Department of Neurology, Oregon Health & Science University, Portland, Oregon 97239, USA.
Mov Disord. 2011 May;26(6):1166-74. doi: 10.1002/mds.23588.
Gait, balance, and falls have become increasingly common topics of published articles in the Movement Disorders journal since its launch in 1986. This growth represents an increasing awareness of the importance of mobility to patients' quality of life. New methods have become available that allow for accurate measurement of many aspects for gait and balance. This has led to new concepts of understanding gait and balance disorders. Neuroimaging has begun to reveal the neural circuitry underlying gait and balance. The physiology and pathophysiology of balance and gait are beginning to tease out the many processes involved in mobility and how they may be disrupted by disease processes. With these advances, the old therapeutic nihilism that characterized the clinician's approach to falls and gait disorders is disappearing, as innovative physiotherapy, exercise, drugs, and deep brain stimulation are being employed for gait and balance disorders.
自 1986 年《运动障碍杂志》创刊以来，步态、平衡和跌倒已成为该杂志发表文章中越来越常见的主题。这种增长反映了人们越来越意识到运动对患者生活质量的重要性。现在已经有了新的方法，可以准确测量步态和平衡的许多方面。这导致了对步态和平衡障碍的新概念的理解。神经影像学开始揭示与步态和平衡相关的神经回路。平衡和步态的生理学和病理生理学开始揭示涉及运动的许多过程，以及疾病过程如何破坏这些过程。随着这些进展，过去那种以治疗性虚无主义为特征的临床医生对跌倒和步态障碍的治疗方法正在消失，创新的物理治疗、运动、药物和深部脑刺激正在被用于治疗步态和平衡障碍。
