Kinematic Relations during Double Support Phase in Parkinsonian Gait

• Published in: Applied sciences 2022-02, Vol.12 (3), p.949
• Main Authors: Sitek, Ondřej, Kalichová, Miriam, Hedbávný, Petr, Boušek, Tomáš, Baláž, Marek
• Format: Article
• Language: English
• Subjects: Adaptability; Ankle; Basal ganglia; Central nervous system diseases; Gait; kinematic analysis; Kinematics; Motion capture; Older people; Parkinson's disease; range of motion; Rigidity; Segments; Three dimensional motion; Velocity
• ISSN: 2076-3417; 2076-3417
• DOI: 10.3390/app12030949

The gait of Parkinson’s disease (PD) patients is shuffling, slow, and hesitant. We investigated peculiar gait relations during the double support phase (DSP) in PD patients and healthy controls. We used 3D motion capture (SIMI) to collect kinematic parameters of the natural gait of 11 PD patients (Hoehn and Yahr 2–3, 5 females, 6 males) tested on medication and the same-sized control sample (5 females, 6 males). The difference between groups was evaluated by the Mann-Whitney U test; for target parameters, the Spearman correlation was computed. Compared to the controls, the Parkinsonian step length index was significantly smaller (0.27 vs. 0.35, p < 0.05), step width index higher (0.12 vs. 0.09, p < 0.05), and the DSP duration was extended (0.165 s vs. 0.13 s, p < 0.05), whereas the single support phase was shortened (0.38 s vs. 0.4 s, p < 0.05). The Parkinsonians were faster during DSP initiation and slower during DSP termination (0.908 m·s−1 vs. 0.785 m·s−1, p < 0.05); the Parkinsonian speed was more constant. The patients showed significantly decreased range of motion (ROM) in the hip, ankle, and shoulder and adopted straighter posture during the gait. Understanding gait concatenations can update physiotherapy approaches to target the roots of movement problems instead of the consequences.