Exercise and gait/movement analyses in treatment and diagnosis of Parkinson's Disease.

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Ressource 1Download: 433. Burscher AgingResReview23 Gait Parkinson.pdf (1947.63 [Ko])
State: Public
Version: Final published version
License: CC BY 4.0
Serval ID
serval:BIB_4BF120D9BA77
Type
Article: article from journal or magazin.
Collection
Publications
Institution
Title
Exercise and gait/movement analyses in treatment and diagnosis of Parkinson's Disease.
Journal
Ageing research reviews
Author(s)
Burtscher J., Moraud E.M., Malatesta D., Millet G.P., Bally J.F., Patoz A.
ISSN
1872-9649 (Electronic)
ISSN-L
1568-1637
Publication state
Published
Issued date
01/2024
Peer-reviewed
Oui
Volume
93
Pages
102147
Language
english
Notes
Publication types: Journal Article ; Review
Publication Status: ppublish
Abstract
Cardinal motor symptoms in Parkinson's disease (PD) include bradykinesia, rest tremor and/or rigidity. This symptomatology can additionally encompass abnormal gait, balance and postural patterns at advanced stages of the disease. Besides pharmacological and surgical therapies, physical exercise represents an important strategy for the management of these advanced impairments. Traditionally, diagnosis and classification of such abnormalities have relied on partially subjective evaluations performed by neurologists during short and temporally scattered hospital appointments. Emerging sports medical methods, including wearable sensor-based movement assessment and computational-statistical analysis, are paving the way for more objective and systematic diagnoses in everyday life conditions. These approaches hold promise to facilitate customizing clinical trials to specific PD groups, as well as personalizing neuromodulation therapies and exercise prescriptions for each individual, remotely and regularly, according to disease progression or specific motor symptoms. We aim to summarize exercise benefits for PD with a specific emphasis on gait and balance deficits, and to provide an overview of recent advances in movement analysis approaches, notably from the sports science community, with value for diagnosis and prognosis. Although such techniques are becoming increasingly available, their standardization and optimization for clinical purposes is critically missing, especially in their translation to complex neurodegenerative disorders such as PD. We highlight the importance of integrating state-of-the-art gait and movement analysis approaches, in combination with other motor, electrophysiological or neural biomarkers, to improve the understanding of the diversity of PD phenotypes, their response to therapies and the dynamics of their disease progression.
Keywords
Humans, Parkinson Disease/diagnosis, Parkinson Disease/therapy, Exercise Therapy, Gait, Disease Progression, Exercise, Biomarkers, Gait analysis, Movement analysis, Neurodegeneration, Parkinson’s disease
Pubmed
Web of science
Open Access
Yes
Create date
04/12/2023 15:15
Last modification date
16/01/2024 8:12
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