Gait and balance impairments in patients with subcortical vascular cognitive impairment

The Egyptian Journal of Neurology, Psychiatry and Neurosurgery

Mona Ahmed Kotait¹  Amr Elkholy²  Kareem Mohammed Ramadan³  Mohammed Youssef Elhamrawy⁴  Yasser Abo Elfotoh El-Heneedy⁵  Wafik Said Bahnasy⁵  Mahmoud Ebrahim Mostafa Elhassanien⁵ 

[1] Audiovestibular Medicine, Faculty of Medicine, Tanta University, Tanta, Egypt;Computers and Automatic Control Department, Faculty of Engineering, Tanta University, Tanta, Egypt;Diagnostic Radiology Department, Faculty of Medicine, Tanta University, Tanta, Egypt;Kafr El Zayat General Hospital, Ministry of Health, Al Gharbiyah, Egypt;Neuropsychiatry Department Faculty of Medicine, Tanta University, 31527, Tanta, Egypt;

关键词: Subcortical vascular cognitive impairment;    Posturography;    Gait analysis;    Brain MRI volumetry;   

DOI  :  10.1186/s41983-021-00293-5

来源: Springer

【 摘 要 】

BackgroundSubcortical vascular cognitive impairment (SVCI) is a subtype of vascular cognitive impairment associated with extensive cerebral small vessel diseases (CSVDs) imaging biomarkers. The objectives of this work were to study the existence and patterns of gait and balance impairments in patients with SVCI due to CSVDs.MethodsThe study was conducted on 28 newly diagnosed SVCI patients and 22 healthy control subjects (HCS) submitted to the advanced activity of daily living scale (AADLs), Berg balance test (BBT), Montreal Cognitive Assessment Scale (MoCA), computerized dynamic posturography (CDP), vision-based 3-D skeletal data gait analysis, and brain MRI volumetric assessment.ResultsSVCI patients showed a significant decrease in AADLs as well as total cerebral white matter volume, total cerebral cortical volume, and mean cortical thickness which were proportional to the degree of cognitive impairment as measured by the MoCA score. Regarding CDP analysis, patients with SVCI revealed prolongation of cancelation time and spectral power for mid- and high frequencies in dynamic positions. In respect to gait analysis, there were significant decreases in mean stride length and mean cadence as well as increases in mean step width and left to right step length difference in the SVCI group compared to HCS while doing a single task. These variables get highly significant during the dual-task performance with a p value < 0.001 for each one.ConclusionPatients with SVCI suffer from gait and balance impairments that are proportional to the severity of their cognitive decline and greatly impair their ADLs.

【 授权许可】

CC BY