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肌张力障碍患者与视力相关的生活质量下降。

Reduced vision-related quality of life in people living with dystonia.

作者信息

Bradnam Lynley, Chen Celia, Graetz Lynton, Loetscher Tobias

机构信息

Department of Exercise Science, University of Auckland, Auckland, New Zealand.

Discipline of Physiotherapy, University of Technology Sydney, Sydney, Australia.

出版信息

Disabil Rehabil. 2020 Jun;42(11):1556-1560. doi: 10.1080/09638288.2018.1528636. Epub 2018 Dec 13.

Abstract

Dystonia is a neurological movement disorder with negative impact on function and quality of life. It is currently unclear whether vision-related quality of life is affected. The aim of this study was to determine whether vision-related quality of life is reduced by dystonia. A vision-related quality of life questionnaire was delivered online to probe visual function in people living with dystonia. Scores for each of six domains were compared to normative data of 819 healthy participants using one sample -tests. Respondents were divided into two groups based on whether they had botulinum toxin injections and compared using independent samples -tests. There were 42 completed responses. There was a difference from norm for two domains; ocular symptoms ((41) = 2.31,  = 0.026) and role performance ((41) = 2.85,  = 0.007). There was variation in responses for all six domains. No difference in scores for the botulinum toxin injection group was found for either domain (both  > 0.74). Some people with dystonia experience reduced vision-related quality of life, which has potential to contribute to their disability. Health professionals should be aware of vision-related issues when managing people with dystonia and consider appropriate rehabilitative interventions to reduce disability and enhance quality of life.Implications for rehabilitationDystonia is a neurological movement disorder resulting in abnormal postures and movements.Vision-related quality of life is reduced by dystonia which may contribute to disability and reduced function.Strategies to improve vision-related quality of life should be included in rehabilitation programmes for people living with dystonia.

摘要

肌张力障碍是一种对功能和生活质量有负面影响的神经运动障碍。目前尚不清楚与视力相关的生活质量是否受到影响。本研究的目的是确定肌张力障碍是否会降低与视力相关的生活质量。通过在线发放一份与视力相关的生活质量问卷,以探究肌张力障碍患者的视觉功能。使用单样本检验将六个领域中每个领域的得分与819名健康参与者的标准数据进行比较。根据是否接受肉毒杆菌毒素注射将受访者分为两组,并使用独立样本检验进行比较。共收到42份完整回复。有两个领域与标准存在差异;眼部症状((41)=2.31,=0.026)和角色表现((41)=2.85,=0.007)。所有六个领域的回复都存在差异。在任何一个领域中,肉毒杆菌毒素注射组的得分均未发现差异(均>0.74)。一些肌张力障碍患者的视力相关生活质量有所下降,这可能导致他们的残疾。卫生专业人员在管理肌张力障碍患者时应意识到与视力相关的问题,并考虑采取适当的康复干预措施以减少残疾并提高生活质量。康复启示肌张力障碍是一种导致异常姿势和运动的神经运动障碍。肌张力障碍会降低与视力相关的生活质量,这可能导致残疾和功能下降。改善视力相关生活质量的策略应纳入肌张力障碍患者的康复计划中。

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