance during the Timed Up and Go test in Parkinson's disease - the impact of freezing and cognition","authors":"Hanna Johansson ,&nbsp;Daniel S. Peterson ,&nbsp;Jenny Sedhed ,&nbsp;Breiffni Leavy","doi":"10.1016/j.gaitpost.2024.10.016","DOIUrl":"10.1016/j.gaitpost.2024.10.016","url":null,"abstract":"<div><h3>Background</h3><div>Dual-task interference (DTI) on gait is well documented in Parkinson’s disease (PD), but how dual-tasks affect functional mobility is less known. Understanding how cognition and freezing of gait (FOG) further impact dual-task ability is important for risk assessment and subsequent delivery of targeted rehabilitation.</div></div><div><h3>Research question</h3><div>What is the DTI on completion time of the Timed Up and Go, and DTI on response rate of a serial subtraction task when performed simultaneously, and is DTI impacted by FOG or cognition?</div></div><div><h3>Methods</h3><div>A cross-sectional study design was used. Demographic and clinical characteristics of participants were collected, including global cognition and self-reported FOG. The TUG test was performed with and without a serial subtraction task. Completion times on TUG and response rates on the serial subtraction task was compared between single and dual-task performance using paired samples t-test or Wilcoxon signed rank test as appropriate. Prioritization between tasks was compared with one-sample Wilcoxon signed rank test. The impact of FOG and cognition was investigated with multiple linear regression, controlling for age, sex, and disease severity.</div></div><div><h3>Results</h3><div>A total of 77 people with mild to moderate PD were included. Significant DTI was observed for both the gait (TUG) and cognitive (response rate) tasks. No statistically significant pattern of prioritization was observed between motor and cognitive tasks. Global cognition was significantly related to both completion time and response rate in single and dual-tasking, whereas FOG was not found to be associated to the outcomes in either condition.</div></div><div><h3>Significance</h3><div>Cognition appears to significantly relate to performance of functional mobility in single and dual-task conditions, which should be considered during routine mobility assessments in people with PD.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"115 ","pages":"Pages 14-20"},"PeriodicalIF":2.2,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142523932","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Gait Profile Score and Gait Variable Score to quantify patient improvement immediately following neuro-orthopedic surgery in patients with cerebral palsy – A prospective cohort study","authors":"G. Basini ,&nbsp;D. Mazzoli ,&nbsp;P. Prati ,&nbsp;P. Zerbinati ,&nbsp;M. Galletti ,&nbsp;C. Rambelli ,&nbsp;F. Mascioli ,&nbsp;M.C. Bò ,&nbsp;A. Merlo","doi":"10.1016/j.gaitpost.2024.10.003","DOIUrl":"10.1016/j.gaitpost.2024.10.003","url":null,"abstract":"<div><h3>Background</h3><div>The Gait Profile Score (GPS) and the Gait Variable Score (GVS) are summary measures used to assess the long-term effects of neuro-orthopedic surgery (NOS) in children with cerebral palsy (cwCP).</div></div><div><h3>Research question</h3><div>What are the immediate changes after NOS as assessed by GPS and GVS, and how does GPS variation (ΔGPS) compare to the clinical opinion of the NOS outcome?</div></div><div><h3>Methods</h3><div>Prospective single-arm cohort study. CwCP were assessed before NOS and after the first month of weight-bearing. Popliteal angle, ankle passive dorsiflexion (pDF), and spasticity were collected at the bedside. During walking, pain was assessed using NPRS, and speed was obtained from gait analysis data, as well as GPS and GVS. Longitudinal variations were analyzed using the Wilcoxon test. Children were classified as Improved (I), Stable (S), or Worsened (W) according to ΔGPS and the cut-off threshold recommended in literature. Two clinicians independently classified patients either as I, S, or W based on surgical outcome. Agreement between these two classifications was analyzed using Cohen’s k.</div></div><div><h3>Results</h3><div>Twenty cwCP, 11.4 (3.4) years, were included. At the follow-up: the popliteal angle was reduced by 20° (p=0.015); pDF increased by 10° (p&lt;0.001), and triceps surae spasticity decreased (p=0.008). Pain decreased in four children. GPS decreased from 12.7 (range 8.1–27.7) to 11.8 (7.6–17.6) (ES=0.514, p=0.046), despite a decrease in gait speed (p&lt;0.001). GVS better highlighted the effect of NOS after single-level surgery. Clinically, 18/1/1 children were classified I/S/W. Based on ΔGPS, 9/8/3 children were classified I/S/W. Such disagreement (k=0.119, p=0.227) was mainly due to the different focus of the two assessments.</div></div><div><h3>Significance</h3><div>Following NOS, immediate improvements in walking kinematics were observed.