在阿尔茨海默氏症患者的步行功能障碍
Thomas Wisniewski1, Arjun V Masurkar2
1Department of Neurology, NYU School of Medicine, New York, NY, United States; Department of Pathology, NYU School of Medicine, New York, NY, United States; Department of Psychiatry, NYU School of Medicine, New York, NY, United States; Division of Cognitive Neurology, Center for Cognitive Neurology, NYU School of Medicine, New York, NY, United States.
Handbook of clinical neurology
|August 24, 2023
概括
步行功能障碍是阿尔茨海默病 (AD) 的早期迹象. 评估步行模式可以帮助早期发现AD并预测认知能力下降.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 运动科学 运动科学
背景情况:
- 阿尔茨海默病 (AD) 是导致痴呆的主要原因,患病率正在上升.
- 人们越来越认识到阿尔茨海默病涉及运动症状,尤其是步行功能障碍.
- 早期检测和疾病修饰策略对于管理AD至关重要.
研究的目的:
- 突出阿尔茨海默病中步态异常的重要性.
- 探索步态测量对认知和功能衰退的预测价值.
- 建立步态评估作为一个有价值的工具在整个AD频谱.
主要方法:
- 通过临床综合征和定量动力学评估来表型走路异常.
- 分析横截面和纵向研究数据.
- 与AD生物标志物 (成像,生物流体,遗传) 相对应的步态测量.
主要成果:
- 步行功能障碍是阿尔茨海默病的常见特征,即使在临床前和前期阶段也存在.
- 具体的步态测量可以预测个人未来的认知和功能衰退.
- 走路的异常与所有疾病阶段的已建立的AD标志物有关.
结论:
- 步态评估为早期AD检测提供了一种有价值的非侵入性方法.
- 定量步态分析可以识别暗示AD的微妙运动缺陷.
- 将步态评估纳入临床实践可以改善早期识别有风险的个体.
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