Matsuo Yoshimi, Asai Yoshiyuki, Nomura Taishin, Sato Shunsuke, Inoue Satoru, Mizukura Isao, Yoneda Toshihiko, Miki Akinori, Sakoda Saburo, Abe Kazuo
Department of Rehabilitation, Osaka University Hospital, Osaka 565-0871, Japan ; Faculty of Health Sciences, Graduate School of Medicine, Kobe University, Kobe 654-0142, Japan.
Department of Mechanical Science and Bioengineering, Graduate School of Engineering Science, Osaka University, Osaka 560-8531, Japan.
J Jpn Phys Ther Assoc. 2005;8(1):47-52. doi: 10.1298/jjpta.8.47.
Dysfunction of limb coordination may be divided into two categories; intra and inter-limb incoordination. To make clear differential character in these two limb incoordination, we measured 13 patients mainly with cerebellar ataxia and 27 patients mainly with parkinsonism during pedaling of an ergometer with left and right pedals that can be rotated independently. As a result, interlimb incoordination was predominantly observed in patients with parkinsonism, while patients with cerebellar ataxia showed relatively preserved interlimb coordination but intralimb incoordination. We concluded that impairment of intralimb coordination was a character in patients with cerebellar ataxia, while impairment of interlimb coordination was a character in patients with parkinsonism.
肢体内部不协调和肢体间不协调。为明确这两种肢体不协调的鉴别特征,我们对13例主要患有小脑性共济失调的患者和27例主要患有帕金森病的患者进行了测量,测量时让他们在一个左右踏板可独立旋转的测力计上蹬踏。结果显示,帕金森病患者主要表现为肢体间不协调,而小脑性共济失调患者的肢体间协调性相对保留,但存在肢体内部不协调。我们得出结论,肢体内部协调性受损是小脑性共济失调患者的特征,而肢体间协调性受损是帕金森病患者的特征。