Abnormalities of Posture and Movement

  • John G. Nutt

Abstract

Alterations of posture and gait commonly accompany aging and are indicators of the health and biologic age of an individual. They also may be disabling, by decreasing confidence, restricting mobility, and causing injuries. Posture and gait may be compromised by cardiovascular, arthritic, and orthopedic disorders, but are most commonly impaired by neurologic dysfunction. The neurologic disturbances that produce postural and gait abnormalities can be categorized under three headings: (1) afferent or sensory dysfunction, (2) efferent or motor dysfunction, and (3) central or integrative dysfunction.

Keywords

Fatigue Dopamine Caffeine Sponge Glaucoma 

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References

  1. 1.
    Gilbert GJ. A pseudohemiparetic form of Parkinson’s disease. Lancet 1976; 2: 442–443.PubMedCrossRefGoogle Scholar
  2. 2.
    Friede RL, Rosessmann V Chronic tonsillar herniation. Acta Neuropathol (Berl) 1976; 34: 219–235.CrossRefGoogle Scholar
  3. 3.
    Sabin TD. Biologic aspects of falls and mobility limitations in the elderly. J Am Geriatr Soc 1982; 30: 51–58.PubMedGoogle Scholar
  4. 4.
    Fisher CM. Hydrocephalus as a cause of disturbances of gait in the elderly. Neurology 1982; 32: 1358–1363.PubMedCrossRefGoogle Scholar
  5. 5.
    Koller WC, Wilson RS, Glatt SL, et al. Senile gait: correlation with computed tomographic scans. Ann Neurol 1983; 13: 343–344.PubMedCrossRefGoogle Scholar
  6. 6.
    Hughes CP, Siegel BA, Coxe WS, et al. Adult idiopathic communicating hydrocephalus with and without shunting. J Neurol Neurosurg Psychiatry 1978; 41: 961–971.PubMedCrossRefGoogle Scholar
  7. 7.
    Black PM. Idiopathic normal-pressure hydrocephalus: results of shunting in 62 patients. J Neurosurg 1980; 52: 371–377.PubMedCrossRefGoogle Scholar
  8. 8.
    Jenkyn LR, Reeves AG. Neurologic signs in uncomplicated aging (senescence). Semin Neurol 1981; 1: 21–30.CrossRefGoogle Scholar
  9. 9.
    Woollacott MH, Shumway-Cook A, Nashner L. Postural reflexes and aging. In: Mortimer LA, Pirozzolo G, Maletta F, eds. The Aging Motor System. New York, NY: Praeger Publishers; 1982; 98–119.Google Scholar
  10. 10.
    Sheldon JH. The effect of age on the control of sway. Gerontology 1963; 5: 129–138.Google Scholar
  11. 11.
    Steinberg FU. Gait disorders in old age. Geriatrics 1966; 21: 134–143.PubMedGoogle Scholar
  12. 12.
    Kurland LT. Epidemiology: incidence, geographic distribution and genetic considerations. In: Fields WS, ed. Pathogenesis and Treatment of Parkinsonism. Springfield, Ill: Charles C Thomas Publisher; 1958: 5–49.Google Scholar
  13. 13.
    Alvord EC. The pathology of parkinsonism. In: Minekler J, ed. Pathology of the Nervous System. New York, NY: McGraw-Hill International Book Co; 1968: 1152–1161.Google Scholar
  14. 14.
    Boller F, Mizutani T, Roessman U, et al. Parkinson disease dementia and Alzheimer disease: clinicopathological correlations. Ann Neurol 1980; 7: 329–335.PubMedCrossRefGoogle Scholar
  15. 15.
    Hakim AM, Mathieson G. Dementia in Parkinson disease: a neuropathologic study. Neurology 1979; 29: 1209 1214.Google Scholar
  16. 16.
    Loranger AW, Goodel H, McDowell FH. Intellectual impairment in Parkinson’s syndrome. Brain 1972; 95: 405–412.PubMedCrossRefGoogle Scholar
  17. 17.
