TAILIEUCHUNG - ArticleGait analysis comparing Parkinson’s disease with healthy elderly subjects

Premium and cost sharing subsidies will be available through the Exchange for individuals with incomes up to 400 percent of the Federal Poverty Level (FPL)4 who do not qualify for Medi-Cal and do not have any family members with an offer of affordable job-based coverage. 5 A separate Small Business Health Options Plan (SHOP) exchange will offer coverage to firms of 50 or fewer workers between 2014 and 2016, after which time it will be open to firms of 100 or fewer workers. Small businesses with low-wage workforces may be eligible for tax credits through the SHOP e ACA will expand Medi-Cal to adults and children in families with incomes up. | Article Arq Neuropsiquiatr 2010 68 1 81-86 Gait analysis comparing Parkinson s disease with healthy elderly subjects Roberta de Melo Roiz1 Enio Walker Azevedo Cacho2 Manoela Macedo Pazinatto3 Julia Guimaraes Reis2 Alberto Cliquet Jr4 Elizabeth . Barasnevicius-Quagliato5 Correspondence Roberta de Melo Roiz Rua dos Aimorés 480 Ap 14 13081-030 Campinas SP - Brasil E-mail betaroiz@ Support This research was supported by CNPq 134954 2008-4 Received 25 June 2009 Received in final form 9 September 2009 Accepted 16 September 2009 ABSTRACT There is a lack of studies comparing the kinematics data of idiopathic Parkinson s disease IPD patients with healthy elder HE subjects and when there is such research it is not correlated to clinical measures. Objective To compare the spatio-temporal and kinematic parameters of Parkinsonian gait with the HE subjects group and measure the relation between these parameters and clinical instruments. Method Twelve patients with IPD and fifteen HE subjects were recruited and evaluated for clinical instruments and gait analysis. Results There were statistically significant differences between HE group and the IPD group in stride velocity in stride length SL and in the hip joint kinematic data on initial contact on maximum extension during terminal contact and on maximum flexion during mid-swing. Regarding the clinical instruments there were significant correlated with in stride velocity and SL. Conclusion Clinical instruments used did not present proper psychometric parameters to measure the IPD patient s gait while the 3D system characterized it better. Key words Parkinson s disease gait assessment kinematics. Comparagão da doenga de Parkinson com idosos saudáveis através da análise da marcha RESUMO Poucos estudos comparam os dados cinemáticos de pacientes com doenpa de Parkinson idiopática DPI com indivíduos idosos saudáveis e quando realizam não correlacionam com medidas clínicas. Objetivo Comparar os parâmetros .

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