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帕金森病患者足部疼痛与跌倒风险增加的关系。

Relationship of foot pain with the increased risk of falls in patients with Parkinson's disease.

作者信息

Jiménez-Cebrián Ana María, Ruiz-Sánchez Francisco Javier, Losa-Iglesias Marta Elena, Becerro-de-Bengoa-Vallejo Ricardo, López-López Daniel, Montiel-Luque Alonso, de Labra Carmen, Saavedra-García Miguel Ángel, Navarro-Flores Emmanuel

机构信息

Department Nursing and Podiatry, Faculty of Health Sciences, Instituto de Investigación Biomédica de Málaga (IBIMA), University of Málaga, Málaga, Spain.

Research, Health and Podiatry Group, Department of Health Sciences, Faculty of Nursing and Podiatry, Industrial Campus of Ferrol, Universidade da Coruña, Ferrol, Spain.

出版信息

J Foot Ankle Res. 2024 Dec;17(4):e70023. doi: 10.1002/jfa2.70023.

Abstract

INTRODUCTION

Falls are one of the most frequent difficulties in patients with Parkinson's disease. The objective of this study was to determine the relationship between foot pain and the risk of falls in participants with Parkinson's disease compared to a group of participants without Parkinson's disease.

MATERIALS AND METHODS

The subjects (124) were divided into two groups, cases (n = 62) and controls (n = 62). They completed the Downton scale that collects the following 5 dimensions: previous falls, medications, sensory deficit, mental state, and ambulation.

RESULTS

Analyzing the Downton scale using dimensions, a significant difference was observed between both groups in all dimensions except mental state. Regarding the global result of risk of falls, the participants who had a diagnosis of Parkinson's disease presented a high risk of falls, 40.3% compared to 3.2% of the non-Parkinson's disease group, with statistically significant differences (p < 0.05). For the numerical value of the Downton scale, there was a clear statistically significant difference between groups (2.65 ± 0.96 vs. 1.31 ± 1.19).

CONCLUSION

This research confirms further evidence that people with Parkinson's disease who suffer from foot pain are at high risk of falling, regardless of gender.

摘要

引言

跌倒在帕金森病患者中是最常见的问题之一。本研究的目的是确定与一组无帕金森病的参与者相比,帕金森病参与者足部疼痛与跌倒风险之间的关系。

材料与方法

将124名受试者分为两组,病例组(n = 62)和对照组(n = 62)。他们完成了唐顿量表,该量表收集以下5个维度:既往跌倒史、用药情况、感觉缺陷、精神状态和步行能力。

结果

通过维度分析唐顿量表,除精神状态外,两组在所有维度上均观察到显著差异。关于跌倒风险的总体结果,被诊断为帕金森病的参与者跌倒风险较高,为40.3%,而非帕金森病组为3.2%,差异具有统计学意义(p < 0.05)。对于唐顿量表的数值,两组之间存在明显的统计学显著差异(2.65 ± 0.96 vs. 1.31 ± 1.19)。

结论

本研究进一步证实,患有足部疼痛的帕金森病患者无论性别如何,跌倒风险都很高。

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Assessment of Risk Factors for Falls among Patients with Parkinson's Disease.帕金森病患者跌倒风险因素评估。
Biomed Res Int. 2021 Sep 28;2021:5531331. doi: 10.1155/2021/5531331. eCollection 2021.

本文引用的文献

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Prognostic factors for falls in Parkinson's disease: a systematic review.帕金森病跌倒的预测因素:系统评价。
Acta Neurol Belg. 2024 Apr;124(2):395-406. doi: 10.1007/s13760-023-02428-2. Epub 2023 Nov 28.
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Impact of Parkinson's Disease on Functional Mobility at Different Stages.帕金森病在不同阶段对功能性活动能力的影响。
Front Aging Neurosci. 2022 Jun 15;14:935841. doi: 10.3389/fnagi.2022.935841. eCollection 2022.
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Falls risk is predictive of dysphagia in Parkinson's disease.帕金森病患者的跌倒风险可预测其吞咽困难。
Neurol Sci. 2022 Feb;43(2):1415-1417. doi: 10.1007/s10072-021-05700-6. Epub 2021 Nov 3.
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Assessment of Risk Factors for Falls among Patients with Parkinson's Disease.帕金森病患者跌倒风险因素评估。
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