Franco Clarissa R C, Leão Paula, Townsend Raquel, Rieder Carlos R M
Department of Physical Therapy, HCPA, Porto Alegre RS, Brazil.
Arq Neuropsiquiatr. 2011 Aug;69(4):636-41. doi: 10.1590/s0004-282x2011000500012.
Axial rigidity is an important motor manifestation in Parkinson's disease (PD). Trunk mobility impairment can cause gait, balance and postural problems. However, only few instruments analyze the trunk mobility in PD patients. The aim of this study is to present a new Trunk Mobility Scale (TMS) and its validation in PD. The TMS constituted of dynamic tests involving trunk movements in sagittal, transversal and coronal planes. Ninety eight PD patients and 31 normal controls were analyzed. A strong correlation was found between the TMS scores and the Hoehn & Yahr staging scale (r: 0.72; p<0.01), motor Unified Parkinson's Disease Rating Scale (r: 0.84; p<0.01) and Schwab and England Activities of Daily Living (r: -0.72; p<0.01). The scale showed a satisfactory reliability rate (αCronbach: 0.85, ICC: 099). TMS is a simple and reliable instrument to evaluate trunk mobility impairment in patients with PD.
轴向僵硬是帕金森病（PD）的一种重要运动表现。躯干活动能力受损会导致步态、平衡和姿势问题。然而，仅有少数工具可分析PD患者的躯干活动能力。本研究的目的是介绍一种新的躯干活动量表（TMS）及其在PD中的验证情况。TMS由涉及矢状面、横断面和冠状面躯干运动的动态测试组成。对98例PD患者和31名正常对照者进行了分析。发现TMS评分与Hoehn & Yahr分期量表（r：0.72；p<0.01）、帕金森病统一运动评分量表（r：0.84；p<0.01）以及施瓦布和英格兰日常生活活动量表（r：-0.72；p<0.01）之间存在强相关性。该量表显示出令人满意的信度（Cronbachα系数：0.85，组内相关系数：0.99）。TMS是评估PD患者躯干活动能力受损的一种简单且可靠的工具。
