Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease.

Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Research Abstract Details 

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Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Abstract Text:

R Grasso,A Peppe,F Stratta,D Angelini,M Zago,P Stanzione,F Lacquaniti,

Gait coordination was analyzed (four-camera 100 Hz ELITE system) in two groups of idiopathic Parkinson disease (PD) patients. Five patients underwent continuous infusion of apomorphine and were recorded in two different sessions (APO OFF and APO ON) in the same day. Three patients with a previous chronic electrode implantation in both internal globi pallidi (GPi) were recorded in the same experimental session with the electrodes on and off (STIM ON and STIM OFF). The orientation of both the trunk and the lower-limb segments was described with respect to the vertical in the sagittal plane. Lower-limb inter-segmental coordination was evaluated by analyzing the co-variation between thigh, shank, and foot elevation angles by means of orthogonal planar regression. At least 30 gait cycles per experimental condition were processed. We found that the trunk was bent forward in STIM OFF, whereas it was better aligned with the vertical in STIM ON in both PD groups. The legs never fully extended during the gait cycle in STIM OFF, whereas they extended before heel strike in STIM ON. The multisegmental coordination of the lower limb changed almost in parallel with the changes in trunk orientation. In STIM OFF, both the shape and the spatial orientation of the planar gait loops (thigh angle vs. shank angle vs. foot angle) differed from those of physiological locomotion, whereas in STIM ON the gait loop tended to resume features closer to the control. Switching the electrodes on and off in patients with GPi electrodes resulted in quasi-parallel changes of the trunk inclination and of the planar gait loop. The bulk of the data suggest that the basal-ganglia circuitry may be relevant in locomotion by providing an appropriate spatio-temporal framework for the control of posture and movement in a gravity-based body-centered frame of reference. Pallido-thalamic and/or pallido-mesencephalic pathways may influence the timing of the inter-segmental coordination for gait.

Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Publishing Authors By Initials

R Grasso,A Peppe,F Stratta,D Angelini,M Zago,P Stanzione,F Lacquaniti,

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Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Journal Published:

PUBLICATION TYPE: Research Support, Non-U.S. Gov

Journal: Experimental brain research. Experimentelle Hirnfo

VOLUME: 126

Page Numbers: 139-48

Journal Abbreviation:

ISSN: 0014-4819

DAY: 15

MONTH: May

YEAR: 1999

Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Information

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LANGUAGE: eng

NlmUniqueID: 43312

Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Keywords Mesh Terms:

KEYWORDS: Video Recording

MESH TERMS: physiopathology

Chemical & Substance for Abstract: Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease. Information

Substance Name: Apomorphine

Registry Number: 58-00-4

Grant and Affiliation Information for Basal ganglia and gait control: apomorphine administration and internal pallidum stimulation in Parkinson's disease.

AFFILIATION: Human Physiology Section, Scientific Institute Santa Lucia, National Research Council, University of Tor Vergata, Rome, Italy. rgrasso@giannutri.caspur.it

Country: GERMANY

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MEDLINETA: Exp Brain Res

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