Gait analysis in demented subjects: Interests and perspectives

Olivier Beauchet1, Gilles Allali2, Gilles Berrut3, Caroline Hommet4, Véronique Dubost5, Frédéric Assal21Department of Geriatrics, Angers University Hospital, France; 2Department of Neurology, Geneva University Hospital, France; 3Department of Geriatrics,...

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Autores principales: Olivier Beauchet, Gilles Allali, Gilles Berrut, Caroline Hommet, Véronique Dubost, Frédéric Assal
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Publicado: Dove Medical Press 2008
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spelling oai:doaj.org-article:1167cae553a24db6886a21ecdcdd500e2021-12-02T00:48:59ZGait analysis in demented subjects: Interests and perspectives1176-63281178-2021https://doaj.org/article/1167cae553a24db6886a21ecdcdd500e2008-03-01T00:00:00Zhttp://www.dovepress.com/gait-analysis-in-demented-subjects-interests-and-perspectives-a1003https://doaj.org/toc/1176-6328https://doaj.org/toc/1178-2021Olivier Beauchet1, Gilles Allali2, Gilles Berrut3, Caroline Hommet4, Véronique Dubost5, Frédéric Assal21Department of Geriatrics, Angers University Hospital, France; 2Department of Neurology, Geneva University Hospital, France; 3Department of Geriatrics, Nantes University Hospital, France; 4Department of Internal Medicine and Geriatrics, Tours University Hospital, France; 5Department of Geriatrics, Dijon University Hospital, FranceAbstract: Gait disorders are more prevalent in dementia than in normal aging and are related to the severity of cognitive decline. Dementia-related gait changes (DRGC) mainly include decrease in walking speed provoked by a decrease in stride length and an increase in support phase. More recently, dual-task related changes in gait were found in Alzheimer’s disease (AD) and non-Alzheimer dementia, even at an early stage. An increase in stride-to-stride variability while usual walking and dual-tasking has been shown to be more specific and sensitive than any change in mean value in subjects with dementia. Those data show that DRGC are not only associated to motor disorders but also to problem with central processing of information and highlight that dysfunction of temporal and frontal lobe may in part explain gait impairment among demented subjects. Gait assessment, and more particularly dual-task analysis, is therefore crucial in early diagnosis of dementia and/or related syndromes in the elderly. Moreover, dual-task disturbances could be a specific marker of falling at a pre-dementia stage.Keywords: gait, prediction of dementia, risk of falling, older adult Olivier BeauchetGilles AllaliGilles BerrutCaroline HommetVéronique DubostFrédéric AssalDove Medical PressarticleNeurosciences. Biological psychiatry. NeuropsychiatryRC321-571Neurology. Diseases of the nervous systemRC346-429ENNeuropsychiatric Disease and Treatment, Vol 2008, Iss Issue 1, Pp 155-160 (2008)
institution DOAJ
collection DOAJ
language EN
topic Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
spellingShingle Neurosciences. Biological psychiatry. Neuropsychiatry
RC321-571
Neurology. Diseases of the nervous system
RC346-429
Olivier Beauchet
Gilles Allali
Gilles Berrut
Caroline Hommet
Véronique Dubost
Frédéric Assal
Gait analysis in demented subjects: Interests and perspectives
description Olivier Beauchet1, Gilles Allali2, Gilles Berrut3, Caroline Hommet4, Véronique Dubost5, Frédéric Assal21Department of Geriatrics, Angers University Hospital, France; 2Department of Neurology, Geneva University Hospital, France; 3Department of Geriatrics, Nantes University Hospital, France; 4Department of Internal Medicine and Geriatrics, Tours University Hospital, France; 5Department of Geriatrics, Dijon University Hospital, FranceAbstract: Gait disorders are more prevalent in dementia than in normal aging and are related to the severity of cognitive decline. Dementia-related gait changes (DRGC) mainly include decrease in walking speed provoked by a decrease in stride length and an increase in support phase. More recently, dual-task related changes in gait were found in Alzheimer’s disease (AD) and non-Alzheimer dementia, even at an early stage. An increase in stride-to-stride variability while usual walking and dual-tasking has been shown to be more specific and sensitive than any change in mean value in subjects with dementia. Those data show that DRGC are not only associated to motor disorders but also to problem with central processing of information and highlight that dysfunction of temporal and frontal lobe may in part explain gait impairment among demented subjects. Gait assessment, and more particularly dual-task analysis, is therefore crucial in early diagnosis of dementia and/or related syndromes in the elderly. Moreover, dual-task disturbances could be a specific marker of falling at a pre-dementia stage.Keywords: gait, prediction of dementia, risk of falling, older adult
format article
author Olivier Beauchet
Gilles Allali
Gilles Berrut
Caroline Hommet
Véronique Dubost
Frédéric Assal
author_facet Olivier Beauchet
Gilles Allali
Gilles Berrut
Caroline Hommet
Véronique Dubost
Frédéric Assal
author_sort Olivier Beauchet
title Gait analysis in demented subjects: Interests and perspectives
title_short Gait analysis in demented subjects: Interests and perspectives
title_full Gait analysis in demented subjects: Interests and perspectives
title_fullStr Gait analysis in demented subjects: Interests and perspectives
title_full_unstemmed Gait analysis in demented subjects: Interests and perspectives
title_sort gait analysis in demented subjects: interests and perspectives
publisher Dove Medical Press
publishDate 2008
url https://doaj.org/article/1167cae553a24db6886a21ecdcdd500e
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AT gillesallali gaitanalysisindementedsubjectsinterestsandperspectives
AT gillesberrut gaitanalysisindementedsubjectsinterestsandperspectives
AT carolinehommet gaitanalysisindementedsubjectsinterestsandperspectives
AT vampeacuteroniquedubost gaitanalysisindementedsubjectsinterestsandperspectives
AT frampeacutedampeacutericassal gaitanalysisindementedsubjectsinterestsandperspectives
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