探讨帕金森病患者躯干位置觉与平衡、功能性移动能力、跌倒恐惧和疾病阶段之间的关系。
Investigation of the relationship between trunk position sense and balance, functional mobility, fear of falling, and disease stage in Parkinson's disease.
机构信息
Faculty of Health Science, Physiotherapy and Rehabilitation, Ankara Yıldırım Beyazıt University, 06760, Ankara, Turkey.
Physiotherapy Program, Vocational School of Health Services, Giresun University, Giresun, Turkey.
出版信息
Ir J Med Sci. 2023 Aug;192(4):1889-1894. doi: 10.1007/s11845-022-03192-7. Epub 2022 Oct 17.
INTRODUCTION
Parameters related to trunk control such as balance disorders, mobility problems, and falling are frequently observed in patients with Parkinson's disease (PD). However, to provide a stable foundation for movement, trunk stability requires appropriate adequate position sense. The aim of the study was to examine the relationship between trunk position sense, balance, functional mobility, fear of falling, and disease stage in patients with PD.
METHODS
The study was conducted in 41 patients with PD (16 female and 25 male). Trunk position sense was assessed with a digital inclinometer, balance with functional reach test, Berg balance scale and one-leg stand test, functional mobility with timed up and go test, fear of falling with activity-specific balance confidence scale, and disease stage with Modified Hoehn and Yahr Scale (MHYS). All patients were tested during the "on" phase following drug therapy.
RESULTS
Repositioning error degree was related with MHYS, Berg balance scale, right and left one-leg stand test, forward functional reach test, timed up and go test, timed up and go test-cognitive and activity-specific balance confidence scale results in patients with PD (r = - 0.363/ - 0.609, p < 0.05 for all).
CONCLUSION
It was shown in the study that trunk position sense was associated with disease stage, balance level, functional mobility, and fear of falling in patients with PD. These results suggest that trunk position sense is more important to plan effective rehabilitation program for development and protection of disease stage, balance level, functional mobility, and fear of falling in patients with PD.
简介
在帕金森病(PD)患者中,经常观察到与躯干控制相关的参数,例如平衡障碍、活动问题和跌倒。然而,为了为运动提供稳定的基础,躯干稳定性需要适当的位置感。本研究旨在探讨 PD 患者躯干位置感、平衡、功能性移动性、跌倒恐惧与疾病分期之间的关系。
方法
本研究纳入了 41 名 PD 患者(女性 16 名,男性 25 名)。躯干位置感使用数字倾斜计评估,平衡使用功能性伸展测试、伯格平衡量表和单腿站立测试评估,功能性移动性使用计时起立行走测试评估,跌倒恐惧使用活动特异性平衡信心量表评估,疾病分期使用改良 Hoehn 和 Yahr 量表(MHYS)评估。所有患者均在药物治疗后的“ON”期进行测试。
结果
重新定位误差程度与 MHYS、伯格平衡量表、左右单腿站立测试、向前功能性伸展测试、计时起立行走测试、计时起立行走测试-认知和活动特异性平衡信心量表结果相关(r=−0.363/−0.609,p<0.05)。
结论
本研究表明,PD 患者的躯干位置感与疾病分期、平衡水平、功能性移动性和跌倒恐惧有关。这些结果表明,躯干位置感对于为 PD 患者制定有效的康复计划以促进和保护疾病分期、平衡水平、功能性移动性和跌倒恐惧更为重要。