Balance and Mobility Dysfunction and Falls Risk in Older People with Mild to Moderate Alzheimer Disease
Balance and Mobility Dysfunction and Falls Risk in Older People with Mild to Moderate Alzheimer Disease
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DOI：
10.1097/phm.0b013e31823caeea
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发表时间：
2012-01-01
影响因子：
3
通讯作者：
Dodd, Karen J.
中科院分区：
文献类型：
--
作者：
Suttanon, Plaiwan;Hill, Keith D.;Dodd, Karen J.
Suttanon P，Hill KD，Said CM，LoGiudice D，Lautenschlager NT，Dodd KJ：轻度至中度阿尔茨海默病老年人的平衡和移动功能障碍以及福尔斯跌倒风险。Am J Phys Med Rehabil 2012;91：12- 23.目的：本研究旨在通过将阿尔茨海默病患者的表现与无认知障碍的老年人的表现进行比较，确定阿尔茨海默病患者平衡和移动障碍的程度和类型。设计：25名轻度至中度阿尔茨海默病的社区居民和25名年龄和性别认知完整的对照组，匹配的人完成了全面的平衡和流动性评估。这包括计算机姿势测量静态和动态平衡在各种条件下，临床平衡，和流动性措施，福尔斯和福尔斯risk.Results的措施：福尔斯的风险水平较高的人与阿尔茨海默病。阿尔茨海默病患者的站立平衡在一系列静态和动态平衡条件下明显受损。活动水平，步态，和流动性措施也受损，特别是转向和双重tasks.Conclusions：研究结果强调的价值，包括平衡筛查作为一个常规组成部分的早期痴呆症评估。这将允许早期检测平衡功能障碍，并在障碍进展到更高级的水平之前引入平衡再训练。
Suttanon P, Hill KD, Said CM, LoGiudice D, Lautenschlager NT, Dodd KJ: Balance and mobility dysfunction and falls risk in older people with mild to moderate Alzheimer disease. Am J Phys Med Rehabil 2012;91:12-23.Objective: This study aimed to identify the magnitude and type of balance and mobility impairments in people with Alzheimer disease by comparing their performance with that of older people without cognitive impairment.Design: Twenty-five community-dwelling people with mild to moderate Alzheimer disease and a comparison group of 25 cognitively intact age-and sex-matched people completed a comprehensive balance and mobility assessment. This included computerized posturography measures of static and dynamic balance under various conditions, clinical balance, and mobility measures, and measures of falls and falls risk.Results: The level of falls risk was higher in people with Alzheimer disease. Standing balance in people with Alzheimer disease was significantly impaired across a range of static and dynamic balance conditions. Activity level, gait, and mobility measures were also impaired, particularly turning and dual tasks.Conclusions: The findings of the study highlight the value of including balance screening as a routine component of early dementia assessment. This would allow for the early detection of balance dysfunction and the introduction of balance retraining before impairments progress to more advanced levels.