The impact of different types of assistive devices on gait measures and safety in Huntington's disease.

PloS One
Anne D KloosSandra K Kostyk

Abstract

Gait and balance impairments lead to frequent falls and injuries in individuals with Huntington's disease (HD). Assistive devices (ADs) such as canes and walkers are often prescribed to prevent falls, but their efficacy is unknown. We systematically examined the effects of different types of ADs on quantitative gait measures during walking in a straight path and around obstacles. Spatial and temporal gait parameters were measured in 21 subjects with HD as they walked across a GAITRite walkway under 7 conditions (i.e., using no AD and 6 commonly prescribed ADs: a cane, a weighted cane, a standard walker, and a 2, 3 or 4 wheeled walker). Subjects also were timed and observed for number of stumbles and falls while walking around two obstacles in a figure-of-eight pattern. Gait measure variability (i.e., coefficient of variation), an indicator of fall risk, was consistently better when using the 4WW compared to other ADs. Subjects also walked the fastest and had the fewest number of stumbles and falls when using the 4WW in the figure-of-eight course. Subjects walked significantly slower using ADs compared to no AD both across the GAITRite and in the figure-of-eight. Measures reflecting gait stability and safety improved with the 4W...Continue Reading

References

Jun 1, 1992·Neurology·J TianS E Folstein
Mar 1, 1992·Journal of the American Geriatrics Society·J MahoneyM Carnes
Jan 1, 1991·Acta Oto-laryngologica. Supplementum·J R TianS E Folstein
Mar 1, 1996·Movement Disorders : Official Journal of the Movement Disorder Society
Jan 1, 1997·Journal of Applied Physiology·J M HausdorffA L Goldberger
Jun 5, 1998·Movement Disorders : Official Journal of the Movement Disorder Society·J M HausdorffA L Goldberger
Jun 17, 1998·Physical Therapy·F SmithsonR Iansek
Dec 8, 1996·Assistive Technology : the Official Journal of RESNA·P Stern, E Trefler
Aug 24, 1999·Journal of Neurology, Neurosurgery, and Psychiatry·H C Dipple
Jun 8, 2001·Movement Disorders : Official Journal of the Movement Disorder Society·L QuinnA M Gordon
Aug 9, 2001·Archives of Physical Medicine and Rehabilitation·J M HausdorffH K Edelberg
Jul 24, 2002·Medical Engineering & Physics·Brain T Fay, Michael L Boninger
Mar 26, 2003·Neurology·V L WheelockUNKNOWN Huntington Study Group
Jun 18, 2003·Journal of the Neurological Sciences·Joanna D SchaafsmaJeffrey M Hausdorff
Sep 23, 2003·Parkinsonism & Related Disorders·Esther CuboChristopher G Goetz
Sep 25, 2004·Movement Disorders : Official Journal of the Movement Disorder Society·Belinda BilneyNellie Georgiou-Karistianis
Apr 20, 2005·Movement Disorders : Official Journal of the Movement Disorder Society·Ashwini K RaoKaren S Marder
Sep 27, 2005·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Melissa E ChamberlinJohn M Medeiros
Jan 10, 2006·Biomedical Engineering Online·Tine AlkjaerErik B Simonsen
Feb 8, 2006·Multiple Sclerosis : Clinical and Laboratory Research·R VerzaM Messmer Uccelli
Apr 26, 2006·Archives of Physical Medicine and Rehabilitation·Laura H EggermontErik J Scherder
Jun 30, 2006·Journal of the Neurological Sciences·Bastiaan R BloemMarten Munneke
Sep 4, 2007·Journal of Electromyography and Kinesiology : Official Journal of the International Society of Electrophysiological Kinesiology·Brian E MakiWilliam E McIlroy
Apr 3, 2008·Movement Disorders : Official Journal of the Movement Disorder Society·Yvette A M GrimbergenMarten Munneke
Dec 9, 2008·Archives of Physical Medicine and Rehabilitation·Jennifer S BrachAnne B Newman
Apr 8, 2009·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Joe VergheseCuiling Wang
Oct 21, 2010·Movement Disorders : Official Journal of the Movement Disorder Society·Anne D KloosSandra K Kostyk

❮ Previous
Next ❯

Citations

Mar 13, 2014·Aging Clinical and Experimental Research·Irene HärdiReto W Kressig
Feb 19, 2014·PM & R : the Journal of Injury, Function, and Rehabilitation·Prasath JayakaranKenneth Gilhooly
Sep 5, 2015·Disability and Rehabilitation. Assistive Technology·Maria MartinsAnselmo Frizera
Apr 20, 2013·Physical Medicine and Rehabilitation Clinics of North America·Joan E Edelstein
Mar 19, 2016·Veterinary and Comparative Orthopaedics and Traumatology : V.C.O.T·Jessie S SuttonAmy S Kapatkin
May 6, 2015·Der Nervenarzt·J D Rollnik
Oct 3, 2017·Journal of Huntington's Disease·Nora E FritzLori Quinn
Mar 23, 2013·Physical Therapy·Lori QuinnUNKNOWN Outcome Measures Subgroup of the European Huntington's Disease Network
Oct 27, 2015·Rehabilitation Nursing : the Official Journal of the Association of Rehabilitation Nurses·Hao Howe LiuYasser Salem
Jun 9, 2016·Acta neurochirurgica·Jussi O T SipiläKari Majamaa
Feb 7, 2018·Sensors·Youngsu ChaDoik Kim
Jul 22, 2018·Journal of Biomechanical Engineering·Carmen Ridao-FernándezGema Chamorro-Moriana
Jul 25, 2019·Frontiers in Neurology·Anne-Catherine Bachoud-LéviJean-Marc Burgunder
Mar 7, 2020·BMC Geriatrics·Sibylle Brunhilde ThiesHelen Dawes
Oct 22, 2016·Journal of Alzheimer's Disease : JAD·Ioulietta LazarouMagda Tsolaki
Jul 20, 2018·Biomedical Engineering Online·Carmen Ridao-FernándezJoaquín Ojeda
Dec 3, 2014·Journal of the Neurological Sciences·Deb A KegelmeyerSandra K Kostyk

❮ Previous
Next ❯

Software Mentioned

GAITRite

Related Concepts

Related Feeds

Ataxias

Ataxia is a neurological condition characterized by lack of voluntary coordination of muscle movements including loss of coordination, balance, and speech. Discover the latest research on different types of ataxias here.

Aphasia

Aphasia affects the ability to process language, including formulation and comprehension of language and speech, as well as the ability to read or write. Here is the latest research on aphasia.

Related Papers

Disability and Rehabilitation. Assistive Technology
Mon S BryantAdam Thrasher
Movement Disorders : Official Journal of the Movement Disorder Society
R ReilmannHerwig W Lange
Movement Disorders : Official Journal of the Movement Disorder Society
Yvette A M GrimbergenMarten Munneke
Revue neurologique
Arnaud Delval, Pierre Krystkowiak
© 2022 Meta ULC. All rights reserved