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分析患有精神运动适应不良综合征(PDS)的老年患者的姿势控制。

Analysis of postural control in elderly subjects suffering from Psychomotor Disadaptation Syndrome (PDS).

机构信息

INSERM/U887 Motricité-Plasticité: Performance, Dysfonctionnement, Vieillissement et Technologies d'optimisation, Université de Bourgogne, Faculté des Sciences du Sport, Dijon Cedex, France.

出版信息

Arch Gerontol Geriatr. 2010 Jul-Aug;51(1):e19-23. doi: 10.1016/j.archger.2009.07.003. Epub 2009 Aug 8.

DOI:10.1016/j.archger.2009.07.003
PMID:19665808
Abstract

PDS is a geriatric affliction, described in 1999, characterized by postural impairments, including backward disequilibrium, freezing, a deterioration in the ability to anticipate postural adjustments, anxiety and fear of falling, inducing loss of autonomy. This study compared 10 subjects suffering from PDS, aged 87.3+/-4.9 years, with 10 control subjects, aged 85.4+/-7.9 years concerning postural control (body sway amplitude). In all participants, postural control was assessed using the SwayStar system in natural (spontaneous) and standardized stances, eyes open and eyes closed over a period of 40 s. It was found that: (1) with eyes open, subjects with PDS showed greater body sway amplitude than did controls whatever the position (natural or standardized) and the plane (sagittal or frontal) considered (F(1,16)=6.05; p=0.026), (2) with eyes closed, subjects with PDS showed greater body sway amplitude than did controls in the natural stance whatever the plane (F(1,18)=7.65; p=0.013). In conclusion, PDS has a negative effect on postural control. This data must be taken into account during the rehabilitation of patients with this syndrome.

摘要

PDS 是一种老年疾病,于 1999 年被描述,其特征为姿势障碍,包括向后失衡、冻结、预测姿势调整能力下降、焦虑和害怕跌倒,导致自主性丧失。本研究比较了 10 名患有 PDS 的受试者(年龄 87.3±4.9 岁)和 10 名对照受试者(年龄 85.4±7.9 岁)的姿势控制(身体摆动幅度)。在所有参与者中,使用 SwayStar 系统评估姿势控制,在自然(自发)和标准化姿势下,睁眼和闭眼 40 秒。结果发现:(1)睁眼时,无论考虑的位置(自然或标准化)和平面(矢状面或额状面)如何,PDS 受试者的身体摆动幅度均大于对照组(F(1,16)=6.05;p=0.026);(2)闭眼时,无论平面如何(F(1,18)=7.65;p=0.013),PDS 受试者在自然姿势下的身体摆动幅度均大于对照组。总之,PDS 对姿势控制有负面影响。在对患有这种综合征的患者进行康复治疗时,必须考虑到这些数据。

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