Verheyden Geert, Willems Anne-Marie, Ooms Lieve, Nieuwboer Alice
Department of Rehabilitation Sciences, Faculty of Kinesiology and Rehabilitation Sciences, Katholieke Universiteit Leuven, Leuven, Belgium.
Arch Phys Med Rehabil. 2007 Oct;88(10):1304-8. doi: 10.1016/j.apmr.2007.06.772.
To evaluate construct validity of the Trunk Impairment Scale (TIS) as a measure of trunk performance in Parkinson's disease (PD).
A cross-sectional study of PD patients and healthy subjects.
University rehabilitation research unit.
Twenty-six PD patients (Hoehn and Yahr stages 2-4) and 26 healthy subjects.
Not applicable.
The TIS and its subscales; static and dynamic sitting balance and trunk coordination.
Compared with healthy controls, PD patients showed significantly lower scores on the total TIS, static sitting balance, and coordination subscale. Healthy subjects scored significantly better on the total TIS and coordination subscale compared with patients in the early stage of PD. Patients with PD in the early stage scored significantly higher for the total TIS as well as static and dynamic sitting balance in comparison with PD patients in a later stage. Forward stepwise multiple linear regression analysis showed that trunk impairment in PD patients was significantly related to a combination of older age and a higher score on part III of the Unified Parkinson's Disease Rating Scale, which assesses motor impairments.
Early detection of trunk deficits and the significant relation with PD severity advocates further evaluation and use of the TIS in PD.
评估躯干功能障碍量表（TIS）作为帕金森病（PD）躯干功能测量工具的结构效度。
对PD患者和健康受试者进行横断面研究。
大学康复研究单位。
26例PD患者（Hoehn和Yahr分期为2 - 4期）和26名健康受试者。
不适用。
TIS及其子量表；静态和动态坐位平衡以及躯干协调性。
与健康对照组相比，PD患者在TIS总分、静态坐位平衡和协调性子量表上的得分显著更低。与早期PD患者相比，健康受试者在TIS总分和协调性子量表上得分显著更高。早期PD患者在TIS总分以及静态和动态坐位平衡方面的得分显著高于晚期PD患者。向前逐步多元线性回归分析表明，PD患者的躯干功能障碍与年龄较大以及评估运动障碍的统一帕金森病评定量表第三部分得分较高显著相关。
早期发现躯干功能缺陷以及与PD严重程度的显著关系，提倡进一步评估和在PD中使用TIS。
