Peripheral neuropathy - An often-overlooked cause of falls in the elderly
Peripheral neuropathy - An often-overlooked cause of falls in the elderly
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DOI：
10.1080/00325481.1996.11946142
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发表时间：
1996-06-01
影响因子：
4.2
通讯作者：
AshtonMiller, JA
中科院分区：
文献类型：
--
作者：
Richardson, JK;AshtonMiller, JA
周围神经病变在老年人中很常见，并导致远端本体感觉和力量受损，从而阻碍平衡并使他们易于福尔斯。足跟反射丧失，近端振动感下降，大脚趾位置感受损，在三次尝试中不能保持单足站立10秒，都表明有明显的周围神经病变。医生可以通过教导周围神经病变患者及其家人周围神经功能障碍及其对平衡的影响，并建议患者以视觉代替失去的躯体感觉功能，正确使用手杖，穿合适的鞋和矫形器，进行平衡和上肢加强练习。
Peripheral neuropathy is common in the elderly and results in impairments in distal proprioception and strength that hinder balance and predispose them to falls. The loss of heel reflexes, decreased vibratory sense that improves proximally, impaired position sense at the great toe, and inability to maintain unipedal stance for 10 seconds in three attempts all suggest functionally significant peripheral neuropathy.Physicians can help their patients with peripheral neuropathy to prevent falls by teaching them and their families about peripheral nerve dysfunction and its effects on balance and by advising patients to substitute vision for the lost somatosensory function, correctly use a cane, wear proper shoes and orthotics, and perform balance and upper extremity strengthening exercises.