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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Lee, Seon-Min Kim, Minjik Lee, Hye Mi Kwon, Kyum-Yil Kim, Hee-Tae Koh, Seong-Beom |
| Description | Author Affiliation: Lee SM ( Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.); Kim M ( Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.); Lee HM ( Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.); Kwon KY ( Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea.); Kim HT ( Department of Neurology, Hanyang University College of Medicine, Seoul, Republic of Korea.); Koh SB ( Department of Neurology, Korea University Guro Hospital, Korea University College of Medicine, Seoul, Republic of Korea. Electronic address: parkinson@korea.ac.kr.) |
| Abstract | BACKGROUND: Parkinson's disease (PD) differs from atypical parkinsonism in many clinical aspects. Principally, posture and gait are distinct features in the early stages of the disease; thus, these differences can be helpful in differential diagnosis. METHODS: We analyzed videos of patients with PD or atypical parkinsonism. A total of 76 patients with early PD (n=56) or atypical parkinsonism (n=20) were included. Items related to posture and gait were classified into three categories (standing, gait and associated symptoms) and each sub-item was analyzed. RESULTS: Asymmetric arm-swing (p=0.004) and accompanying tremor (p=0.016) were significant indicators of early-stage PD. Staggering gait (p=0.007) and en-bloc turning (p=0.026) were more common in atypical parkinsonism. Characteristics with a high odds-ratio for atypical parkinsonism were en-bloc turning (ß=8.475, p=0.032) and normal arm-swing (ß=14.6084, p=0.036). CONCLUSIONS: Visual inspection of gait and posture provides reliable clues in the differential diagnosis of parkinsonism. |
| File Format | HTM / HTML |
| ISSN | 09666362 |
| Issue Number | 4 |
| Volume Number | 39 |
| e-ISSN | 18792219 |
| Journal | Gait & Posture |
| Language | English |
| Publisher | Elsevier |
| Publisher Date | 2014-04-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Parkinsonian Disorders Multivariate Analysis Discipline Orthopedics Diagnosis, Differential Gait Tremor Humans Middle Aged Male Gait Disorders, Neurologic Journal Article Physiopathology Posture Parkinson Disease Video Recording Female Upper Extremity Aged Physiology Diagnosis Early Diagnosis |
| Content Type | Text |
| Resource Type | Article |
| Subject | Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science |
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