The Forward and Lateral Tilt Angle of the Neck and Trunk Measured by Three-Dimensional Gait and Motion Analysis as a Candidate for a Severity Index in Patients with Parkinson’s Disease

Autor: Hirofumi Matsumoto, Makoto Shiraishi, Ariaki Higashi, Sakae Hino, Mayumi Kaburagi, Heisuke Mizukami, Futaba Maki, Junji Yamauchi, Kenichiro Tanabe, Tomoo Sato, Yoshihisa Yamano
Jazyk: angličtina
Rok vydání: 2022
Předmět:
Zdroj: Neurology International, Vol 14, Iss 3, Pp 727-737 (2022)
Druh dokumentu: article
ISSN: 2035-8377
DOI: 10.3390/neurolint14030061
Popis: (1) Objective: To evaluate the usefulness of a three-dimensional motion-analysis system (AKIRA®) as a quantitative measure of motor symptoms in patients with Parkinson’s disease (PD). (2) Method: This study included 48 patients with PD. We measured their motion during 2 m of walking using AKIRA®, we calculated the tilt angles of the neck and trunk, ankle height, and gait speed, then we compared these parameters with the MDS-UPDRS and the Hoehn and Yahr scale. Furthermore, we measured these AKIRA indicators before and after 1 year of observation. (3) Results: The forward tilt angle of the neck showed a strong correlation with the scores on parts II, III, and the total MDS-UPDRS, and the tilt angle of the trunk showed a moderate correlation with those measures. The lateral tilt angle of the trunk showed a moderate correlation with a freezing of the gait and a postural instability. Regarding changes over the course of 1 year (n = 34), the total scores on part III of the MDS-UPDRS and the forward tilt angle of the neck improved, while the lateral tilt angle of the trunk worsened. (4) Conclusion: Taken together, the forward and lateral tilt angles of the neck and trunk as measured by AKIRA® can be a candidate for quantitative severity index in patients with PD.
Databáze: Directory of Open Access Journals
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