Gait and Balance Features in Patients with Movement Disorders and Healthy Subjects

A special issue of Symmetry (ISSN 2073-8994). This special issue belongs to the section "Life Sciences".

Deadline for manuscript submissions: closed (31 July 2023) | Viewed by 2520

Special Issue Editor

Basic Biomedical Sciences, University of South Dakota, Clark St., Vermillion, SD 57069, USA
Interests: clinical neurosciences; movement disorders; cognitive disorders

Special Issue Information

Dear Colleagues,

The prevalence of gait asymmetry and balance dysfunctions increases with age, and is associated with the higher incidence of falls seen in the elderly population and patients with movement disorders. These falls are associated with significant morbidity and mortality, and the underlying physiological mechanisms of gait and balance motor disabilities are poorly understood. 

For this Special Issue, we are seeking basic or clinical full-length research or review articles discussing all aspects of gait asymmetry and balance abnormalities, both in patients with movement disorders and in healthy subjects. Since most gait and balance disorders involve multiple contributing factors, we also encourage contributors to submit articles concerning the factors that contribute to gait and balance abnormalities in PD, such as cognitive function.

Dr. Arun Singh
Guest Editor

Manuscript Submission Information

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Keywords

  • motor control
  • movement
  • movement disorders
  • healthy subjects
  • gait
  • gait asymmetry
  • posture
  • balance
  • oscillations
  • EEG
  • local field potential
  • basal ganglia
  • non-invasive brain stimulation (TMS/tES)
  • deep brain stimulation
  • levodopa
  • electrophysiology
  • exercise
  • physical training
  • interventions
  • non-motor functions
  • cognitive function

Published Papers (2 papers)

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Research

11 pages, 1031 KiB  
Article
Postural Stability Romberg’s Test in 3D Using an Inertial Sensor in Healthy Adults
by Dmitry Skvortsov and Nikita Painev
Symmetry 2023, 15(5), 1125; https://doi.org/10.3390/sym15051125 - 21 May 2023
Viewed by 924
Abstract
Currently, inertial sensors are often used to study balance in an upright stance. There are various options for recording balance data with different locations and numbers of sensors used. Methods of data processing and presentation also differ significantly in published studies. We propose [...] Read more.
Currently, inertial sensors are often used to study balance in an upright stance. There are various options for recording balance data with different locations and numbers of sensors used. Methods of data processing and presentation also differ significantly in published studies. We propose a certain technical implementation of the method and a previously tested method for processing primary data. In addition, the data were processed along three mutually perpendicular planes. The study was conducted on 109 healthy adults. A specially developed inertial sensor, commercially available for medical purposes, was used. Thus, this work can outline the limits of normative values for the calculated stabilometric measures. Normative data were obtained for three oscillation planes with the sensor located on the sacrum. The obtained parameters for the vertical component of the oscillations are of the same order as for the frontal and sagittal components. Normative parameters are required in any clinical study, as the basis from which we start in the evaluation of clinical data. In this study, such normative parameters are given for one of the most commonly used Romberg’s tests. The obtained normative data can be used for scientific and clinical research. Full article
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9 pages, 559 KiB  
Article
Maladaptive One-Leg Balance Control in Parkinson’s Disease
by Eric Chevrier, Elena Moro, Pierre Pelissier, Anna Castrioto, Paul Krack, Valérie Fraix and Bettina Debû
Symmetry 2022, 14(12), 2511; https://doi.org/10.3390/sym14122511 - 28 Nov 2022
Viewed by 1132
Abstract
Balance disorders are very frequent in Parkinson’s disease (PD). One-leg stance performance is a predictor of fall risk. We investigated one-leg stance strategies in people with PD. We hypothesized that patients would choose, and better perform on, the leg on the least affected [...] Read more.
Balance disorders are very frequent in Parkinson’s disease (PD). One-leg stance performance is a predictor of fall risk. We investigated one-leg stance strategies in people with PD. We hypothesized that patients would choose, and better perform on, the leg on the least affected body side. Fifty participants with 2 to 19 years of PD duration stood on one leg while ON medication. The leg spontaneously chosen was recorded. Performance was compared between the spontaneously chosen vs. contralateral, and most vs. least stable legs. Influence of disease duration, severity, age, cognition, and motor fluctuations was analyzed. Twenty-eight patients spontaneously stood on the leg of the least affected body side, which was not always the most stable one. The chosen standing leg was influenced by disease duration with a switch between the least vs. most affected body side after seven years of disease duration. Fourteen patients (28%) spontaneously stood on their least stable leg. Thus, some patients with PD choose the least stable leg when asked to perform one-leg stance. It is important to identify these patients since they may be at greater risk of falls and/or gait difficulties. Specific rehabilitation may help prevent such maladaptive strategy. Full article
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