Gait Re-education in Parkinson's: Difference between revisions
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'''Original Editor '''- [[User:Purnima Shrivastava|Purnima Shrivastava]] | '''Original Editor '''- [[User:Irene Leahy|Irene Leahy]] [[User:Purnima Shrivastava|Purnima Shrivastava]] | ||
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== Typical gait pattern in Parkinson's Disease (PD) == | == Typical gait pattern in Parkinson's Disease (PD) == | ||
Revision as of 17:20, 1 March 2015
Original Editor - Irene Leahy Purnima Shrivastava
Top Contributors - Purnima Shrivastava, Laura Ritchie, Kim Jackson, Vidya Acharya, Wendy Walker, WikiSysop, Irene Leahy, Mariam Hashem, Claire Knott, Lauren Lopez and 127.0.0.1
Typical gait pattern in Parkinson's Disease (PD)[edit | edit source]
- Short, shuffling steps
- Uneven and shortened step length
- Flexed posture
- Akinesia
- Freezing especially when turning
- Increased time in double stance phase to increase stability
- Speed and stride length decrease further when there is other tasks added
This leads to an increased risk of falls.
Intervention aimed at improving gait[edit | edit source]
- Increase speed by increasing stride length not cadence
- Interventions must combine strength, flexibility and balance
- Progression should include dual tasks, stepping backwards, negotiation of obstacles
- Cueing and attentional strategies
- Cognitive strategies
Cueing and attentional strategies[edit | edit source]
External cues can be auditory or visual.
Attentional strategies are consciously concentrating on a specific aspect of gait.
By using cueing and attentional strategies the defective basal ganglia are being bypassed. They no longer automatically have to control the movement as it has now become a cognitive task.
Evidence:
A sytematic review of 24 studies showed that there was strong evidence that auditory cueing increased speed but there was insufficient evidence for visual and somatosensory cueing.[1]
References[edit | edit source]
- ↑ Lim, I., Van Wegen, E., de Goede, C., Deutekom, M., Nieuwboer,A., Willems, A., Jones, D., Rochester, L and Kwakkel.G. (2005) 'Effects of external rhythmical cueing on gait in patients with Parkinson's Disease: a systematic review', Clinical Rehabilitation, 19(7), 695-713
