Document Detail


Gait disturbance in Alzheimer's disease: a clinical study.
MedLine Citation:
PMID:  8831878     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Gait disturbance is common in patients with Alzheimer's disease (AD). The aim of this study was to analyse the clinical gait syndromes of patients with AD using Nutt's classification. Fifty-five patients who satisfied the NINCDS-ADRDA criteria for probable AD and 55 controls were recruited from a geriatric and a psychogeriatric unit. Patients with classical musculoskeletal or neurological syndromes causing gait disturbance were excluded. A standardized neurological examination was carried out in all subjects. Twenty-two (40%) patients and ten (18%) controls had a higher level gait disorder (p < 0.01). The pattern of gait disturbance in AD patients varied according to the stage of the disease. Cautious gait was the commonest gait disorder in AD patients with mild dementia, while frontal gait disorder was the commonest disturbance in patients with severe dementia. The prevalence of frontal release signs (gegenhalten or any primitive reflex) was highest among patients with frontal gait disorder.
Authors:
S T O'Keeffe; H Kazeem; R M Philpott; J R Playfer; M Gosney; M Lye
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Age and ageing     Volume:  25     ISSN:  0002-0729     ISO Abbreviation:  Age Ageing     Publication Date:  1996 Jul 
Date Detail:
Created Date:  1997-01-16     Completed Date:  1997-01-16     Revised Date:  2008-11-21    
Medline Journal Info:
Nlm Unique ID:  0375655     Medline TA:  Age Ageing     Country:  ENGLAND    
Other Details:
Languages:  eng     Pagination:  313-6     Citation Subset:  IM    
Affiliation:
Department of Geriatric Medicine, Royal Liverpool University Hospital.
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MeSH Terms
Descriptor/Qualifier:
Activities of Daily Living / classification
Aged
Aged, 80 and over
Alzheimer Disease / classification,  diagnosis*,  physiopathology
Female
Frontal Lobe / physiopathology
Gait* / physiology
Humans
Male
Neurologic Examination
Postural Balance / physiology
Reflex, Abnormal / physiology
Risk Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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