de Decker Laure, Annweiler Cédric, Yvain Fabienne, Leroux Philippe, Lermite Pierre, Berrut Gilles, Hily Sylvie, Beauchet Olivier
Pôle de gérontologie clinique, Centre hospitalier universitaire de Nantes, Nantes.
Geriatr Psychol Neuropsychiatr Vieil. 2011 Sep;9(3):269-76. doi: 10.1684/pnv.2011.0291.
Gait and balance disorders are frequent in demented older adults. Their management (i.e., diagnosis, assessment and treatment) is challenging in daily practice because of numerous evaluation tests available, difficulties to select the most adapted intervention, and the lack of knowledge of physicians and health professionals concerning adapted centers to refer their patients to those patients. Thus, a working group of experts was organized by the Gérontopôle of Pays de Loire, France, in December 2010 with the aim to provide clinical guidelines for the management of older adults aged 65 years and older with mild to moderate dementia with gait and balance disorders. These guidelines provide answers to the following questions: 1) Is there gait and/or balance disorders? 2) Which specific tests used? and 3) How to treat patients?
步态和平衡障碍在老年痴呆患者中很常见。在日常实践中，对其进行管理（即诊断、评估和治疗）具有挑战性，原因在于有众多可用的评估测试、难以选择最适合的干预措施，以及医生和健康专业人员缺乏关于将患者转诊至合适机构的知识。因此，法国卢瓦尔河地区老年医学中心于2010年12月组织了一个专家工作组，旨在为65岁及以上患有轻度至中度痴呆且伴有步态和平衡障碍的老年人的管理提供临床指南。这些指南针对以下问题给出了答案：1）是否存在步态和/或平衡障碍？2）使用哪些特定测试？以及3）如何治疗患者？
