?On? freezing in Parkinson's disease: Resistance to visual cue walking devices Export

@article{citeulike:2372965, abstract = {To measure ?on? freezing during unassisted walking (UW) and test if two devices, a modified inverted stick (MIS) and a visual laser beam stick (LBS) improved walking speed and number of ?on? freezing episodes in patients with Parkinson's disease (PD).Multiple visual cues can overcome ?off? freezing episodes and can be useful in improving gait function in parkinsonian patients. These devices have not been specifically tested in ?on? freezing, which is unresponsive to pharmacologic manipulations.Patients with PD, motor fluctuations and freezing while ?on,? attempted walking on a 60-ft track with each of three walking conditions in a randomized order: UW, MIS, and LBS. Total time to complete a trial, number of freezes, and the ratio of walking time to the number of freezes were compared using Friedman's test.Twenty-eight patients with PD, mean age 67.81 years (standard deviation [SD] 7.54), mean disease duration 13.04 years (SD 7.49), and mean motor Unified Parkinson's Disease Rating Scale score ?on? 32.59 (SD 10.93), participated in the study. There was a statistically significant correlation of time needed to complete a trial and number of freezes for all three conditions (Spearman correlations: UW 0.973, LBS 0.0.930, and MIS 0.842). The median number of freezes, median time to walk in each condition, and median walking time per freeze were not significantly different in pairwise comparisons of the three conditions (Friedman's test). Of the 28 subjects, six showed improvement with the MIS and six with the LBS in at least one outcome measure.Assisting devices, specifically based on visual cues, are not consistently beneficial in overcoming ?on? freezing in most patients with PD. Because this is an otherwise untreatable clinical problem and because occasional subjects do respond, cautious trials of such devices under the supervision of a health professional should be conducted to identify those patients who might benefit from their long-term use.}, address = {Department of Neurology, Section of Movement Disorders, Rush-Presbyterian-, St. Luke's Medical Center, Rush University, Chicago, Illinois, U.S.A.; Department of Preventive Medicine, Rush-Presbyterian-, St. Luke's Medical Center, Rush University, Chicago, Illinois, U.S.A.}, author = {Kompoliti, Katie and Goetz, Christopher G. and Leurgans, Sue and Morrissey, Mary and Siegel, Irwin M.}, citeulike-article-id = {2372965}, citeulike-linkout-0 = {http://dx.doi.org/10.1002/1531-8257(200003)15:2%3C309::AID-MDS1016%3E3.0.CO;2-P}, citeulike-linkout-1 = {http://www3.interscience.wiley.com/cgi-bin/abstract/76510366/ABSTRACT}, doi = {10.1002/1531-8257(200003)15:2%3C309::AID-MDS1016%3E3.0.CO;2-P}, journal = {Movement Disorders}, keywords = {cueing, gait, parkinsonism}, number = {2}, pages = {309--312}, posted-at = {2008-02-14 08:56:12}, priority = {2}, title = {?On? freezing in Parkinson's disease: Resistance to visual cue walking devices}, url = {http://dx.doi.org/10.1002/1531-8257(200003)15:2%3C309::AID-MDS1016%3E3.0.CO;2-P}, volume = {15}, year = {2000} }

TY - JOUR ID - citeulike:2372965 L3 - citeulike-article-id:2372965 N2 - To measure ?on? freezing during unassisted walking (UW) and test if two devices, a modified inverted stick (MIS) and a visual laser beam stick (LBS) improved walking speed and number of ?on? freezing episodes in patients with Parkinson's disease (PD).Multiple visual cues can overcome ?off? freezing episodes and can be useful in improving gait function in parkinsonian patients. These devices have not been specifically tested in ?on? freezing, which is unresponsive to pharmacologic manipulations.Patients with PD, motor fluctuations and freezing while ?on,? attempted walking on a 60-ft track with each of three walking conditions in a randomized order: UW, MIS, and LBS. Total time to complete a trial, number of freezes, and the ratio of walking time to the number of freezes were compared using Friedman's test.Twenty-eight patients with PD, mean age 67.81 years (standard deviation [SD] 7.54), mean disease duration 13.04 years (SD 7.49), and mean motor Unified Parkinson's Disease Rating Scale score ?on? 32.59 (SD 10.93), participated in the study. There was a statistically significant correlation of time needed to complete a trial and number of freezes for all three conditions (Spearman correlations: UW 0.973, LBS 0.0.930, and MIS 0.842). The median number of freezes, median time to walk in each condition, and median walking time per freeze were not significantly different in pairwise comparisons of the three conditions (Friedman's test). Of the 28 subjects, six showed improvement with the MIS and six with the LBS in at least one outcome measure.Assisting devices, specifically based on visual cues, are not consistently beneficial in overcoming ?on? freezing in most patients with PD. Because this is an otherwise untreatable clinical problem and because occasional subjects do respond, cautious trials of such devices under the supervision of a health professional should be conducted to identify those patients who might benefit from their long-term use. IS - 2 JF - Movement Disorders AD - Department of Neurology, Section of Movement Disorders, Rush-Presbyterian-, St. Luke's Medical Center, Rush University, Chicago, Illinois, U.S.A.; Department of Preventive Medicine, Rush-Presbyterian-, St. Luke's Medical Center, Rush University, Chicago, Illinois, U.S.A. EP - 312 TI - ?On? freezing in Parkinson's disease: Resistance to visual cue walking devices VL - 15 SP - 309 KW - cueing KW - gait KW - parkinsonism AU - Kompoliti, Katie AU - Goetz, Christopher AU - Leurgans, Sue AU - Morrissey, Mary AU - Siegel, Irwin PY - 2000/// UR - http://dx.doi.org/10.1002/1531-8257(200003)15:2%3C309::AID-MDS1016%3E3.0.CO;2-P ER -