Universidade Federal do Rio Grande do Sul, Porto Alegre, Brazil.
Serviço de Neurologia, Hospital de Clínicas de Porto Alegre, Porto Alegre, Brazil.
PM R. 2023 Jul;15(7):865-871. doi: 10.1002/pmrj.12865. Epub 2022 Aug 6.
Life-space mobility (LSM) is a mobility measure that assesses the physical and social environments through which people move during their daily lives.
To characterize LSM among individuals with Parkinson disease and explore the relationship between LSM, self-efficacy, and balance.
A cross-sectional study.
Movement disorder clinic at a teaching hospital.
Eighty-eight participants with Parkinson disease.
Not applicable.
The dependent variable (LSM) was assessed using the Life-Space Assessment (LSA) instrument. Balance evaluation and balance self-efficacy were assessed using the Mini Balance Evaluation Systems Test (Mini-BESTest) and the Activities-Specific Balance Confidence Scale, respectively. Other variables, such as age, disease staging (Hoehn-Yahr staging system), cognition (Montreal Cognitive Assessment), and depressive symptoms (Beck Depression Inventory-II), were also measured.
The mean LSA score was 65.2 (SD: 22.8) and mean age was 63.2 years (SD: 10.5 years). Among the 88 patients, 32 (36.4%) were classified as restricted LSM. Age (p = .03), disease severity (p = .02), cognition (p = .02), and motor subtype (p = .006) were associated with more restricted LSM among participants. A multiple linear regression model demonstrated that LSM can be predicted by balance performance (R = 0.377; p < .001).
Age, disease severity, cognition, motor subtype, balance self-efficacy, and balance performance are associated with LSM. Understanding and improving balance and self-efficacy in people with Parkinson disease could facilitate community mobility and promote functional independence and health maintenance.
生活空间移动能力（LSM）是一种通过评估人们日常生活中移动的物理和社会环境来衡量移动能力的指标。
描述帕金森病患者的 LSM，并探讨 LSM 与自我效能感和平衡之间的关系。
横断面研究。
教学医院的运动障碍诊所。
88 名帕金森病患者。
不适用。
因变量（LSM）采用生活空间评估（LSA）量表进行评估。平衡评估和平衡自我效能感分别采用简易平衡评估系统测试（Mini-BESTest）和活动特异性平衡信心量表进行评估。还测量了其他变量，如年龄、疾病分期（Hoehn-Yahr 分期系统）、认知（蒙特利尔认知评估）和抑郁症状（贝克抑郁量表-II）。
LSA 平均得分为 65.2（标准差：22.8），平均年龄为 63.2 岁（标准差：10.5 岁）。在 88 名患者中，有 32 名（36.4%）被归类为活动受限。年龄（p=0.03）、疾病严重程度（p=0.02）、认知（p=0.02）和运动亚型（p=0.006）与参与者中更受限的 LSM 相关。多元线性回归模型表明，LSM 可由平衡表现预测（R 2=0.377；p<0.001）。
年龄、疾病严重程度、认知、运动亚型、平衡自我效能感和平衡表现与 LSM 相关。了解和改善帕金森病患者的平衡和自我效能感，可以促进社区活动能力，促进功能独立性和健康维持。
