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246 Individuals with certain polymorphisms in ACTN3 may have reduced fast-twitch muscle function, impacting their ability to generate rapid and powerful muscle contractions needed to stabilize the knee during dynamic activities

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However, diffusion tensor imaging results have not been fully consistent: a longitudinal multicentre study of 423 newly diagnosed PD patients followed-up over 3 years showed no correlation of baseline, or longitudinal diffusion tensor-derived measures with subsequent cognitive impairment 136 , with negative results seen in another independent cohort 137

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