Early-onset and late-onset Parkinson's disease exhibit a different profile of gait and posture features based on the Kinect.

Early-onset Gait Late-onset Parkinson’s disease Posture

Journal

Neurological sciences : official journal of the Italian Neurological Society and of the Italian Society of Clinical Neurophysiology
ISSN: 1590-3478
Titre abrégé: Neurol Sci
Pays: Italy
ID NLM: 100959175

Informations de publication

Date de publication:
09 Aug 2023
Historique:
received: 05 06 2023
accepted: 03 08 2023
medline: 9 8 2023
pubmed: 9 8 2023
entrez: 9 8 2023
Statut: aheadofprint

Résumé

Gait and posture abnormalities are the common disabling motor symptoms in Parkinson's disease (PD). This study aims to investigate the differential characteristics of gait and posture in early-onset PD (EOPD) and late-onset PD (LOPD) using the Kinect depth camera. Eighty-eight participants, including two subgroups of 22 PD patients and two subgroups of 22 healthy controls (HC) matched for age, sex, and height, were enrolled. Gait and posture features were quantitatively assessed using a Kinect-based system. A two-way analysis of variance was used to compare the difference between different subgroups. EOPD had a significantly higher Gait score than LOPD (p = 0.031). Specifically, decreased swing phase (p = 0.034) was observed in the EOPD group. Although the Posture score was similar between the two groups, LOPD was characterized by an increased forward flexion angle of the trunk at the thorax (p = 0.042) and a decreased forward flexion angle of the head relative to the trunk (p = 0.009). Additionally, age-independent features were observed in both PD subgroups, and post hoc tests revealed that EOPD generally performed worse gait features. In comparison, LOPD was characterized by worse performance in posture features. EOPD and LOPD exhibit different profiles of gait and posture features. The phenotype-specific characteristics likely reflect the distinct neurodegenerative processes between them.

Identifiants

pubmed: 37555875
doi: 10.1007/s10072-023-07009-y
pii: 10.1007/s10072-023-07009-y
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Subventions

Organisme : the Science and Technology Commission of Shanghai Municipality
ID : 20dz1207203
Organisme : ALLERGAN SINGAPORE PTE LTD ("Allergan")
ID : SA-003745 / IIT-2019-10706
Organisme : ALLERGAN SINGAPORE PTE LTD ("Allergan")
ID : HX2005
Organisme : Shanghai Municipal Science and Technology Committee of Shanghai outstanding academic leaders' plan
ID : 20XD1403400

Informations de copyright

© 2023. Fondazione Società Italiana di Neurologia.

