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HWiNFO32 is a hardware detection utility for Windows 9x, 2000, and XP It is similar to the Device Manager but provides more detail about components, such as the capacity, speed, and manufacturer of RAM, hard drives, printers, and ports HWiNFO is not included with Windows but can be downloaded from REALiX at wwwhwinfocom The HWiNFO utility can be run any time during the operation of the computer First, the utility completes a hardware detection phase, then it displays the results in a window This utility includes a log file, which allows you to log the current system settings and track them over time HWiNFO also performs benchmark tests on the processor and memory This means that the utility tests their speed and capacity, then compares the results with those of components built by other manufacturers HWiNFO also allows you to monitor the temperature of the CPU and motherboard Although HWiNFO can be used in either Windows 9x and NT environments, it is really designed for the NT, 2000, and XP platform, so some features might not be available in Windows 9x

and more cautious in walking and habitually touches the handrail in descending stairs, to prevent a misstep To be distinguished from the ubiquitous and subtle changes in gait of the normal aged population is a more rapidly evolving and inordinate deterioration of gait that af icts a small proportion of the aging population while they remain relatively competent in other ways In all likelihood, this latter disorder represents an agelinked degenerative disease of the brain, since most instances of it are sooner or later accompanied by mental changes The basis of this gait disorder is probably a combined frontal lobe-basal ganglionic degeneration, the anatomy of which has never been fully clari ed, as discussed on page 106 However, in many of such patients we have observed, there is no disproportionate atrophy or reduction of blood ow in the frontal lobes, making the cause of the gait disorder obscure It has also been postulated that age-related changes in the substantia nigra are the cause of the parkinsonian appearance of the gait of the aged, but it does not respond to L-dopa or to any other therapeutic measure The main differential diagnostic consideration is normal-pressure hydrocephalus, correctable by a ventriculoperitoneal shunt, which accounts for the gait disorder of a sizable group of these elderly patients, as discussed in Chaps 7 and 30 (Fisher) Parkinson disease is yet another potentially treatable cause of walking dif culty Progressive supranuclear palsy is a degenerative process in which gait and stability are affected early and profoundly Urinary incontinence, de ned as a state in which involuntary loss of urine is a social or hygienic problem and is objectively demonstrated, is a surprisingly common occurrence in the elderly (Wells and Diokno) Doubtless this complex of motor impairments is based on the aforementioned neuronal losses in the spinal cord, cerebellum, and cerebrum Falls in the Elderly Among elderly persons without apparent neurologic disease, falls constitute a major health problem About 30 percent suffer one or more falls each year; this gure rises to 40 percent among those over the age of 80 and to more than 50 percent among elderly persons living in nursing homes According to Tinetti and colleagues, 10 to 15 percent of falls in the elderly result in fractures and other serious injuries; they are reportedly an underlying cause of about 9500 deaths annually in the United States Several factors, some mentioned above in regard to deterioration of gait, are responsible for the inordinately high rate of falling among older persons Impairment of visual function and particularly of vestibular function with normal aging are important contributors In a group of 34 elderly patients who were free of neurologic disease, postural hypotension, and leg deformities, Weiner and colleagues found a moderate or severe degree of postural re ex impairment in two-thirds The failure to make rapid postural adjustments, which is a product of aging alone, accounts for the occurrence of falls in the course of usual activities such as walking, changing position, or descending stairs Postural hypotension, often due to antihypertensive agents and the use of sedative drugs, is another important cause of falling in the elderly (page 464) Of course, falling is an even more prominent feature of certain age-related neurologic diseases: stroke, Parkinson disease, normalpressure hydrocephalus, and progressive supranuclear palsy, among others Other Restricted Motor Abnormalities in the Aged These are too numerous to be more than catalogued They re ect the many.

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Effects of Aging on Stance and Gait and Related Motor Impairments (See also Chap 7)

These are among the most conspicuous manifestations of the aging process Motor agility actually begins to decline in early adult life, even by the 30th year; it seems related to a gradual decrease in neuromuscular control as well as to changes in joints and other structures The reality of this motor decrement is best appreciated by professional athletes who retire at age 35 or thereabout because their legs give out and cannot be restored to their maximal condition by training They cannot run as well as younger athletes, even though the strength and coordination of their arms is relatively preserved More subtle and imperceptibly evolving changes in stance and gait are ubiquitous features of aging (Chap 7) Gradually the steps shorten, walking becomes slower, and there is a tendency to stoop The old soldier must repeatedly remind himself to maintain an erect bearing The older person becomes less con dent

ROLAND PE: Organization of motor control by the normal human brain Hum Neurobiol 2:205, 1984 ROPPER AH, FISHER CM, KLEINMAN GM: Pyramidal infarction in the medulla: A cause of pure motor hemiplegia sparing the face Neurology 29:91, 1979 RUSSELL JR, DEMYER W: The quantitative cortical origin of pyramidal axons of Macaca rhesus, with some remarks on the slow rate of axolysis Neurology 11:96, 1961

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