Gait Disorders, Neurologic

Publication Title: 
Revue Medicale De Bruxelles

Parkinson's disease is a complex neurologic and progressive incapacitating disease. Parkinson's disease severely threatens the quality of live and the number of patients worldwide is expected to rise considerably in the coming decade due to aging of the population. Even with optimal medical management using drugs or neurosurgery, patients are faced with progressively increasing impairments (e.g. in speech, mental and movement related functions), and restrictions in participation (e.g. domestic life and social activities).

Author(s): 
Hubert, M.
Publication Title: 
Revue Médicale De Bruxelles

Parkinson's disease is a complex neurologic and progressive incapacitating disease. Parkinson's disease severely threatens the quality of live and the number of patients worldwide is expected to rise considerably in the coming decade due to aging of the population. Even with optimal medical management using drugs or neurosurgery, patients are faced with progressively increasing impairments (e.g. in speech, mental and movement related functions), and restrictions in participation (e.g. domestic life and social activities).

Author(s): 
Hubert, M.
Publication Title: 
Revue Médicale De Bruxelles

Parkinson's disease is a complex neurologic and progressive incapacitating disease. Parkinson's disease severely threatens the quality of live and the number of patients worldwide is expected to rise considerably in the coming decade due to aging of the population. Even with optimal medical management using drugs or neurosurgery, patients are faced with progressively increasing impairments (e.g. in speech, mental and movement related functions), and restrictions in participation (e.g. domestic life and social activities).

Author(s): 
Hubert, M.
Publication Title: 
Clinical Biomechanics (Bristol, Avon)

BACKGROUND: This study examined changes in the translation of the center of pressure during forward and lateral (90 degrees to the side) gait initiation in two populations of older adults with postural instability. METHODS: Twenty-eight older adults transitioning to frailty and 16 persons with Parkinson's disease in the "on medication state" were evaluated during initiation trials. Displacements, velocities, and smoothness of the center of pressure trace were calculated and compared.

Author(s): 
Hass, Chris J.
Waddell, Dwight E.
Wolf, Steven L.
Juncos, Jorge L.
Gregor, Robert J.
Publication Title: 
Neuropsychologia

BACKGROUND: Many patients with Parkinson's disease (PD) develop freezing of gait (FoG), which may manifest as a hesitation or "getting stuck" when they attempt to pass through a doorway. In two experiments, we asked whether FoG is associated with (1) a deficit in internal representation of one's body size with respect to a doorway and (2) a mismatch between imagined and actual walking times when passing through a doorway. METHODS: 23 subjects with PD (11 with and 13 without FoG) and 10 control subjects of similar age completed two experiments.

Author(s): 
Cohen, Rajal G.
Chao, Amanda
Nutt, John G.
Horak, Fay B.
Publication Title: 
Clinical Rehabilitation

OBJECTIVE: The primary aim was to investigate the comparative effects of massage therapy and exercise therapy on patients with multiple sclerosis. The secondary aim was to investigate whether combination of both massage and exercise has an additive effect. DESIGN: Randomized controlled pilot trial with repeated measurements and blinded assessments. SETTING: Local Multiple Sclerosis Society.

Author(s): 
Negahban, Hossein
Rezaie, Solmaz
Goharpey, Shahin
Publication Title: 
Journal of Bodywork and Movement Therapies

Falls in the elderly have important clinical and economic costs and interventions that may reduce the risk of such problems are potentially important. Although evidence exists for a range of exercise interventions, few have looked at a Pilates-based intervention in a supervised community-based setting and none have specifically measured gait parameters as an outcome. This observational study investigated gait parameters including inter-stride variability (ISV) and postural sway in a group (n = 9) of elderly (age range, 60-76) subjects attending a weekly Pilates class over eight weeks.

Author(s): 
Newell, D.
Shead, V.
Sloane, L.
Publication Title: 
Journal of Forensic and Legal Medicine

The purpose of this review is to expand practitioners' knowledge on areas of liability when treating low back pain patients. Six cases where chiropractors in Canada were sued for allegedly causing or aggravating lumbar disc herniation after spinal manipulative therapy were retrieved using the CANLII search database. The case series involves 4 men and 2 women with an average age of 37.3 years (range, 31-48 years). Trial courts' decisions were rendered between 2000 and 2011.

Author(s): 
Boucher, Pierre
Robidoux, Sébastien
Publication Title: 
Alternative Medicine Review: A Journal of Clinical Therapeutic

Frailty syndrome (FS) has become increasingly recognized as a major predictor of co-morbidities and mortality in older individuals. Interventions with the potential to benefit frail elders include nutritional supplementation (vitamins D, carotenoids, creatine, dehydroepiandrosterone (DHEA), and beta-hydroxy-beta-methylbutyrate) and exercise modalities (tai chi and cobblestone walking). While these have not been explicitly tested for their impact on FS, vitamin D supplementation appears to offer significant promise in enhancing long-term health of the elderly.

Author(s): 
Cherniack, E. Paul
Florez, Hermes J.
Troen, Bruce R.
Publication Title: 
Neurorehabilitation and Neural Repair

BACKGROUND AND OBJECTIVE: Our previous findings showed that 4 weeks of intensive Tai Chi practice improved standing balance in healthy seniors. This study set out to investigate whether Tai Chi could improve standing balance in subjects with chronic stroke. METHODS: One hundred thirty-six subjects >6 months after stroke were randomly assigned to a control group (n = 62) practicing general exercises or a Tai Chi group (n = 74) for 12 weeks of training. Each week, 1 hour of group practice was supplemented by 3 hours of self-practice.

Author(s): 
Au-Yeung, Stephanie S. Y.
Hui-Chan, Christina W. Y.
Tang, Jervis C. S.

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