Predictive validity of the UPDRS postural stability score and the Functional Reach Test, when compared with ecologically valid reaching tasks
Predictive validity of the UPDRS postural stability score and the Functional Reach Test, when compared with ecologically valid reaching tasks
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DOI：
10.1016/j.parkreldis.2010.04.002
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发表时间：
2010-07-01
影响因子：
4.1
通讯作者：
Spaulding, S. J.
中科院分区：
文献类型：
--
作者：
Jenkins, M. E.;Johnson, A. M.;Spaulding, S. J.
平衡问题和跌倒是帕金森氏症（PD）患者常见的问题。摔跤经常发生在日常活动中，比如伸手到厨房或浴室的橱柜里。这项研究比较了两项标准姿势稳定性测试——统一帕金森病评定量表（UPDRS）的姿势稳定性评分和功能够远测试（FRT）——与生态有效够远任务之间的相关性，这些任务对应于20名PD患者和20名年龄匹配的对照组中不同橱柜高度的够远任务。FRT和UPDRS姿势稳定性测试都是可以在临床检查期间进行的快速测量。在PD患者中，FRT与生态有效到达任务有显著相关性，而姿势稳定性评分与生态有效到达任务无显著相关性。此外，FRT得分与UPDRS姿势稳定性得分不相关，表明它们测量的是平衡的不同方面。这项研究表明，FRT评分可以更好地预测PD患者在日常活动中遇到的姿势不稳定的风险。(C) 2010 Elsevier Ltd.版权所有。
Balance problems and falls are a common concern among individuals with Parkinson's disease (PD). Falls frequently occur during daily activities such as reaching into cupboards in the kitchen or bathroom. This study compared the correlation among two standard postural stability tests - the postural stability score on the Unified Parkinson's Disease Rating Scale (UPDRS) and the Functional Reach Test (FRT) - and ecologically valid reaching tasks that correspond to reaching at different cupboard heights among 20 individuals with PD and 20 age-matched controls. Both the FRT and the UPDRS postural stability tests are quick measures that can be performed during the clinical examination. The FRT, but not the postural stability score, demonstrated a significant correlation with the ecologically valid reaching tasks, among individuals with PD. Furthermore the FRT scores did not correlate with the UPDRS postural stability scores, indicating that these are measuring different aspects of balance. This study suggests that the FRT score may better predict the risk of postural instability encountered during daily activities among individuals with PD. (C) 2010 Elsevier Ltd. All rights reserved.