在INPH患者评估中的有用结果措施
Laura Mori1,2, Federica Collino1,2, Annalisa Marzi1,2
1Department of Neuroscience, Rehabilitation, Ophthalmology, Genetics, Maternal and Child Health, University of Genoa, Genoa, Italy.
Frontiers in neurology
|August 23, 2023
概括
这项研究强调了使用GAITRite的双任务定时启动和启动测试 (TUG DT) 和仪器步态分析,与单任务TUG相比,GAITRite对于识别异常性正常压力水头症 (INPH) 更优越. 综合性评估有助于识别跌倒风险.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
- 老年病的医生 老年病的医生
背景情况:
- 异常性正常压力水头 (INPH) 呈现出走路障碍,认知衰退和尿失禁,通常通过定时起行 (TUG) 测试进行评估.
- 目前对INPH的评估方法可能缺乏全面的敏感性,需要改进的诊断协议.
研究的目的:
- 评估联合临床和仪器评估协议的灵敏度,以确定INPH患者的步态和平衡.
- 确定INPH评估的关键时空步行参数及其与临床测量的相关性.
主要方法:
- 70名INPH患者和20名健康受试者 (HS) 接受了平衡评估 (伯格平衡量级,短物理性能电池,TUG单任务和双任务) 和仪器步行分析 (GAITRite).
- 步行被评估在正常速度,快速速度,并在双重任务期间,测量各种时空参数.
主要成果:
- 在Berg平衡量,短物理性能电池和TUG双任务上,INPH患者的得分明显较低,但不是TUG单任务.
- 仪器步行分析显示,INPH患者和HS患者之间大多数时空参数存在显著差异,除了节奏.
- 在临床平衡测量和仪器步行参数之间发现了显著的相关性.
结论:
- 双任务的TUG和GAITRite仪器分析在识别INPH方面比单任务的TUG更有用.
- 脚步长度,脚步宽度,速度和双支百分比是INPH评估的关键时空参数.
- 建议将临床和仪器评估整合起来,以进行全面的INPH评估和跌倒风险识别.
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