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. Author manuscript; available in PMC: 2014 Sep 15.
Published in final edited form as: Mov Disord. 2013 Sep 15;28(11):1544–1551. doi: 10.1002/mds.25684

Table 1.

Examples of objective balance and gait metrics sensitive to PD that could provide biomarkers grouped by gait and balance impairments.

Neural Control Systems Impairments Task Metrics from body-worn sensors

I. Postural Sway Postural Instability Quiet stance (≥30s) Sway Velocity, Sway Area, Sway jerkiness,(25, 28, 29), Sway frequency (24)

II. Postural Responses Ineffective stepping response Push and Release Latency, Step length, Number of steps, Time to Equilibrium (38)

III. Anticipatory Postural Adjustments (APA) Impaired gait Initiation Step Initiation Lateral and Sagittal Peak APA (39)

IV. Gait
  Dynamic Equilibrium Gait Instability Straight Walking at prefered gait speed Stride Time Variability (14, 15, 58), Double Support Time (10, 14)
  Upper Body Control “En-bloc” Peak arm velocity, Trunk Rotation (10)
  Spatio-temporal Coordination Slow gait Gait Velocity, Cadence, Stride Length (10, 48, 63)

V. Postural Transitions Difficulty changing motor programs Timed-Up and Go Turning Duration (10, 62, 63), Turning Jerk (62), Range and-to-Stand and Sit Stand-to-Sit Jerk (63)

VI. Unknown (66) Freezing of Gait Turn 360° degrees Shank Frequency Ratio (65, 66, 68)