Elsevier

The Lancet Neurology

Volume 5, Issue 5, May 2006, Pages 377-378
The Lancet Neurology

Reflection and Reaction
Good clinical practice in neurorehabilitation

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    The close similarity of gait between parkinsonian patients and children who have not yet developed a plantigrade gait has led to the suggestion that an immature pattern may reappear in Parkinson disease as a result of deficits in the neuronal circuits controlling plantigrade locomotion (Forssberg et al., 1984). Furthermore, coordination between the lower limbs as well as between upper and lower limbs is impaired during walking in parkinsonian compared to age-matched healthy subjects (Dietz and Colombo, 1996; Winogrodzka et al., 2005; Dietz, 2006; Dietz and Michel, 2008). Defective coordination of upper and lower limbs (Swinnen et al., 1997; Winogrodzka et al., 2005), in combination with reduced arm swing (Carpinella et al., 2007), and abnormal postural reactions to voluntary movements (Rogers et al., 1987) might contribute to the impaired performance of obstacle avoidance locomotion in Parkinson disease (van Hedel et al., 2006).

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