Is the dopaminergic loss associated with gait and postural impairments in subjects with Parkinson's disease at different motor stages?

Gait and postural control deficiencies in Parkinson's disease (PD) involve several specific motor aspects. The aim of this study was to identify and compare the main changes in gait kinematics and postural control with dopaminergic loss in the striatum region. This is a cross‐sectional study th...

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Veröffentlicht in:The European journal of neuroscience 2019-12, Vol.50 (12), p.3889-3895
Hauptverfasser: Corrêa, Philipe Souza, Pagnussat, Aline Souza, Cabeleira, Maria Eduarda Parcianello, Schifino, Giulia Palermo, Rieder, Carlos Roberto de Mello, Silva Junior, Neivo, Cechetti, Fernanda
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container_issue 12
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container_title The European journal of neuroscience
container_volume 50
creator Corrêa, Philipe Souza
Pagnussat, Aline Souza
Cabeleira, Maria Eduarda Parcianello
Schifino, Giulia Palermo
Rieder, Carlos Roberto de Mello
Silva Junior, Neivo
Cechetti, Fernanda
description Gait and postural control deficiencies in Parkinson's disease (PD) involve several specific motor aspects. The aim of this study was to identify and compare the main changes in gait kinematics and postural control with dopaminergic loss in the striatum region. This is a cross‐sectional study that included 42 individuals with PD at different motor stages, according to the Hoehn & Yahr scale (H&Y). Motor subsection of the Movement Disorder Society‐Unified Parkinson Disease Rating Scale—part III (MDS‐UPDRS III) was used to evaluate general motor aspects. Gait kinematics was assessed using a three‐dimensional motion capture system. Postural control was assessed by stabilometry using force platforms. Dopamine depletion was verified through 99mTc‐TRODAT‐1 (SPECT‐CT) examination. We included 12, 15 and 15 individuals classified as H&Y I, II and III, respectively. We identified worse values of dopamine transporter uptake, MDS‐UPDRS III, gait parameters (velocity, step length and stride length) and center of pressure displacement as the disease progressed. Our results indicate that higher dopaminergic loss and gait and postural control deficits occur between the H&Y levels II and III.
doi_str_mv 10.1111/ejn.14522
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subjects Dopamine
Dopamine receptors
Dopamine transporter
Gait
Kinematics
Movement disorders
Neostriatum
Neurodegenerative diseases
Parkinson disease
Parkinson's disease
postural balance
Posture
Single photon emission computed tomography
SPECT‐CT
title Is the dopaminergic loss associated with gait and postural impairments in subjects with Parkinson's disease at different motor stages?
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