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"115 ","pages":"Pages 41-50"},"PeriodicalIF":2.2,"publicationDate":"2024-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142578407","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"AI-Enhanced Wearables: Transforming Parkinson’s and Atypical Parkinsonism Diagnosis","authors":"I. D’Ascanio ,&nbsp;G. Lopane ,&nbsp;I. Cani ,&nbsp;L. Baldelli ,&nbsp;G. Giannini ,&nbsp;L. Chiari ,&nbsp;L. Palmerini","doi":"10.1016/j.gaitpost.2024.08.039","DOIUrl":"10.1016/j.gaitpost.2024.08.039","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S19-S20"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552375","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluation of WIMU sensor performance in estimating running stride time and vertical stiffness: a comparison with smart pressure insoles","authors":"S. Pinelli ,&nbsp;M. Mandorino ,&nbsp;M. Lacome ,&nbsp;S. Fantozzi","doi":"10.1016/j.gaitpost.2024.08.062","DOIUrl":"10.1016/j.gaitpost.2024.08.062","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S36-S37"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552378","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The effects of cognitive-motor interference on walking performance in adolescents with low balance","authors":"Benjamin David Weedon ,&nbsp;Patrick Esser ,&nbsp;Johnny Collett ,&nbsp;Hooshang Izadi ,&nbsp;Mario Inacio ,&nbsp;Shawn Joshi ,&nbsp;Andy Meaney ,&nbsp;Anne Delextrat ,&nbsp;Steve Kemp ,&nbsp;Helen Dawes","doi":"10.1016/j.gaitpost.2024.09.016","DOIUrl":"10.1016/j.gaitpost.2024.09.016","url":null,"abstract":"<div><h3>Background</h3><div>Children with reduced motor competence (MC) have reported differences in their walking performance when compared to their typically developed peers, albeit, with inconsistent results.</div><div>Research questions:</div><div>What is the effect of reduced balance on walking performance in adolescent boys and girls under cognitive-motor interference conditions?</div></div><div><h3>Methods</h3><div>This cross-sectional study assessed motor competence, in adolescents aged 13–14 years, using the Movement Assessment Battery for Children 2nd edition and walking performance from gait parameters derived from an inertial measurement unit placed over the estimated centre of mass. Each participant performed two 10 m straight-line walks at their self-selected speed. These consisted of a walk with no distractions and a cognitive-motor interference walk (reciting the alternate letters of the alphabet out loud). A two-way mixed ANOVA was used to assess for significant interactions.</div></div><div><h3>Results</h3><div>365 adolescents, (low balance = 58, typical balance = 307) participated in this study (boys = 204, girls = 161). Significant interactions were reported between MC groups and walking condition for walking speed in boys (<em>F</em>_(1,195) = 5.23, <em>p</em>= 0.02, η_p² = 0.03) and girls (<em>F</em>_(1,154) = 4.05, <em>p</em>= 0.046, η_p² = 0.03). Both sexes with low balance reduced their walking speed to a greater extent than their typically developed peers under cognitive-motor interference conditions compared to the single-task walk. In addition, boys with low balance reported increased stride length variability (<em>F</em>_(1,198)= 4.40, <em>p</em>= 0.037, η_p²= 0.02) compared to typically developed peers.</div></div><div><h3>Significance</h3><div>Adolescents with low balance report altered walking. Our data could support a better understanding of the relationship between balance and gait and may help the development of interventions to support those with difficulties.</div></div>","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages 202-207"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142368022","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Approximate bayesian computation and intermittent control model of balance maintenance: an attempt to “open the box” of neuromuscular control strategy in diabetic subjects with and without neuropathy","authors":"A. Tigrini ,&nbsp;A. Mengarelli ,&nbsp;F. Verdini ,&nbsp;R. Mobarak ,&nbsp;M. Scattolini ,&nbsp;T. Nomura ,&nbsp;R.A. Rabini ,&nbsp;S. Fioretti ,&nbsp;L. Burattini","doi":"10.1016/j.gaitpost.2024.08.070","DOIUrl":"10.1016/j.gaitpost.2024.08.070","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S42-S43"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552295","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Locomotion characterization of stroke patients through machine learning and feature selection techniques","authors":"P. Brasiliano ,&nbsp;V. Belluscio ,&nbsp;A.S. Oreje Bustos ,&nbsp;M. Tramontano ,&nbsp;G. Vannozzi ,&nbsp;E. Bergamini","doi":"10.1016/j.gaitpost.2024.08.027","DOIUrl":"10.1016/j.gaitpost.2024.08.027","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S10-S11"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A graph-based approach to study motor coordination in Parkinson’s Disease gait: a longitudinal study to assess the effectiveness of Deep Brain Stimulation neurosurgery","authors":"L. Locoratolo ,&nbsp;M. Ghislieri ,&nbsp;F. Sciscenti ,&nbsp;M. Lanotte ,&nbsp;L. Rizzi ,&nbsp;V. Agostini","doi":"10.1016/j.gaitpost.2024.08.049","DOIUrl":"10.1016/j.gaitpost.2024.08.049","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S26-S27"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552029","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex differences in motor unit behavior in young, middle-aged and old adults during moderate isometric contractions","authors":"M. Boccardo ,&nbsp;M. Carbonaro ,&nbsp;C. Brusco Müller ,&nbsp;F. Lauretani ,&nbsp;S. Porcelli ,&nbsp;M.V. Franchi ,&nbsp;A. Botter","doi":"10.1016/j.gaitpost.2024.08.024","DOIUrl":"10.1016/j.gaitpost.2024.08.024","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S8-S9"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142552047","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Instrumented Timed Up and Go Test: a reliable tool for elderly with femur fracture","authors":"S. Baracco ,&nbsp;I. Arcolin ,&nbsp;S. Corna ,&nbsp;M. Godi ,&nbsp;M. Giardini","doi":"10.1016/j.gaitpost.2024.08.018","DOIUrl":"10.1016/j.gaitpost.2024.08.018","url":null,"abstract":"","PeriodicalId":12496,"journal":{"name":"Gait & posture","volume":"114 ","pages":"Pages S4-S5"},"PeriodicalIF":2.2,"publicationDate":"2024-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142551842","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}