Journal of Medical Cases, ISSN 1923-4155 print, 1923-4163 online, Open Access
Article copyright, the authors; Journal compilation copyright, J Med Cases and Elmer Press Inc
Journal website https://www.journalmc.org

Case Report

Volume 13, Number 3, March 2022, pages 140-144


Mitigating Gait Decline in a Woman With Parkinson’s Disease: A Case Report

Figures

Figure 1.
Figure 1. Walking cyclogram depicting notable improvement in gait characteristics after treatment. The traces (red butterfly plots) represent the trajectory of center of foot pressure on the instrumented treadmill. (a) Initially, the cyclogram showed a distorted butterfly wing feature, with a wider based gait, and great variability of stride and foot placement accuracy (blue intersected area). The disturbance was more pronounced on the left side. (b) After 3 months of intervention, the repeated cyclogram showed a more accurate foot stride, regular heel strike and symmetric and rhythmic center-of-pressure crossover between strides.
Figure 2.
Figure 2. Graph comparing the gait pattern on vertical ground reaction force (GRF). (a) At initial presentation, the patient demonstrated a marked decrease in applied force of the left foot in the stance phase of the gait cycle, as compared to the right foot. (b) The follow-up vertical GRF graph recorded symmetric foot pressure and regular stance phase. It could be noted that the GRF peaks were markedly increased after treatment. The data represent the average vertical force (in kPa) of multiple stride cycles recorded by pressure foot sensors as the patient walked for 2 min on the instrumented treadmill.