文章摘要
张路,袁望舒,刘颖,王含.帕金森病跌倒与非跌倒者平衡评估及步态分析结果比较[J].中国康复,2019,34(1):26-29
帕金森病跌倒与非跌倒者平衡评估及步态分析结果比较
Comparison of balance evaluation and gait analysis parameters of fall and non fall patients with Parkinson's disease
  
DOI:
中文关键词: 帕金森病  跌倒  平衡  步态
英文关键词: Parkinson disease  fall  balance  gait
基金项目:
作者单位
张路 中国医学科学院北京协和医学院北京协和医院物理医学康复科北京 100730 
袁望舒 中国医学科学院北京协和医学院北京协和医院物理医学康复科北京 100730 
刘颖 中国医学科学院北京协和医学院北京协和医院物理医学康复科北京 100730 
王含 中国医学科学院北京协和医学院北京协和医院神经内科北京 100730 
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中文摘要:
  目的:探讨帕金森病跌倒与非跌倒者平衡评估及步态分析结果差异,为康复治疗提供临床依据。方法:将帕金森病患者32例,据其是否有跌倒史分为跌倒组15例和非跌倒组17例,比较2组平衡评估及步态分析各项参数结果差异。结果:同非跌倒组比较,跌倒组患者平均/最大轨迹误差更大、单足支撑时间更短、摆动相踝背屈角度更小(P<0.05)。结论:帕金森病康复训练中应强调本体感觉、肌力、单侧下肢负重、步态方面的训练,以降低患者跌倒风险。
英文摘要:
  Objective:To investigate the differences of balance evaluation and gait analysis parameters of fall and non fall patients with Parkinson's disease (PD) for providing clinical basis for patients' rehabilitation treatment. Methods: The clinic attendants with (PD) from January 2016 to November 2017 were divided into fall group and non fall group according to the history of falling down. Differences in parameters of balance evaluation and gait analysis were analyzed. Results: Thirty two patients were included, with 15 cases in fall group, and 17 cases in non fall group. The average/maximum trajectory errors were significantly higher, the average time of single foot support accounting for the percentage of walking time was significantly shorter, and the right ankle dorsiflexion in swing phase was significantly lower in fall group than in non fall group (P<0.05). Conclusion: Rehabilitation training according to proprioception, muscle strength and correct gait should be emphasized to decrease falling risk of PD patients.
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