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Disorders of standing equilibrium and gait in cerebellar disorders. Nobuo YANAGISAWA 1 , Takahiko TOKUDA 1 , Ryoichi HAYASHI 1 , Kenji TAKOU 1 1Department of Medicine (Neurology), Shinshu University School of Medicine pp.286-293
Published Date 1991/4/10
DOI https://doi.org/10.11477/mf.1431900129
  • Abstract
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Standing and maintenance of an upright posture are disturbed by lesions of the cerebellum especially of the anterior vermis or flocculonodular lobe. Gait disorders are the first and main symp-toms of the alcoholic cerebellar disease and of the subacute cerebellar degeneration associated with neoplasm.

Center of foot pressure measured by floor reaction forces on standing shows center of gravity of a standing subject. Normal subjects show irregular sway in fore-aft direction within 5 cm. Closing eyes increases the range of sway. Patients with spinocerebellar degeneration (SCD) showed range of change of center of foot pressure wider than normal and eye closure results in increase of the area of change of body sway in fore-aft and lateral directions. In chronic diseases affecting the anterior lobe of the cerebellum, fore-aft oscillation of the body at a rate around 3 Hz is characteristic.


Copyright © 1991, Igaku-Shoin Ltd. All rights reserved.

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電子版ISSN 1882-1243 印刷版ISSN 0001-8724 医学書院

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