NDLI: Assistive devices alter gait patterns in Parkinson disease: advantages of the four-wheeled walker.

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Assistive devices alter gait patterns in Parkinson disease: advantages of the four-wheeled walker.

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Assistive devices alter gait patterns in Parkinson disease: advantages of the four-wheeled walker.

Content Provider	World Health Organization (WHO)-Global Index Medicus
Author	Kegelmeyer, Deb A. Parthasarathy, Sowmya Kostyk, Sandra K. White, Susan E. Kloos, Anne D.
Description	Country affiliation: United States Author Affiliation: Kegelmeyer DA ( The Ohio State University, College of Medicine, Division of Physical Therapy, United States. Kegelmeyer.1@osu.edu)
Abstract	Gait abnormalities are a hallmark of Parkinson's disease (PD) and contribute to fall risk. Therapy and exercise are often encouraged to increase mobility and decrease falls. As disease symptoms progress, assistive devices are often prescribed. There are no guidelines for choosing appropriate ambulatory devices. This unique study systematically examined the impact of a broad range of assistive devices on gait measures during walking in both a straight path and around obstacles in individuals with PD. Quantitative gait measures, including velocity, stride length, percent swing and double support time, and coefficients of variation were assessed in 27 individuals with PD with or without one of six different devices including canes, standard and wheeled walkers (two, four or U-Step). Data were collected using the GAITRite and on a figure-of-eight course. All devices, with the exception of four-wheeled and U-Step walkers significantly decreased gait velocity. The four-wheeled walker resulted in less variability in gait measures and had less impact on spontaneous unassisted gait patterns. The U-Step walker exhibited the highest variability across all parameters followed by the two-wheeled and standard walkers. Higher variability has been correlated with increased falls. Though subjects performed better on a figure-of-eight course using either the four-wheeled or the U-Step walker, the four-wheeled walker resulted in the most consistent improvement in overall gait variables. Laser light use on a U-Step walker did not improve gait measures or safety in figure-of-eight compared to other devices. Of the devices tested, the four-wheeled-walker offered the most consistent advantages for improving mobility and safety.
File Format	HTM / HTML
ISSN	09666362
Issue Number	1
Volume Number	38
e-ISSN	18792219
Journal	Gait & Posture
Language	English
Publisher	Elsevier
Publisher Date	2013-05-01
Publisher Place	Great Britain (UK)
Access Restriction	One Nation One Subscription (ONOS)
Subject Keyword	Self-help Devices Research Support, Non-u.s. Gov't Discipline Orthopedics Canes Prospective Studies Comparative Study Gait Prevention & Control Humans Middle Aged Dependent Ambulation Male Treatment Outcome Aged, 80 And Over Randomized Controlled Trial Journal Article Parkinson Disease Biomechanical Phenomena Walkers Female Physiology Aged Rehabilitation Accidental Falls
Content Type	Text
Resource Type	Article
Subject	Orthopedics and Sports Medicine Rehabilitation Biophysics Sports Science

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Assistive devices alter gait patterns in Parkinson disease: advantages of the four-wheeled walker.

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