4.7 Article

Clinical and MRI features of gait and balance disorders in neurodegenerative diseases

Journal

JOURNAL OF NEUROLOGY
Volume 270, Issue 3, Pages 1798-1807

Publisher

SPRINGER HEIDELBERG
DOI: 10.1007/s00415-022-11544-7

Keywords

Functional MRI; Structural MRI; Gait; Balance; Postural instability; Neurodegenerative diseases

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Gait and balance disorders are common in various neurodegenerative diseases and their characteristics depend on the specific disease and the changes in the brain. This review summarizes the clinical characteristics of gait and balance disorders in major neurodegenerative conditions and discusses the structural and functional brain changes underlying these deficits. The role of neurorehabilitation strategies in promoting brain plasticity and improving gait/balance is also examined.
Gait and balance disorders are common signs in several neurodegenerative diseases such as Parkinson's disease, atypical parkinsonism, idiopathic normal pressure hydrocephalus, cerebrovascular disease, dementing disorders and multiple sclerosis. According to each condition, patients present with different gait and balance alterations depending on the structural and functional brain changes through the disease course. In this review, we will summarize the main clinical characteristics of gait and balance disorders in the major neurodegenerative conditions, providing an overview of the significant structural and functional MRI brain alterations underlying these deficits. We also will discuss the role of neurorehabilitation strategies in promoting brain plasticity and gait/balance improvements in these patients.

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