Tamaoka Akira
Department of Neurology, Division of Clinical Medicine, Faculty of Medicine, University of Tsukuba, Japan.
Clin Calcium. 2013 May;23(5):679-85.
Neurological disorders are frequently associated with risk factors for falls, such as gait and balance disorders, deficits of lower extremity strength, sensation and coordination, in addition to cognitive impairments. Patients with various kinds of neurological disorders, including Parkinson's disease, Parkinson's syndrome, amyotrophic lateral sclerosis, peripheral neuropathy, stroke, etc, easily suffer from falls. To prevent falls among such patients, treatments of the underlying neurological diseases and assessments risk factors for falls are most important to cope effectively with these patients. In general, maintenance of the appropriate environment, consideration of the injury prevention, rehabilitation for increasing muscular strength, etc, are useful for the prevention of falls in patients with neurological disorders.
神经疾病常与跌倒风险因素相关,如步态和平衡障碍、下肢力量、感觉和协调能力缺陷,以及认知障碍。患有各种神经疾病的患者,包括帕金森病、帕金森综合征、肌萎缩侧索硬化症、周围神经病变、中风等,很容易跌倒。为预防这类患者跌倒,治疗潜在的神经疾病以及评估跌倒风险因素对于有效应对这些患者最为重要。一般来说,维持适宜的环境、考虑预防损伤、进行增强肌肉力量的康复训练等,对于预防神经疾病患者跌倒很有用。