帕金森病患者平衡能力与感知之间的不一致及其与跌倒的关系：一项重复分析
Discordance Between Balance Ability and Perception and Its Relation to Falls in Parkinson's Disease: A Replication Analysis.
作者信息
Longhurst Jason K, Hooyman Andrew, Albrecht Franziska, Franzén Erika, Peterson Daniel S
机构信息
Department of Physical Therapy and Athletic Training, Saint Louis University, Louis, MO, USA.
Department of Physical Therapy, Chapman University, Irvine, CA, USA.
出版信息
Neurorehabil Neural Repair. 2025 May 6:15459683251335316. doi: 10.1177/15459683251335316.
BACKGROUND
Falls are a common challenge for people with Parkinson's disease (PwPD), driven by balance impairments and misaligned perceptions of balance abilities.
OBJECTIVE
This study investigated the replicability and generalizability of the relationship between balance ability and perception discordance and fall risk.
METHODS
Using baseline data from 2 clinical trials involving 171 PwPD, discordance was calculated using the Activities Specific Balance Confidence Scale and Timed Up and Go (TUG) or the Mini Balance Evaluation System's Test (MiniBEST).
RESULTS
Findings supported the replicability of discordance as a predictor of fall risk, with results consistent across measures. While TUG-derived discordance was statistically significant, MiniBEST-derived discordance showed generalizability without statistical inferiority.
CONCLUSION
These results emphasize the relevance of balance perception and its misalignment with ability as fall risk predictors.
背景
跌倒对帕金森病患者（PwPD）来说是一个常见挑战，这是由平衡障碍以及对平衡能力的认知偏差所导致的。
目的
本研究调查了平衡能力与认知不一致以及跌倒风险之间关系的可重复性和普遍性。
方法
利用来自2项涉及171名帕金森病患者的临床试验的基线数据，使用特定活动平衡信心量表和计时起立行走测试（TUG）或迷你平衡评估系统测试（MiniBEST）来计算不一致性。
结果
研究结果支持了不一致性作为跌倒风险预测指标的可重复性，各项测量结果一致。虽然由TUG得出的不一致性具有统计学意义，但由MiniBEST得出的不一致性显示出普遍性且无统计学劣势。
结论
这些结果强调了平衡感知及其与能力的偏差作为跌倒风险预测指标的相关性。
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