Zijlmans J C, Poels P J, Duysens J, van der Straaten J, Thien T, van't Hof M A, Thijssen H O, Horstink M W
Department of Neurology, University Hospital Nijmegen, The Netherlands.
Mov Disord. 1996 Sep;11(5):501-8. doi: 10.1002/mds.870110505.
Until now the clinical criteria for the diagnosis of vascular parkinsonism (VP) have been disputed. The purpose of the present study is to investigate whether quantitative gait analysis can differentiate between the gait pattern of patients with VP and the gait pattern of patients with idiopathic Parkinson's disease (PD). Twelve patients with VP, 12 patients with PD, and 10 neurologically nondiseased controls were examined by quantitative gait analysis. Patients with VP, having a similar gait velocity and stride length, showed relatively preserved arm swing with markedly more anteflexion in the shoulder on the forward sway of the arm swing than patients with PD. Patients with VP also showed less flexion dystonic posture of the elbow, hip, knee, and trunk than did patients with PD. There was no significant difference in the excursions and coordination of arm swing in the patients with VP compared with the control group. Both patient groups showed reduced leg movements, reduced hip extension, and reduced knee flexion and extension as compared with the controls.
迄今为止，血管性帕金森综合征（VP）的临床诊断标准一直存在争议。本研究的目的是调查定量步态分析是否能够区分VP患者的步态模式与特发性帕金森病（PD）患者的步态模式。通过定量步态分析对12例VP患者、12例PD患者和10例无神经疾病的对照者进行了检查。VP患者具有相似的步态速度和步幅，与PD患者相比，其手臂摆动相对保留，在手臂摆动向前摆动时肩部明显更向前屈曲。与PD患者相比，VP患者肘部、髋部、膝部和躯干的屈曲性肌张力障碍姿势也更少。与对照组相比，VP患者手臂摆动的偏移和协调性没有显著差异。与对照组相比，两组患者均表现出腿部运动减少、髋关节伸展减少以及膝关节屈伸减少。
