Analysis of Gait Parameters According to the Clinical Features of Parkinson's Disease Using 3-D Motion Analysis System with Electrogoniometer

3차원 전기측각 보행분석기를 이용한 파킨슨씨병 환자의 임상 양상에 따른 보행 분석

  • Baek, Hye-Jin (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Yoon, Joon-Shik (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Kim, Sei-Joo (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Lee, Gyu-Ho (Department of Physical Medicine and Rehabilitation, Korea University School of Medicine) ;
  • Koh, Seong-Beom (Department of Neurology, Korea University School of Medicine)
  • 백혜진 (고려대학교 의과대학 재활의학교실) ;
  • 윤준식 (고려대학교 의과대학 재활의학교실) ;
  • 김세주 (고려대학교 의과대학 재활의학교실) ;
  • 이규호 (고려대학교 의과대학 재활의학교실) ;
  • 고성범 (고려대학교 의과대학 신경학교실)
  • Received : 2008.12.29
  • Accepted : 2009.04.03
  • Published : 2009.06.30

Abstract

Background: To investigate the differences of locomotor dynamics between Parkinson's disease (PD) patients with tremor dominant symptom and patients with postural instability dominant symptom. Methods: 66 subjects with PD were classified into two subgroups, tremor-dominant group and postural instability and gait disorder group by Unified Parkinson's disease rating scale (UPDRS). The spatial, temporal and electrodynamic gait parameters were recorded automatically using computerized 3-D motion analysis system with electrogoniometer. Results: There was no significant difference in cadence, pelvic tilt range, hip flexion range, knee flexion range and ankle dorsiflexion range. Postural instability and gait disorder group showed decreased gait velocity, short stride length, decreased range of motion in pelvic obliquity, pelvic rotation and ankle plantar flexion. Conclusions: There was meaningful difference in locomotor dynamics between Parkinson's disease(PD) patients with tremor dominant symptom and patients with postural instability dominant symptom.

Keywords

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