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[颅脑创伤后的残留姿势改变]

[Residual postural changes after cranial trauma].

作者信息

Dalla Toffola E, Quarenghi A, Gasperini G, Losio L, Pistorio A, Salvi G P

机构信息

Medicina Fisica e Riabilitazione, Università di Pavia, Fondazione S. Maugeri IRCCS, Pavia.

出版信息

G Ital Med Lav Ergon. 1999 Jul-Sep;21(3):226-32.

Abstract

A group of 29 clinically stable post-traumatic brain injury patients were studied for postural disturbances utilizing both a balance force platform and the Tinetti equilibrium test. The stabilometric exam included 6 different aspects of balance, with the goal of evaluating the importance of the sensory afferents on postural control. Posturographic data revealed a global reduction of postural control. TBI patients tended to rely more on visual feedback in postural control than did age-matched controls, and exhibited problems with sensory integration as the complexity of the balance tasks was increased. The site of lesion correlated positively with postural control problems, with brainstem and subcortical gray matter lesions most frequently being involved.

摘要

一组29名临床稳定的创伤性脑损伤患者,利用平衡力平台和Tinetti平衡测试对其姿势障碍进行了研究。稳定测量检查包括平衡的6个不同方面,目的是评估感觉传入在姿势控制中的重要性。姿势描记数据显示姿势控制整体下降。与年龄匹配的对照组相比,创伤性脑损伤患者在姿势控制中更倾向于依赖视觉反馈,并且随着平衡任务复杂性的增加,表现出感觉整合问题。病变部位与姿势控制问题呈正相关,脑干和皮质下灰质病变最常受累。

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