Document Detail


Gait disorders.
MedLine Citation:
PMID:  23312637     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
This chapter deals with the neuronal mechanisms underlying impaired gait. The aim is, first, a better understanding of the underlying pathophysiology and, second, the selection of an adequate treatment. One of the first symptoms of a lesion within the central motor system perceived by patients is a movement disorder, which is most characteristic during locomotion, e.g. in patients suffering spasticity after stroke or a spinal cord injury or Parkinson disease. By the recording and analysis of electrophysiological and biomechanical signals during a movement, the significance of impaired reflex behavior or muscle tone and its contribution to the movement disorder can reliably be assessed. Adequate treatment should not be restricted to the correction of an isolated clinical sign but should be based on the mechanisms underlying the movement disorder that impairs the patient. Therapy should be directed toward functional training, which takes advantage of the plasticity of the nervous system. In the future a combination of repair and functional training will further improve the mobility of disabled patients.
Authors:
V Dietz
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Handbook of clinical neurology / edited by P.J. Vinken and G.W. Bruyn     Volume:  110     ISSN:  0072-9752     ISO Abbreviation:  Handb Clin Neurol     Publication Date:  2013  
Date Detail:
Created Date:  2013-01-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0166161     Medline TA:  Handb Clin Neurol     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  133-43     Citation Subset:  IM    
Copyright Information:
Copyright © 2013 Elsevier B.V. All rights reserved.
Affiliation:
Spinal Cord Injury Centre, Balgrist University Hospital, Zürich, Switzerland. Electronic address: vdietz@paralab.balgrist.ch.
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