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  4. Biomechanical aspects that precede freezing episode during gait in individuals with Parkinson's disease: A systematic review
 
review article

Biomechanical aspects that precede freezing episode during gait in individuals with Parkinson's disease: A systematic review

Cupertino, Layla
•
dos Reis, Tatiana Goncalves
•
Los Angeles, Emanuele
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January 1, 2022
Gait & Posture

Background: The freezing episode (FE) management during gait in Parkinson's disease is inefficient with current medications, neurosurgery, and physical interventions. Knowing the biomechanical change patients suffer preceding FE would be the ultimate goal to measure, predict, and prevent these events. Objective: We performed a systematic review to summarize the kinematic, kinetic, electromyographic, and spatiotemporal characteristics of the events that precede the FE during gait in Parkinson's disease. Literature Survey: Databases searched included PubMed, Embase, and Cochrane and between 2001 to August 2021. Methodology: The present study was a systematic review registered in the PROSPERO database (CRD42021255082). Three reviewers searched and selected studies with methodologies involving biomechanical changes and kinetic, kinematic, electromyography, and spatiotemporal changes before FE in a patient with Parkinson's disease. The relevant articles that show the events preceding FE in patients with PD were identified. We excluded studies that describe or compare methods or algorithms to detect FE. Studies may include participants with all PD severity, time of disease, and age. Synthesis: We selected ten articles for final evaluation. The most consistent results indicate a dramatic reduction of movement excursions with (1) decrease in stride length; (2) decreased gait speed; (3) postural instability with the increased double support phase; (4) incoordination of anterior tibial and gastrocnemius; (5) larger amplitude in the EMG of biceps femoris; (6) decreased range of motion in the sagittal plane at the ankle and hip joints; and (7) anterior pelvic tilt. Conclusion: FE is characterized by complex motor patterns than normal gait and mismatched gains in the perception and execution of the ongoing movement.

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Type
review article
DOI
10.1016/j.gaitpost.2021.10.021
Web of Science ID

WOS:000718354300001

Author(s)
Cupertino, Layla
dos Reis, Tatiana Goncalves
Los Angeles, Emanuele
Costa, Thaisy Moraes
Shokur, Solaiman  
Bouri, Mohamed  
de Lima-Pardini, Andrea C.
Coelho, Daniel Boari
Date Issued

2022-01-01

Publisher

ELSEVIER IRELAND LTD

Published in
Gait & Posture
Volume

91

Start page

149

End page

154

Subjects

Neurosciences

•

Orthopedics

•

Sport Sciences

•

Neurosciences & Neurology

•

kinematic

•

kinetic

•

electromyographic

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spatio-temporal

•

step initiation

•

dynamics

•

onset

•

falls

Editorial or Peer reviewed

REVIEWED

Written at

EPFL

EPFL units
TNE  
Available on Infoscience
January 31, 2022
Use this identifier to reference this record
https://infoscience.epfl.ch/handle/20.500.14299/185028
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