"Off" gait freezing and temporal discrimination threshold in patients with Parkinson disease.

Abstract:

OBJECTIVE:To investigate the relationship between temporal discrimination threshold (TDT) and "off" period gait freezing (OGF) in patients with fluctuating Parkinson disease (PD). METHODS:TDT values were measured at the dorsum of the toes in 11 control subjects and 22 patients with PD with a wearing-off phenomenon (16 patients with OGF and 6 patients without OGF). RESULTS:During the l-dopa "off" period, TDT values increased abnormally in both patient groups but were significantly higher in patients with OGF than in those without OGF. A positive correlation was found between the severity of OGF and TDT values measured by different point stimulation. In patients with OGF, a single dose of l-dopa treatment normalized TDT values and ameliorated OGF. CONCLUSIONS:Dopa-responsive abnormal discriminative sensory processing may be a possible cause of "off" period gait freezing observed in patients with fluctuating Parkinson disease.

journal_name

Neurology

journal_title

Neurology

authors

Lee MS,Kim HS,Lyoo CH

doi

10.1212/01.WNL.0000151961.14861.BA

subject

Has Abstract

pub_date

2005-02-22 00:00:00

pages

670-4

issue

4

eissn

0028-3878

issn

1526-632X

pii

64/4/670

journal_volume

64

pub_type

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