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Unraveling the mechanisms of high-level gait control in functional gait disorders

Title: Unraveling the mechanisms of high-level gait control in functional gait disorders
Authors: Sandri, Angela; Bonetto, Chiara; Fiorio, Mirta; Salaorni, Francesca; Bonardi, Giulia; Geroin, Christian; Smania, Nicola; Tinazzi, Michele; Gandolfi, Marialuisa
Contributors: Sandri, Angela; Bonetto, Chiara; Fiorio, Mirta; Salaorni, Francesca; Bonardi, Giulia; Geroin, Christian; Smania, Nicola; Tinazzi, Michele; Gandolfi, Marialuisa
Publication Year: 2025
Collection: Università degli Studi di Verona: Catalogo dei Prodotti della Ricerca (IRIS)
Subject Terms: Attention; Cognition; Functional motor disorders; Gait; Locomotion; Risk of falls
Description: Functional gait disorders (FGDs) are a disabling subset of Functional Neurological Disorders in which presenting symptoms arise from altered high-level motor control. The dual-task paradigm can be used to investigate mechanisms of high-level gait control. The study aimed to determine the objective measures of gait that best discriminate between individuals with FGDs and healthy controls and the relationship with disease severity and duration. High-level spatiotemporal gait outcomes were analyzed in 87 patients with FGDs (79.3% women, average age 41.9±14.7 years) and 48 healthy controls (60.4% women, average age 41.9±15.7 years) on single and motor, cognitive, and visual-fixation dual tasks. The area under the curve (AUC) from the receiver operator characteristic plot and the dual-task effect (DTE) were calculated for each measure. Dual-task interference on the top single-task gait characteristics was determined by two-way repeated measures ANOVA. Stride time variability and its standard deviation (SD) failed to discriminate between the two groups in single and dual-task conditions (AUC
Document Type: article in journal/newspaper
File Description: STAMPA
Language: English
Relation: info:eu-repo/semantics/altIdentifier/pmid/39237791; info:eu-repo/semantics/altIdentifier/wos/WOS:001307617100002; volume:132; issue:1; firstpage:95; lastpage:104; numberofpages:10; journal:JOURNAL OF NEURAL TRANSMISSION; https://hdl.handle.net/11562/1141306
DOI: 10.1007/s00702-024-02829-4
Availability: https://hdl.handle.net/11562/1141306; https://doi.org/10.1007/s00702-024-02829-4
Rights: info:eu-repo/semantics/openAccess ; license:Creative commons ; license uri:http://creativecommons.org/licenses/by/4.0/
Accession Number: edsbas.59725BEC
Database: BASE