Physiotherapy Unit, Hospital Tuanku Jaafar, Negeri Sembilan, Malaysia.
Centre for Physiotherapy Studies, Faculty of Health Sciences, Universiti Teknologi MARA, Puncak Alam, Selangor, Malaysia.
Ann Med. 2024 Dec;56(1):2402952. doi: 10.1080/07853890.2024.2402952. Epub 2024 Nov 16.
Older adults with Benign Paroxysmal Positioning Vertigo (BPPV) may present with unsteadiness that affects gait patterns.
This study investigated the spatiotemporal gait parameters and indicators of turning difficulty during the Timed Up and Go (TUG) test in older adults with BPPV.
This case-controlled study collected data from older adults aged 65 and above with BPPV, young adults with BPPV and older adults without BPPV. Postural stability and self-perception of stability were measured using the Functional Gait Analysis and the Malay version of the Dizziness Handicap Inventory, respectively. The spatiotemporal gait parameters were recorded using a camera. The one-way ANOVA test was used for statistical analysis.
Older adults with BPPV presented with alteration in gait parameters (time and number of steps) compared to older adults without BPPV and adults with BPPV during the TUG test ( < 0.05). During the straight walking tasks of the TUG test, there were significant differences in stride length and velocity between the three groups ( < 0.05). Older adults with BPPV presented with less pivoting and took longer time and more steps to complete the turning phase of the TUG.
The findings suggest that gait performance was compromised in older adults with BPPV.
患有良性阵发性位置性眩晕（BPPV）的老年人可能会出现步态不稳的情况，从而影响步态模式。
本研究旨在探讨 BPPV 老年患者在计时起立行走（TUG）测试中步态的时空参数和转身困难指标。
本病例对照研究收集了 65 岁及以上的 BPPV 老年患者、BPPV 青年患者和无 BPPV 的老年患者的数据。使用功能性步态分析和马来语版头晕障碍问卷分别测量姿势稳定性和自我稳定性感知。使用摄像机记录时空步态参数。采用单因素方差分析进行统计分析。
与无 BPPV 的老年患者和 BPPV 青年患者相比，BPPV 老年患者在 TUG 测试中的步态参数（时间和步数）发生了改变（ < 0.05）。在 TUG 测试的直线行走任务中，三组之间的步长和速度存在显著差异（ < 0.05）。BPPV 老年患者的转身动作较少，完成 TUG 转身阶段的时间更长，步数更多。
研究结果表明，BPPV 老年患者的步态表现受损。
