A novel clinical sign to assess the risk of Parkinson's disease in patients with isolated asymmetric arm swing.

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Bibliographic Details
Title: A novel clinical sign to assess the risk of Parkinson's disease in patients with isolated asymmetric arm swing.
Authors: Riancho, Javier (AUTHOR), Delgado-Alvarado, Manuel (AUTHOR)
Source: Neurological Sciences. Apr2023, Vol. 44 Issue 4, p1401-1404. 4p. 1 Chart.
Subjects: Parkinson's disease, Symptoms, Gait in humans
Abstract: Introduction: An isolated asymmetric arm swing can represent the beginning of Parkinson's disease (PD) but also be related to physiological or non-specific musculoskeletal pathology. Patients and methods: In this brief clinical observation including 15 patients with asymmetric arm swing, we provide a new clinical clue to evaluate the risk of subjacent parkinsonism. Results: Among non-parkinsonian subjects, the immobilization of the contralateral arm, by asking the patient to put his hand on the contralateral shoulder, induced a clear increase in the amplitude of the arm swing, whereas in PD patients, the arm swing amplitude did not significantly vary when the contralateral upper limb was immobilized. Conclusions: This novel clinical sign may be helpful when approaching patients with gait abnormalities and specifically reduced arm swing. [ABSTRACT FROM AUTHOR]
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Database: Psychology and Behavioral Sciences Collection
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Abstract:Introduction: An isolated asymmetric arm swing can represent the beginning of Parkinson's disease (PD) but also be related to physiological or non-specific musculoskeletal pathology. Patients and methods: In this brief clinical observation including 15 patients with asymmetric arm swing, we provide a new clinical clue to evaluate the risk of subjacent parkinsonism. Results: Among non-parkinsonian subjects, the immobilization of the contralateral arm, by asking the patient to put his hand on the contralateral shoulder, induced a clear increase in the amplitude of the arm swing, whereas in PD patients, the arm swing amplitude did not significantly vary when the contralateral upper limb was immobilized. Conclusions: This novel clinical sign may be helpful when approaching patients with gait abnormalities and specifically reduced arm swing. [ABSTRACT FROM AUTHOR]
ISSN:15901874
DOI:10.1007/s10072-023-06655-6