Repeatability of Spatio-Temporal Gait Measurements in Parkinson's Disease

Parkinson’s Disease is one of the most common neurodegenerative disorders. Its principal symptoms regard motor area, and gait is one of the most affected motor characteristics. In clinical environment Parkinsonian gait is often assessed through gait analysis. Opal System by APDM is a commercial device used to perform gait analysis with inertial measurements units (IMUs). In this study we evaluate repeatability of spatio-temporal gait measurements, assessed with Opal Instrumented Stand and Walk (ISAW) test on a cohort of forty-five Parkinsonian patients. Repeatability is assessed by means of Intraclass Correlation Coefficient (ICC) and Repeatability Limit (RL) for each variable. RL is then compared to the absolute value of difference (DoM) of PD patients’ measurements mean and normative mean of the same variable, in order to understand which variable can better characterize Parkinsonian gait with respect to normal gait. Results show that gait and turn measurements are more repeatable than sway and anticipatory postural adjustments variables, and they are proper indexes to better identify Parkinsonian walking features.