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The biomechanics and motor control of gait in Parkinson disease.

Parkinson disease is a progressive neurological condition characterised by
hypokinesia (reduced movement), akinesia (absent movement), tremor,
rigidity and postural instability.

These movement disorders are associated with a slow short-stepped,
shuffling gait pattern.

Analysis of the biomechanics of gait in response to medication, visual
cues, attentional strategies and neurosurgery provides insight into the
nature of the motor control deficit in Parkinson disease and the efficacy
of current therapeutic interventions.

In this article we supplement a critical evaluation of the Parkinson
disease gait literature with two case examples.

The first case describes the kinematic gait response of an individual with
Parkinson disease to visual cues in the "off" phase of the levodopa
medication cycle.

The second case investigates the biomechanics and motor control of turning
during walking in a patient with Parkinson disease compared with elderly
and young control subjects.

The results are interpreted in light of the need for gait analysis to
investigate complex functional walking tasks rather than confining
assessment to straight line walking, which has been the trend to date.

Morris ME, Huxham F, McGinley J, Dodd K, Iansek R.
School of Physiotherapy, La Trobe University, 3086, Bundoora, Australia
1: Clin Biomech (Bristol, Avon) 2001 Jul;16(6):459-70
PMID: 11427288

janet paterson: an akinetic rigid subtype, albeit perky, parky .
pd: 54/41/37 cd: 54/44/43 tel: 613 256 8340 email: [log in to unmask] .
snail mail: 375 Country Street, Apt 301, Almonte, Ontario, Canada, K0A 1A0 .
a new voice: the nnnewsletter: http://groups.yahoo.com/group/janet313/ .
a new voice: the wwweb site: http://www.geocities.com/janet313/ .

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