Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test

Detalhes bibliográficos
Autor(a) principal: Souza,Ricardo Krause Martinez de
Data de Publicação: 2018
Outros Autores: Rocha,Samanta Fabrício Blattes da, Martins,Rodrigo Tomazini, Kowacs,Pedro André, Ramina,Ricardo
Tipo de documento: Artigo
Idioma: eng
Título da fonte: Arquivos de neuro-psiquiatria (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500324
Resumo: ABSTRACT Normal pressure hydrocephalus (NPH), described by Hakim and Adams in 1965, is characterized by gait apraxia, urinary incontinence, and dementia. It is associated with normal cerebrospinal fluid (CSF) pressure and ventricular dilation that cannot be attributed to cerebral atrophy. Objectives: To evaluate gait characteristics in patients with idiopathic NPH and investigate the effect of the CSF tap test (CSF-TT) on gait. Methods: Twenty-five patients diagnosed with probable idiopathic NPH were submitted to the CSF-TT. The procedure aimed to achieve changes in gait parameters. Results: Fifteen gait parameters were assessed before and after the CSF-TT. Five showed a statistically significant improvement (p < 0.05): walking speed (p < 0.001), cadence (p < 0.001), step length (p < 0.001), en bloc turning (p = 0.001), and step height (p = 0.004). Conclusion: This study demonstrated that gait speed was the most responsive parameter to the CSF-TT, followed by cadence, step length, en bloc turning, and step height.
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spelling Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap testgaitnormal pressure hydrocephalusABSTRACT Normal pressure hydrocephalus (NPH), described by Hakim and Adams in 1965, is characterized by gait apraxia, urinary incontinence, and dementia. It is associated with normal cerebrospinal fluid (CSF) pressure and ventricular dilation that cannot be attributed to cerebral atrophy. Objectives: To evaluate gait characteristics in patients with idiopathic NPH and investigate the effect of the CSF tap test (CSF-TT) on gait. Methods: Twenty-five patients diagnosed with probable idiopathic NPH were submitted to the CSF-TT. The procedure aimed to achieve changes in gait parameters. Results: Fifteen gait parameters were assessed before and after the CSF-TT. Five showed a statistically significant improvement (p < 0.05): walking speed (p < 0.001), cadence (p < 0.001), step length (p < 0.001), en bloc turning (p = 0.001), and step height (p = 0.004). Conclusion: This study demonstrated that gait speed was the most responsive parameter to the CSF-TT, followed by cadence, step length, en bloc turning, and step height.Academia Brasileira de Neurologia - ABNEURO2018-05-01info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500324Arquivos de Neuro-Psiquiatria v.76 n.5 2018reponame:Arquivos de neuro-psiquiatria (Online)instname:Academia Brasileira de Neurologiainstacron:ABNEURO10.1590/0004-282x20180037info:eu-repo/semantics/openAccessSouza,Ricardo Krause Martinez deRocha,Samanta Fabrício Blattes daMartins,Rodrigo TomaziniKowacs,Pedro AndréRamina,Ricardoeng2018-05-25T00:00:00Zoai:scielo:S0004-282X2018000500324Revistahttp://www.scielo.br/anphttps://old.scielo.br/oai/scielo-oai.php||revista.arquivos@abneuro.org1678-42270004-282Xopendoar:2018-05-25T00:00Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologiafalse
dc.title.none.fl_str_mv Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
title Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
spellingShingle Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
Souza,Ricardo Krause Martinez de
gait
normal pressure hydrocephalus
title_short Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
title_full Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
title_fullStr Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
title_full_unstemmed Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
title_sort Gait in normal pressure hydrocephalus: characteristics and effects of the CSF tap test
author Souza,Ricardo Krause Martinez de
author_facet Souza,Ricardo Krause Martinez de
Rocha,Samanta Fabrício Blattes da
Martins,Rodrigo Tomazini
Kowacs,Pedro André
Ramina,Ricardo
author_role author
author2 Rocha,Samanta Fabrício Blattes da
Martins,Rodrigo Tomazini
Kowacs,Pedro André
Ramina,Ricardo
author2_role author
author
author
author
dc.contributor.author.fl_str_mv Souza,Ricardo Krause Martinez de
Rocha,Samanta Fabrício Blattes da
Martins,Rodrigo Tomazini
Kowacs,Pedro André
Ramina,Ricardo
dc.subject.por.fl_str_mv gait
normal pressure hydrocephalus
topic gait
normal pressure hydrocephalus
description ABSTRACT Normal pressure hydrocephalus (NPH), described by Hakim and Adams in 1965, is characterized by gait apraxia, urinary incontinence, and dementia. It is associated with normal cerebrospinal fluid (CSF) pressure and ventricular dilation that cannot be attributed to cerebral atrophy. Objectives: To evaluate gait characteristics in patients with idiopathic NPH and investigate the effect of the CSF tap test (CSF-TT) on gait. Methods: Twenty-five patients diagnosed with probable idiopathic NPH were submitted to the CSF-TT. The procedure aimed to achieve changes in gait parameters. Results: Fifteen gait parameters were assessed before and after the CSF-TT. Five showed a statistically significant improvement (p < 0.05): walking speed (p < 0.001), cadence (p < 0.001), step length (p < 0.001), en bloc turning (p = 0.001), and step height (p = 0.004). Conclusion: This study demonstrated that gait speed was the most responsive parameter to the CSF-TT, followed by cadence, step length, en bloc turning, and step height.
publishDate 2018
dc.date.none.fl_str_mv 2018-05-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/article
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
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status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500324
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0004-282X2018000500324
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.1590/0004-282x20180037
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
publisher.none.fl_str_mv Academia Brasileira de Neurologia - ABNEURO
dc.source.none.fl_str_mv Arquivos de Neuro-Psiquiatria v.76 n.5 2018
reponame:Arquivos de neuro-psiquiatria (Online)
instname:Academia Brasileira de Neurologia
instacron:ABNEURO
instname_str Academia Brasileira de Neurologia
instacron_str ABNEURO
institution ABNEURO
reponame_str Arquivos de neuro-psiquiatria (Online)
collection Arquivos de neuro-psiquiatria (Online)
repository.name.fl_str_mv Arquivos de neuro-psiquiatria (Online) - Academia Brasileira de Neurologia
repository.mail.fl_str_mv ||revista.arquivos@abneuro.org
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