Frontotemporal dementia: pathology of gait?

Détails

ID Serval
serval:BIB_F2574616CC26
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Titre
Frontotemporal dementia: pathology of gait?
Périodique
Movement disorders
Auteur⸱e⸱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
Statut éditorial
Publié
Date de publication
30/04/2010
Peer-reviewed
Oui
Volume
25
Numéro
6
Pages
731-737
Langue
anglais
Notes
Publication types: Journal Article ; Research Support, Non-U.S. Gov't
Publication Status: ppublish
Résumé
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.
Mots-clé
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
Création de la notice
11/08/2023 14:49
Dernière modification de la notice
03/10/2023 6:58
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