帕金森病患者在倒退行走时表现出肢体间协调性受损。
Persons with Parkinson's disease show impaired interlimb coordination during backward walking.
机构信息
Department of Kinesiology & Applied Physiology, University of Delaware, STAR Campus, 540 S College Ave, Newark, DE, 19713, USA; Department of Applied Physiology and Kinesiology, University of Florida, 1864 Stadium Road, Gainesville, FL, 32611, USA.
Department of Applied Physiology and Kinesiology, University of Florida, 1864 Stadium Road, Gainesville, FL, 32611, USA.
出版信息
Parkinsonism Relat Disord. 2022 Jan;94:25-29. doi: 10.1016/j.parkreldis.2021.11.029. Epub 2021 Dec 1.
INTRODUCTION
Although there is growing literature supporting the implementation of backward walking as a potential rehabilitation tool, moving backwards may precipitate falls for persons with Parkinson's disease. We sought to better understand interlimb coordination during backward walking in comparison to forward walking in persons with Parkinson's disease and healthy controls.
METHODS
We assessed coordination using point estimate of relative phase at each participant's preferred walking speed.
RESULTS
Persons with Parkinson's disease demonstrated impaired interlimb coordination between the more affected arm and each leg compared to controls, which worsened during backward walking.
CONCLUSION
For those with Parkinson's disease, inability to output smooth coordinated movement of the more affected shoulder may impair coordination during forward and, especially, backward walking. Our findings provide new information about backward walking that can allow clinicians to make safer, more effective therapeutic recommendations for persons with Parkinson's disease.
简介
尽管越来越多的文献支持将倒退行走作为一种潜在的康复工具，但倒退行走可能会使帕金森病患者摔倒。我们试图更好地理解帕金森病患者和健康对照组在后退行走和前进行走时的四肢协调性。
方法
我们使用每个参与者在其偏爱的行走速度下的相对相位点估计来评估协调性。
结果
与对照组相比，帕金森病患者的受影响更严重的手臂与每条腿之间的四肢协调性受损，在倒退行走时恶化。
结论
对于帕金森病患者来说，无法流畅协调地运动受影响更严重的肩部可能会影响前进和尤其是后退行走时的协调性。我们的研究结果为后退行走提供了新的信息，这可以使临床医生为帕金森病患者做出更安全、更有效的治疗建议。
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