Abstract
Objective
This study aimed to quantitatively investigate the existence of differences in spatiotemporal
and kinematic parameters of gait in men and women with Parkinson disease (PD) using
computerized 3-dimensional gait analysis.
Design
Retrospective cohort study.
Setting
Laboratory of Biomechanics.
Participants
Individuals with PD (N=35; 17 female, 18 male) of mean age 70.7 years characterized
by mild disability (Hoehn and Yahr ≤2.5) who were tested in On medication state approximately
60 to 90 minutes after intake of the usual morning Levodopa dose.
Intervention
Not applicable.
Main Outcome Measures
Spatiotemporal parameters of gait (speed, stride length, cadence, step width, duration
of stance, swing, double support phases) and kinematics of hip, knee, and ankle joints
in the sagittal plane.
Results
Men and women exhibit similar spatiotemporal parameters, except for step width (wider
in men). In contrast, relevant differences were found in terms of ankle kinematics.
In particular, women presented increased ankle dorsiflexion through all the stance
phase and mid to late swing phase, and reduced plantarflexion at the stance-swing
phase transition.
Conclusions
Gait patterns of men and women with PD with mild disability are similar in terms of
spatiotemporal parameters but characterized by marked differences regarding the ankle
kinematics on the sagittal plane. The findings of the present study support the concept
that investigations seeking to clarify the complex pathophysiology of PD-related gait
disturbances should consider the role played by an individual's sex, thereby achieving
more effective designing of physical and rehabilitative treatments.
Keywords
List of abbreviations:
ANOVA (analysis of variance), MANOVA (multivariate analysis of variance), PD (Parkinson disease), ROM (range of motion)To read this article in full you will need to make a payment
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Article Info
Publication History
Published online: May 16, 2019
Footnotes
Supported by University of Cagliari and A.O. G. Brotzu General Hospital .
Disclosures: none.
Identification
Copyright
© 2019 by the American Congress of Rehabilitation Medicine
