| 徐从英,王琰萍,吴华,沈宇斐,张晓玲,竺卓颖,吴晓强.原发性震颤患者的平衡功能及相关因素分析[J].中国康复,2021,36(4):231-234 |
| 原发性震颤患者的平衡功能及相关因素分析 |
| Balance functions and related factors in patients with essential tremor |
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| DOI： |
| 中文关键词: 原发性震颤 平衡 步态 跌倒 信心 |
| 英文关键词: essential tremor balance gait fall confidence |
| 基金项目:浙江省2019年医药卫生学科平台项目（2019DZ021）；浙江省医药卫生科技计划学科平台青年人才项目（2018RC004） |
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| 中文摘要: |
| 目的：探讨原发性震颤（ET）患者步态和平衡功能特点，有助于更加全面地认识ET。方法：选取ET患者(研究组)和健康志愿者（对照组）各80例纳入研究，采用六项平衡信心活动量表（ABC-6）评估患者的平衡信心，采用Berg平衡量表（BBS）评估患者步态和平衡功能，收集患者过去一年中跌倒次数及几近跌倒的次数。结果：根据ABC-6量表检测结果，研究组平衡信心较对照组下降（P<0.01）；研究组BBS评分总分低于对照组 (P<0.01)；研究组在过去一年中跌倒的次数超过对照组 (P<0.01)，几近跌倒的次数也较对照组增加 (P<0.01)。结论：ET患者存在平衡和步态障碍，平衡信心下降，在关注患者震颤功能的同时，也需要关注ET患者的平衡功能，从而采取相应的措施来干预，以防止平衡能力下降，减少跌倒。 |
| 英文摘要: |
| Objective: To explore the characteristics of gait and balance difficulty in essential tremor (ET). Methods: Totally 80 ET patients and 80 age-gender-matched healthy volunteers were included. The clinical data and gait and balance symptoms were obtained. These patients and the other 80 controls were evaluated using the Activities-specific Balance Confidence (ABC-6), Berg Balance Scale (BBS). All participants were asked to indicate how many falls and how many near misses they had in the past year. Results: The patients with ET showed lower balance ability according to the BBS (P<0.001) and lower balance confidence according to the ABC-6 scale (P<0.01) than controls. The number of falls reported in the past year was more in ET in controls (P<0.001). The number of near-falls reported in the past year was more than in controls (P<0.01). Conclusion: Gait and balance impairment is common in ET patients. Future research with objective sleep measurements is needed in ET patients as well as interventions to improve balance funcontion with the aim of preventing balance ability decline. |
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