Gait Disturbance of Patients with Vascular and Alzheimer-Type Dementias

Abstract

The gaits of 15 patients with senile dementia of the Alzheimer type and 15 with vascular dementia were compared with those of 15 healthy control subjects. Patients with senile dementia showed significantly slower velocity and shorter step length than the healthy controls, and those with vascular dementia exhibited a reduction on these two variables relative to patients with senile dementia of the Alzheimer type.

Lower Gait Speed in Older Women with Dementia Compared with Controls

“…In spite of this, step length at self-selected speed was a bit longer than values presented by others [7,25,26,29] . Cadence was in agreement with data from Visser [7] and Tanaka et al [31] , even though the patients of Tanaka et al had shorter step length.…”

“…All our patients walked without any assistive device and were slightly faster at both speeds compared with others [7,25,26,31] . In spite of this, step length at self-selected speed was a bit longer than values presented by others [7,25,26,29] .…”

“…For selfselected speed, our values of gait speed and step length were in good agreement with the controls of Visser [7] and healthy subjects of Ringsberg et al [32] , Brach et al [10] and Menz et al [33] . Tanaka et al [31] found somewhat lower values, which might be due to anthropometrical factors like height and leg length. The cadence of our controls was about the same as in the studies by Tanaka et al [31] and Menz et al [33] , but in the study by Visser [7] it was higher.…”

Efeitos de um programa de atividade física nas funções cognitivas, equilíbrio e risco de quedas em idosos com demência de Alzheimer

“…A study conducted with 30 participants with AD, vascular dementia (VD) and cognitively preserved elderly people showed a significant decrease in stride length and speed when compared to a control group 28 . The authors concluded that stride length was a more important predictor of the walking pattern than cadence and speed and that this finding may be directly related to changes in blood flow in the frontal region of Table 1.…”

Correlation of midbrain diameter and gait disturbance in patients with idiopathic normal pressure hydrocephalus

“…Patients with many other neurodegenerative diseases, such as Parkinson's disease, subcortical arteriosclerotic encephalopathy, progressive supranuclear palsy (PSP), and corticobasal degeneration, may develop hypokinetic gait during the disease progression [4,35,37] ■ Abstract Background and purpose Although gait disturbance is an important feature of idiopathic normal pressure hydrocephalus (NPH), only tentative theories have been offered to explain its pathophysiology. It has been suggested that the mesencephalic locomotor region is the anatomical substrate for the development of the hypokinetic NPH gait.…”