Strategies for treatment of gait and posture associated deficits in movement disorders: the impact of deep brain stimulation.

摘要: Gait difficulties occur early in the course of Parkinson's disease (PD) as well generalized dystonia. Deep brain stimulation (DBS) is an effective treatment for patients with PD or PD-associated slowness gait improves dramatically after this procedure. Since not all problems can be treated DBS, it mandatory to assess patient's symptoms precisely before operation considered. In advanced stages PD, postural deficits causing frequent falls are a major concern and will necessitate other strategies. dystonia, walking may become possible only surgical intervention. After implantation DBS electrodes, rehabilitative necessary (i) establish new movement patterns, (ii) preserve appropriate activity level, (iii) treat specific disability, which resulted from secondary changes musculoskeletal system during pathological muscle tension An integrated multimodal approach, has been adopted our institution presented.