TY - JOUR
PY - 2020//
TI - Is freezing of gait correlated with postural control in patients with moderate-to-severe Parkinson's disease?
JO - European journal of neuroscience
A1 - Coelho, Daniel Boari
A1 - Ribeiro de Souza, Caroline
A1 - de Lima-Pardini, Andrea Cristina
A1 - de Castro Treza, Renata
A1 - Shida, Thiago Kenzo Fujioka
A1 - Silva-Batista, Carla
A1 - Teixeira, Luis Augusto
SP - ePub
EP - ePub
VL - ePub
IS - ePub
N2 - Freezing of gait (FoG) is one of the main reasons for movement initiation disorders and abnormal coupling of posture and gait in Parkinson's disease (PD). Patients with FoG have poor postural control when compared to patients without FoG. However, the nature of the interrelationship between FoG and domains of postural control remains unknown. The aim of this study was to estimate the association between different domains of postural control and severity of FoG in patients with moderate-to-severe PD. Thirty patients with idiopathic PD with FoG (age range 45 to 80 years, Hoehn & Yahr stages 3 and 4) participated in the study. We evaluated objective (FoG-ratio during turning task) and subjective (New Freezing of Gait Questionnaire, NFoG-Q) measures of FoG severity, reactive postural adjustments in response to an external perturbation, first step anticipatory adjustment for step initiation and quiet standing stability. In the multiple regression analysis, step initiation was the strongest significant correlation of the NFoG-Q score explaining 23% of the variance of the assessment. For the objective FoG measure, mediolateral CoP amplitude in quiet standing and mediolateral CoP amplitude in step initiation explained 39% of the variance of the FoG-ratio. As main conclusions, this study identified the association between objective and subjective measure for FoG severity and postural control domains. The results support conducting step initiation training during rehabilitation of individuals with FoG. Language: en
LA - en
SN - 0953-816X
UR - http://dx.doi.org/10.1111/ejn.15010
ID - ref1
ER -