Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis
Introduction and objective. Pyramidal gait impairment (GI) is a classical trait of cerebrovascular disease (CVD). To developed a method to quantify prospectively and transversely GI and disequilibrium, to be applied in the screening of pyramidal and non-pyramidal syndromes associated to different et...
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todo:paper_02100010_v31_n1_p1_Dominguez2023-10-03T15:09:59Z Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis Domínguez, R.O. Bartolomé, E.L. Serra, J.A. Marschoff, E.R. Famulari, A.L. D'Abbraccio, G.L. González, S.E. Bagg, E. Cerebrovascular disease Gait disorders Index of gait and equilibrium Leucoaraiosis Silent brain infarcts Small vessels disease aged article body equilibrium brain brain infarction cross-sectional study female gait hospitalization human male middle aged motor dysfunction neurologic examination nuclear magnetic resonance imaging pathology prospective study vascularization Aged Aged, 80 and over Brain Cerebral Infarction Cross-Sectional Studies Female Gait Humans Magnetic Resonance Imaging Male Middle Aged Movement Disorders Musculoskeletal Equilibrium Neurologic Examination Prospective Studies Severity of Illness Index Introduction and objective. Pyramidal gait impairment (GI) is a classical trait of cerebrovascular disease (CVD). To developed a method to quantify prospectively and transversely GI and disequilibrium, to be applied in the screening of pyramidal and non-pyramidal syndromes associated to different ethiological subtypes of CVD; using an Index of Gait and Equilibrium (IGE). Patients and methods. In constructing IGE, we used 14 equally weighted semiological variables: 6 measure balance, 6 gait, 1 sensitive abnormalities and 1 falls. Two neurologists separately examined each subject in the same day and repeating the evaluation after a week. Data analyses included Kruskal Wallis, χ2, Spearman correlations and Principal Components. Results. IGE was used in 90 subjects, 43 males, with a mean age of 70.6 years. 3 groups of people were formed: 1. CVD (A, 21 with silent vascular lesions diagnosed by imaging; B, 17 with vascular dementia; C, 21 with stroke); 2.13 subjects with cautious gait, not associated to any disease; and 3.18 normal control subjects (age 60-80 years). GI in the non-pyramidal syndrome were significantly related with small vessels disease (χ2= 16.37, dof= 1, p< 0.001). Conclusions. GI in CVD, pyramidal and non-pyramidal syndromes were equally frequent. Increased values of IGE caused by cautious gait in youngest non-stroke patients suggested high probability of silent CVD and significant association with small vessels disease. This preliminary assessment of IGE showed a reproducible and reliable tool for objectification and quantification of gait disorders. © 2000, Revista de Neurología. JOUR info:eu-repo/semantics/openAccess http://creativecommons.org/licenses/by/2.5/ar http://hdl.handle.net/20.500.12110/paper_02100010_v31_n1_p1_Dominguez |
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Universidad de Buenos Aires |
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I-28 |
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R-134 |
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Biblioteca Digital - Facultad de Ciencias Exactas y Naturales (UBA) |
| topic |
Cerebrovascular disease Gait disorders Index of gait and equilibrium Leucoaraiosis Silent brain infarcts Small vessels disease aged article body equilibrium brain brain infarction cross-sectional study female gait hospitalization human male middle aged motor dysfunction neurologic examination nuclear magnetic resonance imaging pathology prospective study vascularization Aged Aged, 80 and over Brain Cerebral Infarction Cross-Sectional Studies Female Gait Humans Magnetic Resonance Imaging Male Middle Aged Movement Disorders Musculoskeletal Equilibrium Neurologic Examination Prospective Studies Severity of Illness Index |
| spellingShingle |
Cerebrovascular disease Gait disorders Index of gait and equilibrium Leucoaraiosis Silent brain infarcts Small vessels disease aged article body equilibrium brain brain infarction cross-sectional study female gait hospitalization human male middle aged motor dysfunction neurologic examination nuclear magnetic resonance imaging pathology prospective study vascularization Aged Aged, 80 and over Brain Cerebral Infarction Cross-Sectional Studies Female Gait Humans Magnetic Resonance Imaging Male Middle Aged Movement Disorders Musculoskeletal Equilibrium Neurologic Examination Prospective Studies Severity of Illness Index Domínguez, R.O. Bartolomé, E.L. Serra, J.A. Marschoff, E.R. Famulari, A.L. D'Abbraccio, G.L. González, S.E. Bagg, E. Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| topic_facet |
Cerebrovascular disease Gait disorders Index of gait and equilibrium Leucoaraiosis Silent brain infarcts Small vessels disease aged article body equilibrium brain brain infarction cross-sectional study female gait hospitalization human male middle aged motor dysfunction neurologic examination nuclear magnetic resonance imaging pathology prospective study vascularization Aged Aged, 80 and over Brain Cerebral Infarction Cross-Sectional Studies Female Gait Humans Magnetic Resonance Imaging Male Middle Aged Movement Disorders Musculoskeletal Equilibrium Neurologic Examination Prospective Studies Severity of Illness Index |
| description |
Introduction and objective. Pyramidal gait impairment (GI) is a classical trait of cerebrovascular disease (CVD). To developed a method to quantify prospectively and transversely GI and disequilibrium, to be applied in the screening of pyramidal and non-pyramidal syndromes associated to different ethiological subtypes of CVD; using an Index of Gait and Equilibrium (IGE). Patients and methods. In constructing IGE, we used 14 equally weighted semiological variables: 6 measure balance, 6 gait, 1 sensitive abnormalities and 1 falls. Two neurologists separately examined each subject in the same day and repeating the evaluation after a week. Data analyses included Kruskal Wallis, χ2, Spearman correlations and Principal Components. Results. IGE was used in 90 subjects, 43 males, with a mean age of 70.6 years. 3 groups of people were formed: 1. CVD (A, 21 with silent vascular lesions diagnosed by imaging; B, 17 with vascular dementia; C, 21 with stroke); 2.13 subjects with cautious gait, not associated to any disease; and 3.18 normal control subjects (age 60-80 years). GI in the non-pyramidal syndrome were significantly related with small vessels disease (χ2= 16.37, dof= 1, p< 0.001). Conclusions. GI in CVD, pyramidal and non-pyramidal syndromes were equally frequent. Increased values of IGE caused by cautious gait in youngest non-stroke patients suggested high probability of silent CVD and significant association with small vessels disease. This preliminary assessment of IGE showed a reproducible and reliable tool for objectification and quantification of gait disorders. © 2000, Revista de Neurología. |
| format |
JOUR |
| author |
Domínguez, R.O. Bartolomé, E.L. Serra, J.A. Marschoff, E.R. Famulari, A.L. D'Abbraccio, G.L. González, S.E. Bagg, E. |
| author_facet |
Domínguez, R.O. Bartolomé, E.L. Serra, J.A. Marschoff, E.R. Famulari, A.L. D'Abbraccio, G.L. González, S.E. Bagg, E. |
| author_sort |
Domínguez, R.O. |
| title |
Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| title_short |
Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| title_full |
Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| title_fullStr |
Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| title_full_unstemmed |
Cerebrovascular disease and gait disorders: Qualitative and quantitative analysis |
| title_sort |
cerebrovascular disease and gait disorders: qualitative and quantitative analysis |
| url |
http://hdl.handle.net/20.500.12110/paper_02100010_v31_n1_p1_Dominguez |
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