    Brown RG, Marsden CD. Neuropsychology and cognitive function in Parkinson’s disease: an overview. In: Marsden CD, Fahn S, eds. Movement Disorders. 2nd ed. Stoneham, Mass: Butterworths; 1987: 99–123.Google Scholar
  18. 18.
    Critchley M. Arteriosclerotic parkinsonism. Brain 1929; 52: 23–83.CrossRefGoogle Scholar
  19. 19.
    Meyer JS, Barron DW. Apraxia of gait: a clinico-physiological study. Brain 1960; 83: 261–284.CrossRefGoogle Scholar
  20. 20.
    Estanol BV. Gait apraxia in communicating hydrocephalus. J Neurol Neurosurg Psychiatry 1981; 44: 305308.Google Scholar
  21. 21.
    Rail D Scholtz C, Swash M. Post-encephalatic parkinsonism: current experience. J Neurol Neurosurg Psychiatry 1981;44:670–676.Google Scholar
  22. 22.
    Bannister R, Oppenheimer DR. Degenerative diseases of the nervous system associated with autonomic failure. Brain 1972; 95: 457–474.PubMedCrossRefGoogle Scholar
  23. 23.
    Steele JC. Progressive supranuclear palsy. Brain 1972; 95: 693–704.PubMedGoogle Scholar
  24. 24.
    Pearce J. The extrapyramidal disorder of Alzheimer’s disease. Eur Neurol 1974; 12: 94–103.PubMedCrossRefGoogle Scholar
  25. 25.
    Marsden CD, Parkes JD. Success and problems of long-term levodopa therapy in Parkinson’s disease. Lancet 1977; 1: 345–349.PubMedCrossRefGoogle Scholar
  26. 26.
    Fahn S, Calne DB. Considerations in the management of parkinsonism. Neurology 1978; 28: 5–7.PubMedCrossRefGoogle Scholar
  27. 27.
    Larsen TA, Calne DB. Essential tremor. Clin Neuropharmacol 1983; 6: 185–206.PubMedCrossRefGoogle Scholar
  28. 28.
    Swanson PD, Luttrell CN, Magladery JW. Myoclonus: a report of 67 cases and a review of the literature. Medicine (Baltimore) 1962; 41: 339–356.CrossRefGoogle Scholar
  29. 29.
    Jankovic J, Ford J. Blepharospasm and orofacialcervical dystonia: clinical and pharmacological findings in 100 patients. Ann Neurol 1983; 3: 402–411.CrossRefGoogle Scholar
  30. 30.
    Kane JM, Weinhold P, Kinon B, et al. Prevalence of abnormal involuntary movements (`spontaneous dyskinesias’) in the normal elderly. Psychopharmacology (Berlin) 1982; 77: 105–108.CrossRefGoogle Scholar
  31. 31.
    Aminoff MJ, Dedo HH, Izdebski K. Clinical aspects of spasmodic dysphonia. J Neurol Neurosurg Psychiatry 1978; 41: 361–365.PubMedCrossRefGoogle Scholar
  32. 32.
    Patterson RM, Little SC. Spasmodic torticollis. J Nery Ment Dis 1943; 98: 571–599.CrossRefGoogle Scholar
  33. 33.
    Sheehy MP, Marsden CD. Writers’ cramp: a focal dystonia. Brain 1982; 105: 461–480.PubMedCrossRefGoogle Scholar
  34. 34.
    Jankovic J, Orman J. Botulinum A toxin for cranial-cervical dystonia: a double-blind, placebo-controlled study. Neurology 1987; 37: 616–623.PubMedCrossRefGoogle Scholar
  35. 35.
    Jankovic J. The neurology of tics. In: Marsden CD, Fahn S, eds. Movement Disorders. ( 2nd ed. Stoneham, Mass: Butterworths; 1973: 383–405.Google Scholar
  36. 36.
    Ehni G, Wollman HW. Hemifacial spasm. Arch Neurol Psychiatry 1945; 53: 205–211.CrossRefGoogle Scholar
  37. 37.
    Jannetta PJ, Abbasy M, Maroon JC, et al. Etiology and definitive microsurgical treatment of hemifacial spasm. J Neurosurg 1977; 47: 321–328.PubMedCrossRefGoogle Scholar

Copyright information

© Springer Science+Business Media New York 1990

Authors and Affiliations

  • John G. Nutt

There are no affiliations available

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