Smiling corresponds to the psychomotor function in Parkinson's disease.

Smiling corresponds to the psychomotor function in Parkinson's disease.
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微笑对应于帕金森病的精神运动功能。

DOI:
10.1007/s13760-012-0099-9
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发表时间:
2012
期刊:
Acta Neurol Belg.
影响因子:
--
通讯作者:
Mitsui T.
Mitsui T.
中科院分区:
--
文献类型:
--
作者:
Kawamura K;Arii Y;Mitsui T.

文献摘要

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面部表情是人类社会生活中的一种主要交流工具,在所有年龄段和所有国家都是如此。在医务室,医生可以从诊室病人的面部表情来判断身体和/或精神上的问题。当病人看起来很快乐时,医生就认为他或她很好。然而,目前还没有评估患者面部表情的方法。帕金森病(PD)是一种进行性神经退行性疾病,以震颤、僵直、运动迟缓和许多非运动症状为特征,包括认知和情绪障碍[1,2]。帕金森病患者表现出一种独特的面部表情,即“面具”或“扑克脸”,据推测这是由面部肌肉运动迟缓以及心理问题引起的。然而,患者有时会在感觉良好的时候微笑。我们试图使用实时微笑检测器SmileScanTM(日本欧姆龙,东京)来确定微笑的程度是否与PD的精神运动症状有关。我们准备了五道题。测量20-S平均微笑比率(0-100%),同时询问处于ON状态的患者。另一天再次测量微笑比率,得到两个微笑比率的平均值。帕金森病患者62例,年龄70.59±1.88
The facial expression is a primary communication tool in human social life at all ages and in all countries. At a medical office, a physician can judge physical and/or mental problems from the facial expression of a patient in the consulting room. A physician considers a patient to be well when he or she seems to be happy. However, there is no method of evaluating the facial expression of patients. Parkinson’s disease (PD) is a progressive neurodegenerative disorder, characterized by tremor, rigidity, bradykinesia, and numerous non-motor symptoms, including cognitive and mood disturbances [1, 2]. PD patients show a characteristic countenance, the ‘‘masked’’or ‘‘poker’’face, which is presumed to be caused by bradykinesia of the facial muscles as well as psychological problems. However, the patients sometimes smile when they are feeling well.We tried to determine whether the degree of smile was associated with the psychomotor symptoms in PD using a real time smile detector, SmileScanTM (OMRON, Tokyo, Japan). We prepared five questions. The 20-s mean smile ratio (0–100%) was measured, while a patient in on state was asked the questions. The smile ratio was measured once again on another day, and the average of the two smile ratios was obtained. PD patients (n= 62; age, 70.59±1.88