Giresun University, Vocational School of Health Services, Therapy and Rehabilitation, Giresun, 28200, Turkey.
Faculty of Medicine, Neurology Department, Gazi University, Ankara, Turkey.
Ir J Med Sci. 2023 Oct;192(5):2401-2408. doi: 10.1007/s11845-023-03279-9. Epub 2023 Jan 19.
INTRODUCTION: Optimal trunk control relies on adequate musculoskeletal, motor, and somatosensory systems that are often affected in people with Alzheimer's disease (AD). Therefore, the aim of this study was to compare trunk control between people with AD and healthy older adults, and investigate the relationship between trunk control and balance, gait, functional mobility, and fear of falling in people with AD. METHODS: The study was completed with 35 people with AD and 33 healthy older adults with matching age and gender. Trunk control was evaluated with Trunk Impairment Scale (TIS); balance with Berg Balance Scale (BBS), Functional Reach Test (FRT), One-Leg Standing Test (OLST) and Five-Repeat Sit-and-Stand Test (5STS); gait with Dynamic Gait Index (DGI); functional mobility with Timed Up and Go (TUG) Test; fear of falling with Falls Efficacy Scale-International (FES-I). RESULTS: BBS, FRT, OLST, and DGI scores were lower and 5STS and TUG Test scores were higher in people with AD compared to healthy older adults (p < 0.05). There was no difference in FES-I score between people with AD and healthy older adults (p > 0.05). TIS was associated with BBS, FRT, OLST, 5STS, DGI, TUG Test, and FES-I (r between - 0.341 and 0.738; p < 0.05 for all). CONCLUSION: Trunk control is affected and related with balance, gait, functional mobility, and fear of falling in people with AD. For this reason, we think that trunk control should be evaluated in the early period, and applications for trunk control should be included in rehabilitation approaches in order to improve balance, gait, functional mobility, and reduce fear of falling.
简介:理想的躯干控制依赖于充分的肌肉骨骼、运动和躯体感觉系统,而这些系统在阿尔茨海默病(AD)患者中往往受到影响。因此,本研究的目的是比较 AD 患者与健康老年人的躯干控制,并探讨 AD 患者躯干控制与平衡、步态、功能性移动能力和跌倒恐惧之间的关系。
方法:本研究纳入了 35 名 AD 患者和 33 名年龄和性别相匹配的健康老年人。采用躯干损伤量表(TIS)评估躯干控制;采用 Berg 平衡量表(BBS)、功能性前伸测试(FRT)、单腿站立测试(OLST)和 5 次重复坐-站测试(5STS)评估平衡;采用动态步态指数(DGI)评估步态;采用计时起立行走测试(TUG)评估功能性移动能力;采用跌倒效能量表-国际版(FES-I)评估跌倒恐惧。
结果:AD 患者的 BBS、FRT、OLST 和 DGI 评分较低,5STS 和 TUG 测试评分较高(p<0.05)。AD 患者和健康老年人的 FES-I 评分无差异(p>0.05)。TIS 与 BBS、FRT、OLST、5STS、DGI、TUG 测试和 FES-I 相关(r 介于-0.341 到 0.738;p<0.05)。
结论:AD 患者的躯干控制受到影响,并与平衡、步态、功能性移动能力和跌倒恐惧有关。因此,我们认为应在早期评估躯干控制,并将躯干控制应用纳入康复方法中,以改善平衡、步态、功能性移动能力,并降低跌倒恐惧。
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