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Movement Disorders Phenomenology pp 203–213Cite as

Phenomenology of Gait and Balance

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Abstract

Evaluation of gait is a critical part of the movement disorders examination. In addition to parkinsonian gait, balance and walking impairment in Huntington’s disease, and truncal dystonia, normal pressure hydrocephalus and functional gait disorders present clinical challenges for the clinician.

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References

  1. Jankovic J, Nutt JG, Sudarsky L. Classification, diagnosis, and etiology of gait disorders. Adv Neurol. 2001;87:119–33.

    CAS  PubMed  Google Scholar 

  2. Napier J. The antiquity of human walking. Sci Am. 1967;216(4):56–66. https://doi.org/10.1038/scientificamerican0467-56.

    Article  CAS  PubMed  Google Scholar 

  3. Jackson JH. In: Taylor J, Holmes G, Walshe FMR, editors. Selected writings of John Hughlings Jackson, Vol. 2. London: Hodder and Stoughton; 1932.

    Google Scholar 

  4. Nutt JG, Marsden CD, Thompson PD. Human walking and higher-level gait disorders, particularly in the elderly. Neurology. 1993;43(2):268–79. https://doi.org/10.1212/wnl.43.2.268.

    Article  CAS  PubMed  Google Scholar 

  5. Bruns L. Uber storungen des gleichgewichtes bei stirnhirntumoren. Dtsch Med Wochenschr. 1892;18:138–40.

    Article  Google Scholar 

  6. Petren K. Über den Zusammenhang swischen anatomisch bedingter und functioneller Gangstörung (besonders in der Form von trepid ander Abasie) im Griesenalter. Arch Psych Nerven. 1901;33:444–89.

    Article  Google Scholar 

  7. Dejerine J. Semeiologie du systeme nerveux. Paris: Masson; 1926.

    Google Scholar 

  8. Marie P. Des foyers lacunaires de désintégration et de differents autres etats cavitaires du cerveau. Rev Med. 1901;21:281–98.

    Google Scholar 

  9. von Malaise E. Studien uber wese grundlagen senile getstoringen. Arch Psychiat. 1910;46:902–1009.

    Article  Google Scholar 

  10. Thompson PD, Marsden CD. Gait disorder of subcortical arteriosclerotic encephalopathy: Binswanger’s disease. Mov Disord. 1987;2(1):1–8. https://doi.org/10.1002/mds.870020101.

    Article  CAS  PubMed  Google Scholar 

  11. Vizcarra JA, Lang AE, Sethi KD, Espay AJ. Vascular parkinsonism: deconstructing a syndrome. Mov Disord. 2015;30(7):886–94. https://doi.org/10.1002/mds.26263.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

  12. FitzGerald PM, Jankovic J. Lower body parkinsonism: evidence for vascular etiology. Mov Disord. 1989;4(3):249–60. https://doi.org/10.1002/mds.870040306.

    Article  CAS  PubMed  Google Scholar 

  13. Gerstmann J, Schilder P. Uber eine besondere gangstorung bei stirnhirner kranting. Wien Med Schr. 1926;76:97–107.

    Google Scholar 

  14. van Bogaert L, Martin P. Sur deux signes du syndrome de desequilibration frontale: l’apraxie de la marche et l’atonie statique. Encéphale. 1929;24:11–8.

    Google Scholar 

  15. Thompson PD. Frontal lobe ataxia. Handb Clin Neurol. 2012;103:619–22. https://doi.org/10.1016/B978-0-444-51892-7.00044-9.

    Article  PubMed  Google Scholar 

  16. Denny-Brown D. The nature of apraxia. J Nerv Ment Dis. 1958;126(1):9–32. https://doi.org/10.1097/00005053-195801000-00003.

    Article  CAS  PubMed  Google Scholar 

  17. Blocq P. Sur une affection caractérisée par de l’astasie et de l’abasie. Arch Neurol (Paris). 1888;15:24–51. 187–211.

