Is reduced arm and leg swing in Parkinson's disease associated with rigidity or bradykinesia?

Kyum Yil Kwon, Minjik Kim, Seon Min Lee, Sung Hoon Kang, Hye Mi Lee, Seong Beom Koh

Research output: Contribution to journalArticle

13 Citations (Scopus)

Abstract

Background and purpose Arm and leg swings during gait are reduced and asymmetric in Parkinson's disease (PD). Although rigidity and bradykinesia are interconnected with each other, and related with gait hypokinesia including arm and leg swing alteration, it remains uncertain which factor is more responsible for the decrease of arm and leg swings. The study aimed to uncover which factor between rigidity and bradykinesia is more associated with the reduction of arm and leg swings during gait. Methods Patients with PD were selected and divided into a concordance group (21 patients) representing a match of both symptoms and a discordance group (nineteen patients) exhibiting a mismatch of pronounced rigidity and bradykinesia. Visual inspections of video clips for asymmetric features of gait and posture including arm swing, leg swing, shoulder position, external foot rotation were analyzed and accessed by two independent neurologists blindly. Results The side of more pronounced rigidity was significantly and moderately related with the side of more decreased arm and leg swings (p < 0.001, κ = 0.592 in arm swing; p = 0.011, κ = 0.432 in leg swing, respectively), but the side of more dominant bradykinesia was associated with neither arm nor leg swing asymmetry (p = 1, κ = 0.014 in arm swing; p = 1, κ = - 0.036 in leg swing). In addition, asymmetric posturing including shoulder position and a laterally rotated foot showed no relationship with rigidity or bradykinesia. Conclusion The reduction of arm and leg swings during gait in PD was associated with rigidity, but not with bradykinesia.

Original languageEnglish
Pages (from-to)32-35
Number of pages4
JournalJournal of the Neurological Sciences
Volume341
Issue number1-2
DOIs
Publication statusPublished - 2014 Jun 15

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Hypokinesia
Parkinson Disease
Leg
Arm
Gait
Foot
Posture
Surgical Instruments

Keywords

  • Arm and leg swings
  • Bradykinesia
  • Parkinson's disease
  • Rigidity

ASJC Scopus subject areas

  • Neurology
  • Clinical Neurology

Cite this

Is reduced arm and leg swing in Parkinson's disease associated with rigidity or bradykinesia? / Kwon, Kyum Yil; Kim, Minjik; Lee, Seon Min; Kang, Sung Hoon; Lee, Hye Mi; Koh, Seong Beom.

In: Journal of the Neurological Sciences, Vol. 341, No. 1-2, 15.06.2014, p. 32-35.

Research output: Contribution to journalArticle

Kwon, Kyum Yil ; Kim, Minjik ; Lee, Seon Min ; Kang, Sung Hoon ; Lee, Hye Mi ; Koh, Seong Beom. / Is reduced arm and leg swing in Parkinson's disease associated with rigidity or bradykinesia?. In: Journal of the Neurological Sciences. 2014 ; Vol. 341, No. 1-2. pp. 32-35.
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abstract = "Background and purpose Arm and leg swings during gait are reduced and asymmetric in Parkinson's disease (PD). Although rigidity and bradykinesia are interconnected with each other, and related with gait hypokinesia including arm and leg swing alteration, it remains uncertain which factor is more responsible for the decrease of arm and leg swings. The study aimed to uncover which factor between rigidity and bradykinesia is more associated with the reduction of arm and leg swings during gait. Methods Patients with PD were selected and divided into a concordance group (21 patients) representing a match of both symptoms and a discordance group (nineteen patients) exhibiting a mismatch of pronounced rigidity and bradykinesia. Visual inspections of video clips for asymmetric features of gait and posture including arm swing, leg swing, shoulder position, external foot rotation were analyzed and accessed by two independent neurologists blindly. Results The side of more pronounced rigidity was significantly and moderately related with the side of more decreased arm and leg swings (p < 0.001, κ = 0.592 in arm swing; p = 0.011, κ = 0.432 in leg swing, respectively), but the side of more dominant bradykinesia was associated with neither arm nor leg swing asymmetry (p = 1, κ = 0.014 in arm swing; p = 1, κ = - 0.036 in leg swing). In addition, asymmetric posturing including shoulder position and a laterally rotated foot showed no relationship with rigidity or bradykinesia. Conclusion The reduction of arm and leg swings during gait in PD was associated with rigidity, but not with bradykinesia.",
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N2 - Background and purpose Arm and leg swings during gait are reduced and asymmetric in Parkinson's disease (PD). Although rigidity and bradykinesia are interconnected with each other, and related with gait hypokinesia including arm and leg swing alteration, it remains uncertain which factor is more responsible for the decrease of arm and leg swings. The study aimed to uncover which factor between rigidity and bradykinesia is more associated with the reduction of arm and leg swings during gait. Methods Patients with PD were selected and divided into a concordance group (21 patients) representing a match of both symptoms and a discordance group (nineteen patients) exhibiting a mismatch of pronounced rigidity and bradykinesia. Visual inspections of video clips for asymmetric features of gait and posture including arm swing, leg swing, shoulder position, external foot rotation were analyzed and accessed by two independent neurologists blindly. Results The side of more pronounced rigidity was significantly and moderately related with the side of more decreased arm and leg swings (p < 0.001, κ = 0.592 in arm swing; p = 0.011, κ = 0.432 in leg swing, respectively), but the side of more dominant bradykinesia was associated with neither arm nor leg swing asymmetry (p = 1, κ = 0.014 in arm swing; p = 1, κ = - 0.036 in leg swing). In addition, asymmetric posturing including shoulder position and a laterally rotated foot showed no relationship with rigidity or bradykinesia. Conclusion The reduction of arm and leg swings during gait in PD was associated with rigidity, but not with bradykinesia.

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