Références

Bloem BR, Okun MS, Klein C (2021) Parkinson’s disease. Lancet 397:2284–2303. https://doi.org/10.1016/S0140-6736(21)00218-X
doi: 10.1016/S0140-6736(21)00218-X pubmed: 33848468
Fasano A, Canning CG, Hausdorff JM, Lord S, Lord R (2017) Falls in Parkinson’s disease: a complex and evolving picture. Mov Disord 32:1524–1536. https://doi.org/10.1002/mds.27195
doi: 10.1002/mds.27195 pubmed: 29067726
Pagano G, Ferrara N, Brooks DJ, Pavese N (2016) Age at onset and Parkinson disease phenotype. Neurology 86:1400–1407. https://doi.org/10.1212/Wnl.0000000000002461
doi: 10.1212/Wnl.0000000000002461 pubmed: 26865518 pmcid: 4831034
Liu SY, Wu JJ, Zhao J, Huang SF, Wang YX, Ge JJ, Wu P, Zuo CT et al (2015) Onset-related subtypes of Parkinson’s disease differ in the patterns of striatal dopaminergic dysfunction: a positron emission tomography study. Parkinsonism Relat Disord 21:1448–1453. https://doi.org/10.1016/j.parkreldis.2015.10.017
doi: 10.1016/j.parkreldis.2015.10.017 pubmed: 26559130
Kempster PA, O’Sullivan SS, Holton JL, Revesz T, Lees AJ (2010) Relationships between age and late progression of Parkinson’s disease: a clinico-pathological study. Brain 133:1755–1762. https://doi.org/10.1093/brain/awq059
doi: 10.1093/brain/awq059 pubmed: 20371510
Bloem BR, Marinus J, Almeida Q, Dibble L, Nieuwboer A, Post B, Ruzicka E, Goetz C et al (2016) Measurement instruments to assess posture, gait, and balance in Parkinson’s disease: critique and recommendations. Mov Disord 31:1342–1355. https://doi.org/10.1002/mds.26572
doi: 10.1002/mds.26572 pubmed: 26945525
Zhang Z, Hong R, Lin A, Su X, Jin Y, Gao Y, Peng K, Li Y et al (2021) Automated and accurate assessment for postural abnormalities in patients with Parkinson’s disease based on Kinect and machine learning. J Neuroeng Rehabil 18:169. https://doi.org/10.1186/s12984-021-00959-4
doi: 10.1186/s12984-021-00959-4 pubmed: 34863184 pmcid: 8643004
Wu Z, Hong R, Li S, Peng K, Lin A, Gao Y, Jin Y, Su X et al (2022) Technology-based therapy-response evaluation of axial motor symptoms under daily drug regimen of patients with Parkinson’s disease. Front Aging Neurosci 14:901090. https://doi.org/10.3389/fnagi.2022.901090
doi: 10.3389/fnagi.2022.901090 pubmed: 35992587 pmcid: 9389404
Tölgyessy M, Dekan M, Chovanec Ľ, Hubinský P (2021) Evaluation of the Azure Kinect and Its Comparison to Kinect V1 and Kinect V2. Sensors (Basel, Switzerland) 21. https://doi.org/10.3390/s21020413
Postuma RB, Berg D, Stern M, Poewe W, Olanow CW, Oertel W, Obeso J, Marek K et al (2015) MDS clinical diagnostic criteria for Parkinson’s disease. Mov Disord 30:1591–1601. https://doi.org/10.1002/mds.26424
doi: 10.1002/mds.26424 pubmed: 26474316
Stebbins GT, Goetz CG, Burn DJ, Jankovic J, Khoo TK, BC T, (2013) How to identify tremor dominant and postural instability/gait difficulty groups with the movement disorder society unified Parkinson’s disease rating scale: comparison with the unified Parkinson’s disease rating scale. Mov Disord 28:668–670. https://doi.org/10.1002/mds.25383
doi: 10.1002/mds.25383 pubmed: 23408503
Baker JM (2018) Gait disorders. Am J Med 131:602–607. https://doi.org/10.1016/j.amjmed.2017.11.051
doi: 10.1016/j.amjmed.2017.11.051 pubmed: 29288631
Pongmala C, Artusi CA, Zibetti M, Pitakpatapee Y, Wangthumrong T, Sangpeamsook T, Srikajon J, Srivanitchapoom P et al (2022) Postural abnormalities in Asian and Caucasian Parkinson’s disease patients: a multicenter study. Parkinsonism Relat Disord 97:91–98. https://doi.org/10.1016/j.parkreldis.2022.03.006
doi: 10.1016/j.parkreldis.2022.03.006 pubmed: 35378428
Ihlen EA, Weiss A, Helbostad JL, Hausdorff JM (2015) The discriminant value of phase-dependent local dynamic stability of daily life walking in older adult community-dwelling fallers and nonfallers. Biomed Res Int 2015:402596. https://doi.org/10.1155/2015/402596
doi: 10.1155/2015/402596 pubmed: 26491669 pmcid: 4605256
Zanardi APJ, da Silva ES, Costa RR, Passos-Monteiro E, Dos Santos IO, Kruel LFM, Peyré-Tartaruga LA (2021) Gait parameters of Parkinson’s disease compared with healthy controls: a systematic review and meta-analysis. Sci Rep 11:752. https://doi.org/10.1038/s41598-020-80768-2
doi: 10.1038/s41598-020-80768-2 pubmed: 33436993 pmcid: 7804291
Roeder L, Boonstra TW, Kerr GK (2020) Corticomuscular control of walking in older people and people with Parkinson’s disease. Sci Rep 10:2980. https://doi.org/10.1038/s41598-020-59810-w
doi: 10.1038/s41598-020-59810-w pubmed: 32076045 pmcid: 7031238
Galna B, Lord S, Burn DJ, Rochester L (2015) Progression of gait dysfunction in incident Parkinson’s disease: impact of medication and phenotype. Mov Disord 30:359–367. https://doi.org/10.1002/mds.26110
doi: 10.1002/mds.26110 pubmed: 25546558
Son M, Youm C, Cheon S, Kim J, Lee M, Kim Y, Kim J, Sung H (2017) Evaluation of the turning characteristics according to the severity of Parkinson disease during the timed up and go test. Aging Clin Exp Res 29:1191–1199. https://doi.org/10.1007/s40520-016-0719-y
doi: 10.1007/s40520-016-0719-y pubmed: 28220396
Doherty KM, van de Warrenburg BP, Peralta MC, Silveira-Moriyama LAJ, Gershanik OS, Bloem BR (2011) Postural deformities in Parkinson’s disease. Lancet Neurol 10:538–549. https://doi.org/10.1016/S1474-4422(11)70067-9
doi: 10.1016/S1474-4422(11)70067-9 pubmed: 21514890
Ando Y, Fujimoto KI, Ikeda K, Utsumi H, Okuma Y, Oka H, Kamei S, Kurita A et al (2019) Postural abnormality in Parkinson’s disease: a large comparative study with general population. Mov Disord Clin Pract 6:213–221. https://doi.org/10.1002/mdc3.12723
doi: 10.1002/mdc3.12723 pubmed: 30949552 pmcid: 6417750
Mirelman A, Bonato P, Camicioli R, Ellis TD, Giladi N, Hamilton JL, Hass CJ, Hausdorff JM et al (2019) Gait impairments in Parkinson’s disease. Lancet Neurol 18:697–708. https://doi.org/10.1016/S1474-4422(19)30044-4
doi: 10.1016/S1474-4422(19)30044-4 pubmed: 30975519
Ahlskog JE, Muenter MD (2001) Frequency of levodopa-related dyskinesias and motor fluctuations as estimated from the cumulative literature. Mov Disord 16:448–458. https://doi.org/10.1002/mds.1090
doi: 10.1002/mds.1090 pubmed: 11391738
Mehanna R, Moore S, Hou JG, Sarwar AI, Lai EC (2014) Comparing clinical features of young onset, middle onset and late onset Parkinson’s disease. Parkinsonism Relat Disord 20:530–534. https://doi.org/10.1016/j.parkreldis.2014.02.013
doi: 10.1016/j.parkreldis.2014.02.013 pubmed: 24631501
Peterson DS, Mancini M, Fino PC, Horak F, Smulders K (2020) Speeding up gait in Parkinson’s disease. J Parkinsons Dis 10:245–253. https://doi.org/10.3233/JPD-191682
doi: 10.3233/JPD-191682 pubmed: 31561384 pmcid: 7304052
Michalska J, Kamieniarz A, Sobota G, Stania M, Juras G, Słomka KJ (2021) Age-related changes in postural control in older women: transitional tasks in step initiation. BMC Geriatr 21:17. https://doi.org/10.1186/s12877-020-01985-y
doi: 10.1186/s12877-020-01985-y pubmed: 33407197 pmcid: 7789726
Wang T, Liao H, Zi Y, Wang M, Mao Z, Xiang Y, Zhang L, Li J et al (2020) Distinct changes in global brain synchronization in early-onset vs. late-onset Parkinson disease. Front Aging Neurosci 12:604995. https://doi.org/10.3389/fnagi.2020.604995
doi: 10.3389/fnagi.2020.604995 pubmed: 33381021 pmcid: 7767969
Calne SM, Kumar A (2008) Young onset Parkinson’s disease. Practical management of medical issues. Parkinsonism Relat Disord 14:133–142. https://doi.org/10.1016/j.parkreldis.2007.07.007
doi: 10.1016/j.parkreldis.2007.07.007 pubmed: 17804273
Curtze CNJ, Carlson-Kuhta P, Mancini M, Horak FB (2015) Levodopa is a double-edged sword for balance and gait in people with Parkinson’s disease. Mov Disord 30:1361–1370. https://doi.org/10.1002/mds.26269
doi: 10.1002/mds.26269 pubmed: 26095928 pmcid: 4755510
Okuma Y, Silva de Lima AL, Fukae J, Bloem BR, Snijders AH (2018) A prospective study of falls in relation to freezing of gait and response fluctuations in Parkinson’s disease. Parkinsonism Relat Disord 46:30–35. https://doi.org/10.1016/j.parkreldis.2017.10.013
doi: 10.1016/j.parkreldis.2017.10.013 pubmed: 29079421

