Gait and Computerized Dynamic Posturography (CDP) Aspects in Early Progressive Supranuclear Palsy (PSP) - A Case Report
DOI:
https://doi.org/10.3889/oamjms.2014.112Keywords:
Computerized dynamic posturography (CDP), gait analysis, composite equilibrium score, Berge balance scale, progressive supranuclear palsy (PSP)Abstract
BACKGROUND: Posture and gait instability may cause of morbidity in individuals with progressive supranuclear palsy (PSP).
OBJECTIVE: To quantitatively measure balance control by using computerized dynamic posturography (CDP) and to assess gait analysis in early PSP.
CASE REPORT: She was evaluated for Berge balance scale, Functional Independence Measure (FIM) and postural stability using CDP device in early PSP with still able to walk or stand unassisted. Also, Gait analysis was conducted using an 8 M-camera Vicon 612 data capturing system set. Berge balance scale improved from 41/56 to 48/56. The score of FIM improved from 71/126 points to 95/126 points in early PSP. In CDP analysis, there was a decrease of composite equilibrium score (38 %). There was an increase of composite equilibrium score (59%) after three months of treatment. In gait analysis, there was no difference of gait parameters after three months of treatment in early PSP.
CONCLUSIONS: Both CDP and gait analysis are important quantitative tools in the assessment of posture and gait instability as well as allow for early disclosure of the failure of the postural control system in early PSP.Downloads
Metrics
Plum Analytics Artifact Widget Block
References
Steele JC, RichardsonJC, Olszewski J. Progressive Supranuclear Palsy. A Heterogeneous Degeneration Involving the Brain Stem, Basal Ganglia and Cerebellum with Vertical Gaze and Pseudo bulbar palsy, Nuchal Dystonia and Dementia. Archives of Neurology. 1964; 10:333-59. DOI: https://doi.org/10.1001/archneur.1964.00460160003001
Litvan I. Update on progressive supranuclear palsy. Current Neurology and Neuroscience Reports. 2004; 4:296–302. DOI: https://doi.org/10.1007/s11910-004-0055-z
Burn DJ, Lees AJ. Progressive supranuclear palsy: where are we now? Lancet. 2002; 1:359–369. DOI: https://doi.org/10.1016/S1474-4422(02)00161-8
Litvan I. Diagnosis and management of progressive supranuclear palsy. Semin Neurol. 2001;21:41–48. DOI: https://doi.org/10.1055/s-2001-13118
Litvan I, Agid Y, Jankovic J, et al. Accuracy of clinical criteria for the diagnosis of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome). Neurology. 1996; 46:922 930. DOI: https://doi.org/10.1212/WNL.46.4.922
Schag A, Ben-Shlomo Y, Quinn BNP. Prevalence of progressive supranuclear palsy and multiple system atrophy: a cross-sectional study. Lancet. 1999; 354:1771–1775. DOI: https://doi.org/10.1016/S0140-6736(99)04137-9
Goetz CG, Leurgans S, Lang AE, Litvan I. Progression of gait, speech and swallowing deficits in progressive supranuclear palsy. Neurology. 2003;60:917–922. DOI: https://doi.org/10.1212/01.WNL.0000052686.97625.27
Litvan I, Campbell G, Mangone CA, et al. Which clinical features differentiate progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome) from related disorders? A clinicopathological study. Brain. 1997; 120:65–74. DOI: https://doi.org/10.1093/brain/120.1.65
Tolosa E, Valldeoriola F, Marti MJ. Clinical diagnosis and diagnostic criteria of progressive supranuclear palsy (Steele-Richardson-Olszewski syndrome). J Neural Transm. 1994;42(suppl):15–31. DOI: https://doi.org/10.1007/978-3-7091-6641-3_2
Santacruz P, Uttl B, Litvan I, Grafman J. Progressive supranuclear palsy: a survey of the disease course. Neurology. 1998;50:1637–1647. DOI: https://doi.org/10.1212/WNL.50.6.1637
Nath U1, Ben-Shlomo Y, Thomson RG, Lees AJ, Burn DJ. Clinical features and natural history of progressive supranuclear palsy: a clinical cohort study. Neurology. 2003;60(6):910-6. DOI: https://doi.org/10.1212/01.WNL.0000052991.70149.68
Hoehn MM, Yahr MD. Parkinsonism: onset, progression, and mortality. Neurology. 1967; 17:427–42. DOI: https://doi.org/10.1212/WNL.17.5.427
Grimby G, Gudjonsson G, Rodhe M, Sunnerhagen KS, Sundh V, Ostensson ML. The functional independence measure in Sweden: experience for outcome measurement in rehabilitation medicine. Scandinavian Journal of Rehabilitation Medicine. 1996; 28(2):51–62, 1996.
Berg K, Wood-Dauphine S, Williams JI, Gayton D. Measuring balance in the elderly: preliminary development of an instrument. Physiother Canada. 1989; 41:304–311. DOI: https://doi.org/10.3138/ptc.41.6.304
Chaudhry H, Findley T, Quigley KS, et al. Measures of postural stability. J Rehabil Res Dev. 2004; 41 (5):713-20. DOI: https://doi.org/10.1682/JRRD.2003.09.0140
Nieuwboer A, Dom R, De Weerdt W, Desloovere K, Fieuws S, Broens-Kausik E. Abnormalities of the spatiotemporal characteristics of gait at the onset of freezing in Parkinson’s disease. Mov Disord. 2001;16:1066-75. DOI: https://doi.org/10.1002/mds.1206
Izzo K, DiLorenzo P, Roth A. Rehabilitation in progressive supranuclear palsy: case report. Arch Phys Med Rehabil. 1986;67:473–476.
Sosner J, Wall GC, Sznajder J. Progressive supranuclear palsy: clinical presentation and rehabilitation of two patients. Arch Phys Med Rehabil. 1993;74:537–539. DOI: https://doi.org/10.1016/0003-9993(93)90120-Y
Suteerawattananon MB, Neil BM, Protas EJ. Supported treadmill training for gait balance in a patient with progressive supranuclear palsy. Phys Ther. 2002;82:485–495. DOI: https://doi.org/10.1093/ptj/82.5.485
Zampieri C, Di Fabio RP. Balance and eye movement training to improve gait in people with progressive supranuclear palsy: quasirandomized clinical trial. Phys Ther. 2008;88:1460–1473. DOI: https://doi.org/10.2522/ptj.20070302
Ludolph AC, Kassubek J, Landwehrmeyer BG, Mandelkow E, Mandelkow EM, Burn DJ, Caparros-Lefebvre D, Frey KA, de Yebenes JG, Gasser T, et al. Tauopathies with parkinsonism: clinical spectrum, neuropathologic basis, biological markers, and treatment options. Eur J Neurol. 2009;16(3):297–309. DOI: https://doi.org/10.1111/j.1468-1331.2008.02513.x
Lubarsky M, Juncos JL. Progressive supranuclear palsy: a current review. Neurologist. 2008; 14(2):79–88. DOI: https://doi.org/10.1097/NRL.0b013e31815cffc9
Ondo W, Warrior D, Overby A, et al. Computerized posturography analysis of progressive supranuclear palsy. Arch Neurol. 2000; 57:1464–1469. DOI: https://doi.org/10.1001/archneur.57.10.1464
Patla A. Understanding the role of vision in the control of human locomotion. Gait Posture. 1997; 5:54–69. DOI: https://doi.org/10.1016/S0966-6362(96)01109-5
Downloads
Published
How to Cite
Issue
Section
License
http://creativecommons.org/licenses/by-nc/4.0