Gialanella Bernardo, Comini Laura, Prometti Paola, Vanoglio Fabio, Santoro Raffaele
Istituti Clinici Scientifici Maugeri IRCCS, Neurorehabilitation of the Institute of Lumezzane, 25065 Lumezzane, Italy.
Istituti Clinici Scientifici Maugeri IRCCS, Scientific Direction of the Institute of Lumezzane, 25065 Lumezzane, Italy.
Life (Basel). 2023 Apr 20;13(4):1059. doi: 10.3390/life13041059.
To date, little is known about the effects of motor rehabilitation in peripheral neuropathy (PN) patients with a history of recurrent falls (RFH). This study aimed to assess balance and the activities of daily living (ADLs) in elderly lower limb PN patients with and without RFH and to verify the effects of motor rehabilitation on balance and ADLs in these patients. We collected data from 64 lower limb PN patients, who underwent a conventional motor rehabilitation program: 35 patients had a history of recurrent falls, and 29 did not. The Berg Balance Scale (BBS) and motor FIM, before and after rehabilitation, were the outcome measures. After rehabilitation, lower limb PN patients with RFH had significantly higher scores in BBS and motor FIM ( < 0.001, for both) than at entry. The final BBS score and effectiveness in the BBS score of lower limb PN patients with RFH were lower than those of patients without RFH ( < 0.05 and = 0.009, respectively). The study shows that conventional motor rehabilitation improves both balance and ADLs in patients, but balance improvement is lower in those with RFH. Thus, motor rehabilitation can be a therapeutic option for the management of these patients.
迄今为止，对于有跌倒复发史（RFH）的周围神经病变（PN）患者进行运动康复的效果知之甚少。本研究旨在评估有和没有RFH的老年下肢PN患者的平衡能力和日常生活活动能力（ADLs），并验证运动康复对这些患者平衡能力和ADLs的影响。我们收集了64例接受常规运动康复计划的下肢PN患者的数据：35例有跌倒复发史，29例没有。康复前后的Berg平衡量表（BBS）和运动功能独立性测量量表（FIM）是观察指标。康复后，有RFH的下肢PN患者的BBS和运动FIM得分（两者均P<0.001）显著高于入院时。有RFH的下肢PN患者的最终BBS得分和BBS得分的改善程度低于没有RFH的患者（分别为P<0.05和P = 0.009）。研究表明，常规运动康复可改善患者的平衡能力和ADLs，但有RFH的患者平衡能力的改善程度较低。因此，运动康复可以作为这些患者治疗的一种选择。
