Frontotemporal dementia: pathology of gait?

Details

Serval ID
serval:BIB_F2574616CC26
Type
Article: article from journal or magazin.
Collection
Publications
Title
Frontotemporal dementia: pathology of gait?
Journal
Movement disorders
Author(s)
Allali G., Dubois B., Assal F., Lallart E., de Souza L.C., Bertoux M., Annweiler C., Herrmann F.R., Levy R., Beauchet O.
ISSN
1531-8257 (Electronic)
ISSN-L
0885-3185
Publication state
Published
Issued date
30/04/2010
Peer-reviewed
Oui
Volume
25
Number
6
Pages
731-737
Language
english
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Abstract
The main diagnostic criteria of the behavioural variant of frontotemporal degeneration (bvFTD) include neurobehavioral and dysexecutive syndromes, but not specific gait characteristics although strong relationship between gait and prefrontal functions are increasingly recognized. Accordingly, we tested the hypothesis that patients with bvFTD would have more gait changes than older healthy controls and demented patients with Alzheimer's disease (AD). Sixty subjects were included in the study: 19 with bvFTD, 19 with AD and 22 healthy controls. Mean values and coefficients of variation (CV) of stride time while just walking (i.e., single tasking) and while walking with backward counting (i.e., dual tasking) were measured using the SMTEC-footswitch system. Stride time, mean value, and CV were significantly increased in both patient groups compared with healthy controls during single task or walking alone (P < 0.001) and during dual tasking (P < 0.001). After adjusting for age, Mini-mental examination, psychoactive drugs, gender, and history of previous fall, only the patients with bvFTD group was associated with an increase of CV of stride time during single walking (P < 0.001) and dual tasking (P < 0.001). These data suggest that gait instability during single and dual tasking could represent a supportive argument for bvFTD. In clinical practice, such a diagnosis should be at least considered in any demented patient with gait instability.
Keywords
Aged, Aged, 80 and over, Alzheimer Disease/complications, Alzheimer Disease/diagnosis, Disability Evaluation, Executive Function/physiology, Female, Frontotemporal Dementia/complications, Frontotemporal Dementia/diagnosis, Gait Disorders, Neurologic/etiology, Gait Disorders, Neurologic/pathology, Humans, Male, Models, Statistical, Neuropsychological Tests, Postural Balance/physiology, Psychomotor Performance/physiology
Pubmed
Web of science
Create date
11/08/2023 14:49
Last modification date
03/10/2023 6:58
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