Verbal instructional sets to normalise the temporal and spatial gait variables in Parkinson's disease
Verbal instructional sets to normalise the temporal and spatial gait variables in Parkinson's disease
复制标题
DOI：
10.1136/jnnp.65.4.580
复制
发表时间：
1998-10-01
影响因子：
11
通讯作者：
Cauraugh, JH
中科院分区：
文献类型：
--
作者：
Behrman, AL;Teitelbaum, P;Cauraugh, JH
帕金森病的步态特点是速度减慢；拖着脚步，小步走；和缺乏手臂摆动。药物治疗干预有利于改善活动能力，但长期使用其效果可能会减弱。本研究的目的是检查帕金森病患者是否可以通过五种指导来改善他们的步态模式：自然行走；走路时故意摆动手臂；大步行走；快速行走；一边走路一边大声数数。使用运动分析对八名特发性帕金森病受试者和八名年龄匹配的对照受试者进行了测试。研究结果表明，帕金森病患者遵循的指示立即改变了一系列单一步行变量。同时，其他步态变量发生自动激活的变化，产生更正常的步态。指导集是一种可以帮助帕金森步态正常化的策略，尽管其益处可能取决于疾病进展的阶段和对指导的关注程度。
Gait in Parkinson's disease is characterised by slowed velocity; shuffling, small steps; and absent arm swing. Drug therapy intervention is beneficial in improving mobility, though with prolonged use its effects may diminish. The purpose of this study was to examine whether Parkinsonian patients could improve their gait patterns in response to five instructional sets: natural walking; walking while deliberately swinging the arms; walking with large steps; fast walking; and walking while counting aloud. Eight subjects with idiopathic Parkinson's disease and eight age matched control subjects were tested using motion analysis. The findings indicated that parkinsonian patients followed the instructions which immediately altered a series of single walking variables. Simultaneously, automatically activated changes occurred in other gait variables producing more normal gait. The instructional set is a strategy which can aid normalisation of Parkinsonian gait although its benefits may depend on the stage of disease progression and the degree of attention to the instructions.