下肢肌肉疲劳改变了时空行走参数和帕金森病转困难特征
Halimatul Abd Ghani1, Alia A Alghwiri2, Hafifi Hisham3
1Physiotherapy Program, Institut Latihan Kementerian Kesihatan Malaysia, Johor, Malaysia.
Annals of rehabilitation medicine
|August 9, 2023
概括
肌肉疲劳显著改变了帕金森病 (PD) 患者的步伐速度和步伐长度,特别是晚期患者. 转难度也增加,突出了针对性干预的需要.
科学领域:
- 神经学 神经学
- 运动障碍 运动障碍
- 步态分析 步态分析
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,影响运动控制.
- 步行障碍和转困难在PD中很常见,增加了跌倒的风险.
- 下肢肌肉疲劳对PD行走的影响尚未完全理解.
研究的目的:
- 为了研究下肢肌肉疲劳对时间空间步行参数的影响.
- 为了评估延长时间启动和启动 (TUG) 测试期间转向难度特征的变化.
- 为了比较帕金森病 (PD) 的不同严重程度阶段的这些影响,使用霍恩和雅尔 (H&Y) 尺度.
主要方法:
- 一项实验前和实验后研究设计,涉及40名患有PD的个人 (H&Y阶段2和3).
- 下肢肌肉疲劳是通过连续的坐站任务 (30周期/分钟) 诱导的.
- 延长的TUG测试是在疲劳方案之前和之后进行的,用GoPro摄像头记录了步行和转动参数,并使用重复测量ANOVA进行分析.
主要成果:
- 下肢肌肉疲劳显著影响了时空步行参数,包括步伐速度和长度 (p=0.001).
- 这些步态变化在H&Y阶段3的PD患者中更为明显.
- 两个PD组都表现出增加的转困难,需要超过5步和超过3秒的180度转.
结论:
- 肌肉疲劳加剧了帕金森病患者的步行障碍和转动困难.
- 晚期的PD (H&Y阶段3) 似乎更容易受到疲劳诱导的步态恶化的影响.
- 进一步的研究应该集中在减轻疲劳相关的步行问题和提高PD患者的运动能力的干预措施上.
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