Doctors may be able to diagnose early-stage dementia simply by analysing the way patients walk.
The news opens up the possibility of preventative treatment years before the condition develops fully.
A new trial at Essex University aims to identify sufferers using specialised movement tracking computer programmes.
Researchers have recruited 1,000 people, all over the age of 55, who will be monitored and tested over a ten-year period.
The
intention is to discover if there are patterns in the type of physical
changes that occur in those who go on to develop dementia or other
neurological diseases such as Parkinson’s.
Although
previous studies have shown that Alzheimer’s patients slow down their
walking speed and may also hold themselves differently as they walk –
and that the differences become more pronounced as they deteriorate –
this will be the most detailed look at the phenomenon.
Last
month, it was revealed that GPs are to be paid £55 for every patient
they diagnose with dementia. Yet spotting the illness in the early
stages can be difficult.
The
most common test is the Mini Mental State Examination, in which doctors
ask patients to confirm the date, identify common objects and repeat
words back to them.
GPs may be able to begin diagnosing
potential dementia sufferers by analysing the way people walk and then
carrying out further tests (file picture)
By
simply observing the way their older patients walk, GPs might be
prompted to offer more stringent diagnostic tests to potential
sufferers, says Dr Matthew Taylor, a specialist in biomechanics at Essex
University.
He
says: ‘The purpose of our study is to look at changes in gait in more
detail than has been done so far. For example, our physiotherapists have
observed anecdotally that dementia patients often have reduced arm
swing, but as far as we know this has not been measured.
‘Such
a change in arm swing could be an earlier indication of dementia than
reduced walking speed, or perhaps some other aspect of changing gait we
don’t know about yet.’
The
healthy subjects currently being recruited will be fitted with special
markers which can be read by the equipment’s infrared cameras. The
cameras will allow computers to map changes that are often too slight to
be spotted by the human eye in the earliest stages.
The study is expected to benefit those with Parkinson’s too.
‘We know they develop a shuffling gait,’ says Dr Taylor.
‘If
we see those who develop this condition starting to walk in a different
way in the years leading up to their diagnosis, doctors may be able to
offer earlier intervention.’
The
Essex study also aims to prevent falls by seeing if there are any
patterns in the walk of those who are prone to losing their balance.
‘Treating injuries from falls currently costs the NHS £1 billion a year,
so there is a pressing need to see if it can be prevented,’ says Dr
Taylor.
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