People With Parkinson's Disease Who Freeze Exhibit Altered Quality of Daily-Life Walking Compared to Those Without Freezing.
People With Parkinson's Disease Who Freeze Exhibit Altered Quality of Daily-Life Walking Compared to Those Without Freezing.
Where did the research take place?
The study site has not been established. Author addresses may differ from where the research occurred.
Phoenix, US · Author affiliation
College of Health Solutions, Arizona State University, Phoenix, Arizona, USA.Location evidence
Oregon, US · Author affiliation
Department of Neurology, School of Medicine, Oregon Health & Science University, Portland, Oregon, USA.Location evidence
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Original abstract
People with Parkinson's disease and freezing of gait (PD+FOG) exhibit altered gait and turning compared to nonfreezing peers with PD (PD-FOG). However, less work has examined the effects of FOG status on daily-life mobility. Therefore, we compared daily-life gait and turning across PD+FOG and PD-FOG and related gait deficits to self-reported FOG severity and health-related quality of life (QOL). We collected daily-life mobility data over 7 days from 119 people with PD (PD+FOG = 47). Inertial sensors on the feet and lower back assessed 33 gait and balance outcomes. One-way ANCOVAs assessed the effect of FOG status on mobility. Five variables reflecting gait and turning quality were significantly worse in PD+FOG compared to PD-FOG after Holm correction: smaller turn angles, smaller foot pitch at initial contact, and increased variability of double-support time, stride length, and pitch at toe-off. Of these outcomes, two (turn angle & stride length variability) were significantly correlated with freezing severity, and 4 (turn angle, stride length variability, pitch at initial contact and pitch at toe-off variability) related to QOL. Turns per hour also related to QOL. In sum, PD+FOG exhibited worse daily-life gait quality (small turn angle and foot angle at heel strike and increased gait variability) and these outcomes were related to QOL and FOG severity. Daily-life gait quantity (number of turns, strides, and gait bouts per hour) was less affected by FOG. These results provide insight into daily-life mobility of PD+FOG, and support interventions aimed at quality of gait and turning for PD+FOG.