Differential diagnosis of parkinsonism with visual inspection of posture and gait in the early stage
- Title
- Differential diagnosis of parkinsonism with visual inspection of posture and gait in the early stage
- Author
- 김희태
- Keywords
- Parkinson's disease; Atypical parkinsonism; Early stage; Arm-swing
- Issue Date
- 2014-04
- Publisher
- Elsevier B.V
- Citation
- GAIT & POSTURE, 2014, 39(4), P.1138-1141
- Abstract
- Background: Parkinson's disease (PD) differs from atypical parkinsonism in many clinical aspects. Principally, posture and gait are distinct features in the early stages of the disease; thus, these differences can be helpful in differential diagnosis. Methods: We analyzed videos of patients with PD or atypical parkinsonism. A total of 76 patients with early PD (n = 56) or atypical parkinsonism (n = 20) were included. Items related to posture and gait were classified into three categories (standing, gait and associated symptoms) and each sub-item was analyzed. Results: Asymmetric arm-swing (p = 0.004) and accompanying tremor (p = 0.016) were significant indicators of early-stage PD. Staggering gait (p = 0.007) and en-bloc turning (p = 0.026) were more common in atypical parkinsonism. Characteristics with a high odds-ratio for atypical parkinsonism were en-bloc turning (beta = 8.475, p = 0.032) and normal arm-swing (beta = 14.6084, p = 0.036). Conclusions: Visual inspection of gait and posture provides reliable clues in the differential diagnosis of parkinsonism.
- URI
- https://www.gaitposture.com/article/S0966-6362(14)00007-1/fulltext
- ISSN
- 0966-6362
- DOI
- 10.1016/j.gaitpost.2014.01.004
- Appears in Collections:
- COLLEGE OF MEDICINE[S](의과대학) > ETC
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