    Google Scholar 

  18. Okun MS, Koehler PJ. Paul Blocq and (psychogenic) astasia abasia. Mov Disord. 2007;22(10):1373–8. https://doi.org/10.1002/mds.21474.

    Article  PubMed  Google Scholar 

  19. Masdeu JC, Gorelick PB. Thalamic astasia: inability to stand after unilateral thalamic lesions. Ann Neurol. 1988;23(6):596–603. https://doi.org/10.1002/ana.410230612.

    Article  CAS  PubMed  Google Scholar 

  20. O’Keeffe FM, Murray B, Coen RF, Dockree PM, Bellgrove MA, Garavan H, et al. Loss of insight in frontotemporal dementia, corticobasal degeneration and progressive supranuclear palsy. Brain. 2007;130(Pt 3):753–64. https://doi.org/10.1093/brain/awl367.

    Article  PubMed  Google Scholar 

  21. Giladi N, Shabtai H, Rozenberg E, Shabtai E. Gait festination in Parkinson’s disease. Parkinsonism Relat Disord. 2001;7(2):135–8.

    Article  CAS  Google Scholar 

  22. Nonnekes J, Giladi N, Guha A, Fietzek UM, Bloem BR, Ruzicka E. Gait festination in parkinsonism: introduction of two phenotypes. J Neurol. 2019;266(2):426–30. https://doi.org/10.1007/s00415-018-9146-7.

    Article  PubMed  Google Scholar 

  23. Rao AK, Louis ED. Ataxic gait in essential tremor: a disease-associated feature? Tremor Other Hyperkinet Mov (N Y). 2019;9. https://doi.org/10.7916/d8-28jq-8t52.

  24. Nutt JG. Classification of gait and balance disorders. Adv Neurol. 2001;87:135–41.

    CAS  PubMed  Google Scholar 

  25. Critchley M. On senile disorders of gait, including the so-called senile paraplegia. Geriatrics. 1948;3(6):364–70.

    CAS  PubMed  Google Scholar 

  26. Bloem BR, Gussekloo J, Lagaay AM, Remarque EJ, Haan J, Westendorp RG. Idiopathic senile gait disorders are signs of subclinical disease. J Am Geriatr Soc. 2000;48(9):1098–101. https://doi.org/10.1111/j.1532-5415.2000.tb04786.x.

    Article  CAS  PubMed  Google Scholar 

  27. Baik JS, Lang AE. Gait abnormalities in psychogenic movement disorders. Mov Disord. 2007;22(3):395–9. https://doi.org/10.1002/mds.21283.

    Article  PubMed  Google Scholar 

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Authors and Affiliations

  1. Division of Movement Disorders, New York University Grossman School of Medicine, The Marlene and Paolo Fresco Institute for Parkinson’s and Movement Disorders, NYU Langone Health, New York, NY, USA

    Steven J. Frucht

  2. Division of Neurology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand

    Pichet Termsarasab

Authors
  1. Steven J. Frucht
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  2. Pichet Termsarasab
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Corresponding author

Correspondence to Steven J. Frucht .

Electronic Supplementary Material

Gait disorders accompany many of the primary movement disorders, and the gait disorder of PD (Chap. 3), atypical parkinsonism (Chap. 4), posthypoxic myoclonus (Chap. 5), Huntington’s disease and neuroacanthocytosis (Chap. 7), orthostatic tremor (Chap. 8), truncal dystonia (Chap. 9), and ataxia (Chap. 10) are covered elsewhere. In this video segment, we focus principally on two other conditions that affect gait, normal pressure hydrocephalus, and functional movement disorders (MP4 1420773 kb)

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Frucht, S.J., Termsarasab, P. (2020). Phenomenology of Gait and Balance. In: Movement Disorders Phenomenology. Springer, Cham. https://doi.org/10.1007/978-3-030-36975-0_13

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  • DOI: https://doi.org/10.1007/978-3-030-36975-0_13

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-36974-3

  • Online ISBN: 978-3-030-36975-0

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