Can baropodometric analysis be a useful tool in the early diagnosis of atypical parkinsonism? preliminary findings

Anna Furnari, Rocco Salvatore Calabrò, Donatella Imbesi, Francesca La Fauci Belponer, David Militi, Giuseppe Gervasi, Concetta Pastura, Placido Bramanti

Research output: Contribution to journalArticle

Abstract

Objective: The differential diagnosis between atypical parkinsonism and Parkinson's disease is difficult, especially in the early stage. Severe postural instability, falls, and complex gait impairments are usually confined to the later stage of Parkinson's disease, while atypical parkinsonism patients may present a severe postural instability with consequent falls in the earlier stages. Methods: We retrospectively studied 20 subjects with parkinsonism using clinical and baropodometric tools to give quantitative and objective data on the postural, balance, and gait disturbances. Results: The statistical analysis between atypical parkinsonism and Parkinson's disease patients showed a significant difference in the frequency of long lead time parameter, foot area, foot load and speed, and, in particular, atypical parkinsonism patients presented a prevalent long lead time impairment (8/8 patients) when compared with Parkinson's disease patients. Discussion: Beside significant differences in the clinical features between the Parkinson's disease and atypical parkinsonism, our study showed that baropodometric investigation may a valuable tool for the definition of postural and motor extrapyramidal abnormalities, permitting an earlier differentiation between atypical parkinsonism and Parkinson's disease.

Original languageEnglish
Pages (from-to)23-25
Number of pages3
JournalInnovations in Clinical Neuroscience
Volume11
Issue number1-2
Publication statusPublished - 2014

Keywords

  • Atypical parkinsonism
  • Electronic baropodometer instrument
  • Gait
  • Parkinson's disease
  • Postural instability

ASJC Scopus subject areas

  • Psychiatry and Mental health
  • Clinical Neurology

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