Skip to main content

Relevance of Posturographic Parameters in the Differential Diagnosis of Parkinsonism

  • Conference paper
  • 82 Accesses

Abstract

In idiopathic parkinsonism, a gait disorder with reduced postural adjustments occurs almost invariably in the advanced stages of the disease [7,11]. The gait disturbance in nonidiopathic parkinsonian syndromes is difficult to differentiate from that in Parkinson’s disease (PD). Clinical classification of these gait disorders remains equivocal and we have selected the term “lower body parkinsonism” (LBP; [4]) for our nonidiopathic Parkinson patients suffering from gait disorder, step hesitation, and akinesia of the “lower half.” In order to obtain posturographic parameters helpful for differential diagnosis, we compared different methods and evaluations of static postural performance in both groups of patients.

This is a preview of subscription content, log in via an institution.

Buying options

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Bronstein AM, Hood JD, Gresty MA, Panagi C (1990) Visual control of balance in cerebellar and parkinsonian syndromes. Brain 113:767–779

    Article  PubMed  Google Scholar 

  2. Dichgans J, Diener HC, Müller A (1985) Characteristics of increased postural sway and abnormal long loop responses in patients with cerebellar disease and parkinsonism. In: Struppler A, Weindl A (eds) Electromyography and evoked potentials: theories and applications. Springer, Berlin Heidelberg New York, pp 68–74

    Google Scholar 

  3. Dick JPR, Rothwell JC, Berardelli A, Thompson PD, Gioux M, Benecke R, Day BL, Marsden CD (1986) Associated postural adjustments in Parkinson’s disease. J Neurol Neurosurg Psychiatry 49:1378–1385

    Article  PubMed  CAS  Google Scholar 

  4. FitzGerald PM, Jankovic J (1989) Lower body parkinsonism: evidence for vascular etiology. Mov Disord 4:249–260

    Article  PubMed  CAS  Google Scholar 

  5. Hufschmidt A, Dichgans J, Mauritz KH, Hufschmidt M (1980) Some methods and parameters of body sway quantification and their neurological application. Arch Psychiatr Nervenkr 228:135–150

    Article  PubMed  CAS  Google Scholar 

  6. Martin JP (1967) The basal ganglia and posture. Pitman Medical, London

    Google Scholar 

  7. Nutt JG, Nashner LM, Horak FB (1983) Why do parkinsonian patients fall? Ann Neurol 14:136

    Google Scholar 

  8. Paulus W, Straube A, Krafczyk S, Brandt T (1989) Differential effects of retinal target displacement, changing size and changing disparity in the control of anterior/posterior and lateral body sway. Exp Brain Res 78:243–252

    Article  PubMed  CAS  Google Scholar 

  9. Schieppati M, Nardone A (1991) Free and supported stance in Parkinson’s disease. Brain 114:1227–1244

    Article  PubMed  Google Scholar 

  10. Straube A, Bötzel K, Hawken M, Paulus W, Brandt T (1988) Postural control in the elderly: differential effects of visual, vestibular and somatosensory input. In: Amblard B, Berthoz A, Clarc F (eds) Posture and gait: development, adaptation and modulation. Elsevier, Amsterdam, pp 105–114

    Google Scholar 

  11. Traub MM, Rothwell JC, Marsden CD (1980) Anticipatory postural reflexes in Parkinson’s disease and other akinetic-rigid syndromes and in cerebellar ataxia. Brain 103:393–412

    Article  PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1995 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Trenkwalder, C., Paulus, W., Krafzcyk, S., Hawken, M., Oertel, W.H., Brandt, T. (1995). Relevance of Posturographic Parameters in the Differential Diagnosis of Parkinsonism. In: Przuntek, H., Kraus, P.H., Klotz, P., Korczyn, A.D. (eds) Instrumental Methods and Scoring in Extrapyramidal Disorders. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-78914-4_14

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-78914-4_14

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-642-78916-8

  • Online ISBN: 978-3-642-78914-4

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics