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Milestones in gait, balance, and falling

Authors

  • John G. Nutt MD,

    Corresponding author
    1. Department of Neurology. and Parkinson Center of Oregon, Oregon Health & Science University, Portland, Oregon, USA
    • Department of Neurology, Oregon Health and Science University, Portland, OR 97239, USA
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  • Fay B. Horak PhD,

    1. Department of Neurology. and Parkinson Center of Oregon, Oregon Health & Science University, Portland, Oregon, USA
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  • Bastiaan R. Bloem MD, PhD

    1. Department of Neurology, Donders Institute for Brain, Cognition and Behavior, Radboud University Nijmegen Medical Centre, Nijmegen, The Netherlands
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  • Relevant conflict of interest/financial disclosures: Nothing to report.

Abstract

Gait, balance, and falls have become increasingly common topics of published articles in the Movement Disorders journal since its launch in 1986. This growth represents an increasing awareness of the importance of mobility to patients' quality of life. New methods have become available that allow for accurate measurement of many aspects for gait and balance. This has led to new concepts of understanding gait and balance disorders. Neuroimaging has begun to reveal the neural circuitry underlying gait and balance. The physiology and pathophysiology of balance and gait are beginning to tease out the many processes involved in mobility and how they may be disrupted by disease processes. With these advances, the old therapeutic nihilism that characterized the clinician's approach to falls and gait disorders is disappearing, as innovative physiotherapy, exercise, drugs, and deep brain stimulation are being employed for gait and balance disorders. © 2011 Movement Disorder Society

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