ForeFront Parkinson's Disease Research Clinic, Brain and Mind Centre, School of Medical Sciences, University of Sydney, Sydney, NSW, Australia.
Jean and Paul Amos Parkinson's Disease and Movement Disorders Program, Emory University School of Medicine, Atlanta, GA, USA.
Transl Neurodegener. 2022 May 1;11(1):23. doi: 10.1186/s40035-022-00298-x.
There has been a growing appreciation for freezing of gait as a disabling symptom that causes a significant burden in Parkinson's disease. Previous research has highlighted some of the key components that underlie the phenomenon, but these reductionist approaches have yet to lead to a paradigm shift resulting in the development of novel treatment strategies. Addressing this issue will require greater integration of multi-modal data with complex computational modeling, but there are a number of critical aspects that need to be considered before embarking on such an approach. This paper highlights where the field needs to address current gaps and shortcomings including the standardization of definitions and measurement, phenomenology and pathophysiology, as well as considering what available data exist and how future studies should be constructed to achieve the greatest potential to better understand and treat this devastating symptom.
人们越来越认识到冻结步态是一种使人致残的症状,它给帕金森病患者带来了巨大的负担。先前的研究强调了构成这一现象的一些关键因素,但这些还原论方法尚未导致新的治疗策略的产生。要解决这个问题,需要将多模态数据与复杂的计算模型更紧密地结合起来,但在采用这种方法之前,需要考虑许多关键方面。本文强调了该领域需要解决当前差距和不足的地方,包括定义和测量的标准化、现象学和病理生理学,以及考虑现有的可用数据以及未来的研究应该如何构建,以实现更好地理解和治疗这一毁灭性症状的最大潜力。