Spatial and temporal parameters of gait disturbances in schizophrenic patients.
This study assessed the locomotor patterns of gait in schizophrenic patients and differentiated intrinsic effects of the illness from those caused by conventional and atypical neuroleptic treatment. Gait parameters of drug-naïve, conventionally and atypically treated patients as well as control subjects were evaluated. Differences in gait velocity and in stride length between the four investigated groups were highly significant (ANOVA: p<0.001). Mean gait velocities of all patient groups were significantly slower than those of controls, with the most striking difference observed between the control group and patients treated with conventional neuroleptics (p <0.001). Amongst the patient groups, significant differences were detected between patients treated with conventional neuroleptics and both patients treated with atypical neuroleptics and drug-naïve patients (p < 0.05), but not between untreated and atypically treated patients. In all patient groups the reduction of gait velocity was due to a smaller mean stride length, while the cadence (steps per minute) was not changed. These results indicate that schizophrenia causes a primary disturbance of stride length regulation. Conventional antipsychotic treatment intensifies this deficit, whereas atypical antipsychotic treatment does not cause any additional gait disturbances. In contrast to the spatial parameters, the temporal structure of schizophrenic gait is not affected either by antipsychotic treatment or schizophrenia itself.
Movement Disorders Unit, Department of Psychiatry and Psychotherapy, University of Regensburg, Regensburg, Germany. albert.putzhammer@bzk.uni-regensburg.de
Albert
A
Putzhammer
Bernhard
B
Heindl
Karin
K
Broll
Liane
L
Pfeiff
Maria
M
Perfahl
Göran
G
Hajak
D000704:Analysis of Variance; D014150:Antipsychotic Agents / Q000009:adverse effects; D020233:Gait Disorders, Neurologic / Q000139:chemically induced / Q000503:physiopathology*; D006801:Humans; D008124:Locomotion / Q000502:physiology*; D011569:Psychiatric Status Rating Scales; D012559:Schizophrenia / Q000188:drug therapy / Q000503:physiopathology*; D013037:Spatial Behavior / Q000502:physiology*; D013998:Time Perception / Q000502:physiology*; D016138:Walking
D014150:Antipsychotic Agents