Rehabilitation Sciences Program, School of Medicine, University of Colorado-Anschutz Medical Campus , Aurora, CO, USA.
Department of Neurology, University of Colorado-Anschutz Medical Campus , Aurora, CO, USA.
Physiother Theory Pract. 2020 Jun;36(6):701-708. doi: 10.1080/09593985.2018.1492055. Epub 2018 Jul 6.
Disturbances in the visual, vestibular, and oculomotor systems have been identified in Parkinson's disease (PD). Patients' perspectives regarding these symptoms remain unexplored and may provide insights on functional implications of these symptoms and guide future interventions. The goal of this study is to elicit perceptions of individuals with PD with respect to visual, vestibular, and oculomotor deficits. : Twenty-nine individuals with PD participated in focus group discussions. Participants discussed visual, vestibular, and oculomotor deficits they experience and how these deficits affect function. Discussions were recorded, transcribed, and coded. Inductive qualitative data analysis techniques were used to interpret responses. : Four themes emerged: 1) participants perceived visual, vestibular, and oculomotor deficits and related these deficits to their PD diagnosis; 2) participants perceive that these deficits affect function; 3) participants suggested these deficits are not recognized by healthcare providers; and 4) participants indicated they receive limited treatment for these deficits. : Visual, vestibular, and oculomotor deficits are under-reported and under-assessed symptoms, which have a significant impact on the lives of people with PD. Healthcare providers should be aware of such deficits. The findings suggest that the healthcare team can better identify these deficits and identify important future areas of research.
视觉、前庭和眼动系统的障碍已在帕金森病(PD)中被识别。患者对这些症状的看法仍未得到探索,这可能为这些症状的功能影响提供了深入的了解,并指导未来的干预措施。本研究的目的是了解 PD 患者对视觉、前庭和眼动缺陷的看法。
29 名 PD 患者参加了焦点小组讨论。参与者讨论了他们所经历的视觉、前庭和眼动缺陷,以及这些缺陷如何影响他们的功能。讨论被记录、转录和编码。采用归纳定性数据分析技术对这些反应进行解释。
1)参与者感知到视觉、前庭和眼动缺陷,并将这些缺陷与他们的 PD 诊断联系起来;2)参与者认为这些缺陷会影响他们的功能;3)参与者表示这些缺陷没有被医疗保健提供者识别;4)参与者表示他们仅接受了针对这些缺陷的有限治疗。
视觉、前庭和眼动缺陷是报告和评估不足的症状,对 PD 患者的生活有重大影响。医疗保健提供者应意识到这些缺陷。研究结果表明,医疗团队可以更好地识别这些缺陷,并确定未来重要的研究领域。