Blomsterwall E, Svantesson U, Carlsson U, Tullberg M, Wikkelsö C
Department of Physiotherapy, Sahlgrenska University Hospital, Göteborg University, Sweden.
Acta Neurol Scand. 2000 Nov;102(5):284-91. doi: 10.1034/j.1600-0404.2000.102005284.x.
The postural function in 52 patients with normal pressure hydrocephalus (NPH) and in 19 patients with subcortical arteriosclerotic encephalopathy (SAE) was analysed bedside and in 17 of the NPH, 10 of the SAE and 23 healthy individuals (HI) also examined with a force platform. At the bedside examination, no differences in postural functions between NPH and SAE patients were found. The NPH patients improved more in the postural than in motor functions after shunt surgery. The NPH patients had a larger sway area and a higher backward directed velocity of centre of pressure than HI. The direction of the inclination in the sagittal plane was neutral or forward in the NPH and the SAE patients while it was backward in HI. The postural function was better in positions with open eyes in all 3 groups, but significantly less in the NPH patients, indicating a misinterpretation of afferent visual stimuli in the brainstem postural centre.
对52例正常压力脑积水（NPH）患者和19例皮质下动脉硬化性脑病（SAE）患者的姿势功能进行了床边分析，并且对17例NPH患者、10例SAE患者和23名健康个体（HI）还使用测力平台进行了检查。在床边检查中，未发现NPH和SAE患者在姿势功能上存在差异。分流手术后，NPH患者的姿势功能比运动功能改善得更多。NPH患者比HI有更大的摆动面积和更高的向后压力中心速度。矢状面倾斜方向在NPH和SAE患者中为中性或向前，而在HI中为向后。所有3组在睁眼姿势时姿势功能更好，但NPH患者明显较差，表明脑干姿势中枢对传入视觉刺激存在错误解读。
