Gait dysfunction as an early marker of phenoconversion in REM sleep behavior disorder

Publikation: Beitrag in FachzeitschriftForschungsartikelBeigetragenBegutachtung

Beitragende

Abstract

Clinical isolated REM Sleep Behavior Disorder (iRBD) is a prodromal stage of α-synucleinopathies such as Parkinson's disease (PD). Longitudinal changes of gait as a marker of phenoconversion in iRBD have not been systematically evaluated yet. Therefore, twenty-one iRBD patients, nineteen matched healthy controls and fourteen PD patients (H&Y stage I - III) were assessed at baseline using a pressure-sensor walkway (GAITRite). While normalized gait velocity and walking endurance were significantly decreased in iRBD patients compared to controls, gait rhythm parameters such as single support further discriminated PD from iRBD and controls. IRBD patients at imminent risk of phenoconversion within the next 3.7 ± 0.6 years were distinguishable from non-converters by gait rhythm parameters such as single support. Since gait evaluation of our iRBD cohort showed promising results in predicting imminent phenoconversion, future multicenter trials should include gait analysis as an objective assessment of motor function to confirm our results.

Details

OriginalspracheEnglisch
Aufsatznummer5614
FachzeitschriftScientific reports
Jahrgang16
Ausgabenummer1
PublikationsstatusVeröffentlicht - 9 Feb. 2026
Peer-Review-StatusJa

Externe IDs

PubMedCentral PMC12891670
Scopus 105029666440
ORCID /0000-0001-8799-8202/work/205992332
ORCID /0000-0003-2832-4640/work/205992406

Schlagworte

Schlagwörter

  • Aged, Biomarkers, Case-Control Studies, Female, Gait Disorders, Neurologic/physiopathology, Gait/physiology, Humans, Male, Middle Aged, Parkinson Disease/physiopathology, REM Sleep Behavior Disorder/physiopathology, Progression, Gait dysfunction, REM sleep behaviour disorder, Parkinson’s disease, Α-synucleinopathies