Immediate effects of physical therapy on gait disturbance and frontal assessment battery in Parkinson's disease
Immediate effects of physical therapy on gait disturbance and frontal assessment battery in Parkinson's disease
复制标题
物理治疗对帕金森病步态障碍和额叶评估的直接影响
DOI：
10.1111/j.1447-0594.2012.00953.x
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发表时间：
2013
影响因子：
3.3
通讯作者：
Shirakura K
中科院分区：
文献类型：
--
作者：
Sohmiya M;Wada N;Tazawa M;Okamoto K;Shirakura K
目的：探讨帕金森病患者正面运动能力与物理治疗对步态障碍即刻疗效的相关性。方法：18例特发性帕金森病患者(Hoehn和Yahr分级3~4级)，均能独立行走，无痴呆。根据额叶评分将患者分为两组：高分组(≥13分，n= 11)和低分组(≤12，n= 7)。使用三维运动分析系统获取30min理疗前后的步态参数数据。测量步长、步长、步频、步行速度、单支撑时间和双支撑时间。结果：高分组在步行速度、步长、步长、髋关节和膝关节活动度等方面均有明显改善。躯干最大位移明显减少。相比之下，在低分组中没有观察到明显的改善。多因素Logistic回归分析显示，额部评估成套评分可以预测双侧髋关节和膝关节的活动范围和躯干最大位移的改善。结论：我们发现额部评估成套评估的运动学习分测验可能与帕金森病患者步态障碍的物理治疗的即刻效果有关。
Aim:To examine whether the Frontal Assessment Battery is associated with the immediate effects of physical therapy on gait disturbance in patients with Parkinson's disease.Methods:A total of 18 patients with idiopathic Parkinson's disease (Hoehn and Yahr stage range 3–4) who were able to ambulate independently and who were not demented were included. Patients were divided into two groups on the basis of Frontal Assessment Battery scores: the high score group (score ≥13,n= 11) and the low score group (score ≤12,n= 7). A 3‐D motion analysis system was used to acquire gait parameter data before and after a 30‐min physical therapy program. Stride length, step length, cadence, walking velocity, single support time and double support time were measured. The range of motion of the hip, knee and ankle joint, and maximal trunk displacement on the horizontal plane were measured.Results:In the high‐score group, significant improvement was observed in walking velocity, stride length and step length, and in the range of motion of the hip and knee joint. Maximal trunk displacement decreased significantly. In contrast, no significant improvement was observed in the low‐score group. Multivariate logistic regression analysis showed that Frontal Assessment Battery scores were a predictor of improvement in the range of motion of bilateral hip and knee joints, and maximal trunk displacement.Conclusions:We showed that the subtests of motor learning of the Frontal Assessment Battery might be associated with the immediate effects of physical therapy on gait disturbance in Parkinson's disease.Geriatr Gerontol Int 2013; 13: 630–637.