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dc.contributor.authorPlotnik, Meir
dc.contributor.authorGiladi, Nir
dc.contributor.authorHausdorff, Jeffrey M.
dc.date.accessioned2012-04-06T21:53:24Z
dc.date.issued2012
dc.identifier.citationPlotnik, Meir, Nir Giladi, and Jeffrey M. Hausdorff. 2012. Is freezing of gait in Parkinson's disease a result of multiple gait impairments? Implications for treatment. Parkinson's Disease 2012: 459321.en_US
dc.identifier.issn2090-8083en_US
dc.identifier.issn2042-0080en_US
dc.identifier.urihttp://nrs.harvard.edu/urn-3:HUL.InstRepos:8519631
dc.description.abstractSeveral gait impairments have been associated with freezing of gait (FOG) in patients with Parkinson's disease (PD). These include deteriorations in rhythm control, gait symmetry, bilateral coordination of gait, dynamic postural control and step scaling. We suggest that these seemingly independent gait features may have mutual interactions which, during certain circumstances, jointly drive the predisposed locomotion system into a FOG episode. This new theoretical framework is illustrated by the evaluation of the potential relationships between the so-called “sequence effect”, that is, impairments in step scaling, and gait asymmetry just prior to FOG. We further discuss what factors influence gait control to maintain functional gait. “Triggers”, for example, such as attention shifts or trajectory transitions, may precede FOG. We propose distinct categories of interventions and describe examples of existing work that support this idea: (a) interventions which aim to maintain a good level of locomotion control especially with respect to aspects related to FOG; (b) those that aim at avoiding FOG “triggers”; and (c) those that merely aim to escape from FOG once it occurs. The proposed theoretical framework sets the stage for testable hypotheses regarding the mechanisms that lead to FOG and may also lead to new treatment ideas.en_US
dc.language.isoen_USen_US
dc.publisherHindawi Publishing Corporationen_US
dc.relation.isversionofdoi:10.1155/2012/459321en_US
dc.relation.hasversionhttp://www.ncbi.nlm.nih.gov/pmc/articles/PMC3263650en_US
dash.licenseLAA
dc.titleIs Freezing of Gait in Parkinson's Disease a Result of Multiple Gait Impairments? Implications for Treatmenten_US
dc.typeJournal Articleen_US
dc.description.versionVersion of Recorden_US
dc.relation.journalParkinson's Diseaseen_US
dash.depositing.authorHausdorff, Jeffrey M.
dc.date.available2012-04-06T21:53:24Z
dc.identifier.doi10.1155/2012/459321*
dash.contributor.affiliatedHausdorff, Jeffrey M


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