Gait festination in parkinsonism: introduction of two phenotypes.
Balance
Festination
Freezing of gait
Gait
Parkinson’s disease
Journal
Journal of neurology
ISSN: 1432-1459
Titre abrégé: J Neurol
Pays: Germany
ID NLM: 0423161
Informations de publication
Date de publication:
Feb 2019
Feb 2019
Historique:
received:
03
10
2018
accepted:
29
11
2018
revised:
13
11
2018
pubmed:
12
12
2018
medline:
29
5
2019
entrez:
12
12
2018
Statut:
ppublish
Résumé
Gait festination is one of the most characteristic gait disturbances in patients with Parkinson's disease or atypical parkinsonism. Although festination is common and disabling, it has received little attention in the literature, and different definitions exist. Here, we argue that there are actually two phenotypes of festination. The first phenotype entails a primary locomotion disturbance, due to the so-called sequence effect: a progressive shortening of step length, accompanied by a compensatory increase in cadence. This phenotype strongly relates to freezing of gait with alternating trembling of the leg. The second phenotype results from a postural control problem (forward leaning of the trunk) combined with a balance control deficit (inappropriately small balance-correcting steps). In this viewpoint, we elaborate on the possible pathophysiological substrate of these two phenotypes of festination and discuss their management in daily clinical practice.
Identifiants
pubmed: 30536108
doi: 10.1007/s00415-018-9146-7
pii: 10.1007/s00415-018-9146-7
pmc: PMC6373367
doi:
Types de publication
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
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