Jo Geunyeol, Park Jinse, Yoon Ji-Yeon, Kim Haeyu, Kim Seong Cheol, Park Sang-Hyun
Department of Physical Medicine and Rehabilitation, Haeundae Paik Hospital, Inje University, Republic of Korea.
Department of Neurology, Haeundae Paik Hospital, Inje University: 875 Haeundaero, Haeundaegu, Busan 612-030, Republic of Korea.
J Phys Ther Sci. 2018 Aug;30(8):988-992. doi: 10.1589/jpts.30.988. Epub 2018 Jul 24.
[Purpose] The gait characteristics, such as short step, decreased arm swing and stooped posture, in Parkinson disease (PD) are well established. Pharmacological and non-pharmacological treatments have been attempted to improve the gait in patients with PD. Among the non-pharmacological approaches to improve gait, spinal orthosis can be applied for patients with spinal deformity. The purpose of our study was to investigate the effect of spinal kypho-orthosis to gait in PD by using a three-dimensional analysis. [Participants and Methods] Twenty-six patients with PD with gait disturbance with forward bend posture >15°. All participants were instructed to walk along a 6-m track and turn 180° and come back to the starting point under three-dimensional motion capture. The participants performed the test again with spinal kypho-orthosis. Gait parameters during examination is compared with and without spinal kypho-orthosis. The degree of forward flexion after kypho-orthosis in patients with PD was compared. [Results] Wearing the spinal kypho-orthosis significantly improved turning performance but did not affect locomotion. The severity of forward bend posture is mildly improved after the application of spinal kypho-orthosis. [Conclusion] Spinal kypho-orthosis has a short-term effect for gait performance, particularly during turning and erect posture. Spinal kypho-orthosis can be potentially used for management of turning deficits in PD.
[目的]帕金森病（PD）患者的步态特征，如步幅短、摆臂减少和姿势驼背等已得到充分证实。人们已尝试通过药物和非药物治疗来改善PD患者的步态。在改善步态的非药物方法中，脊柱矫形器可应用于脊柱畸形患者。我们研究的目的是通过三维分析来探究脊柱后凸矫形器对PD患者步态的影响。[参与者与方法]26例有步态障碍且前屈姿势>15°的PD患者。所有参与者被要求在三维运动捕捉下沿着6米的轨道行走，转180°后回到起点。参与者佩戴脊柱后凸矫形器再次进行测试。比较佩戴和不佩戴脊柱后凸矫形器时检查期间的步态参数。比较PD患者佩戴后凸矫形器后的前屈程度。[结果]佩戴脊柱后凸矫形器显著改善了转身表现，但不影响行走。应用脊柱后凸矫形器后，前屈姿势的严重程度略有改善。[结论]脊柱后凸矫形器对步态表现有短期影响，尤其是在转身和直立姿势时。脊柱后凸矫形器可能可用于管理PD患者的转身缺陷。