Auteurs

Kangwen Peng (K)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Ludi Xie (L)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Ronghua Hong (R)

Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons' Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China.

Zhuang Wu (Z)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Hongkai Gu (H)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Yijing He (Y)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Ziwen Xing (Z)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Qiang Guan (Q)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Lizhen Pan (L)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China.

Lingjing Jin (L)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China. lingjingjin@tongji.edu.cn.
Department of Neurology and Neurological Rehabilitation, Shanghai Disabled Persons' Federation Key Laboratory of Intelligent Rehabilitation Assistive Devices and Technologies, Yangzhi Rehabilitation Hospital (Shanghai Sunshine Rehabilitation Center), School of Medicine, Tongji University, Shanghai, China. lingjingjin@tongji.edu.cn.
Collaborative Innovation Center for Brain Science (Sponsored By Shanghai Blue Cross Brain Hospital Co., Ltd. and Shanghai Tongji University Education Development Foundation), Tongji University, Shanghai, China. lingjingjin@tongji.edu.cn.

Lixi Li (L)

Neurotoxin Research Center, Key Laboratory of Spine and Spinal Cord Injury Repair and Regeneration of Ministry of Education, Neurological Department of Tongji Hospital, School of Medicine, Tongji University, Shanghai, China. lixili@tongji.edu.cn.

Classifications MeSH