在帕金森病中探索具有和没有认知障碍的人的运动功能障碍,以及在帕金森病中进行认知障碍
Natália Mariano Barboza1, Martina Mancini2, Suhaila Mahmoud Smaili1
1Department of Neurology, Neurofunctional Physiotherapy Group, State University of Londrina, Londrina, Brazil.
Parkinsonism & related disorders
|September 3, 2023
概括
与正常认知相比,患有帕金森病 (PD) 和认知障碍的人在步行时表现出较差的动态平衡. 在临床和仪器评估步态和平衡时都观察到这种差异.
科学领域:
- 神经科学是一个神经科学.
- 老年学是一门学科.
- 运动科学 运动科学
背景情况:
- 移动性和认知功能之间的联系在老龄化人口中得到了很好的证实.
- 在帕金森病 (PD) 患者中观察到移动性和认知之间的类似关联.
研究的目的:
- 研究和比较患有PD的个体之间的步态和平衡方面,根据正常与受损认知的分类.
- 用临床和仪器测量来进行全面的评估.
主要方法:
- 143名患有PD的参与者被分为正常认知 (n=71) 或认知障碍 (n=72) 组,使用蒙特利尔认知评估 (MoCA).
- 用仪器测量 (8个运动任务期间的可穿戴传感器) 和临床测量 (Mini-BESTest) 来评估步行和平衡.
- 评估的领域包括感官导向,预测性姿势调整,自动姿势反应和步行动态平衡.
主要成果:
- 两个认知组之间的总Mini-BEST得分没有显著差异.
- 认知障碍的个体在动态步行领域表现更差.
- 仪器测量显示了主要在动态步行领域的显著群体差异,包括双任务步行速度,双任务步伐长度,立场时间和转动速度.
结论:
- 与正常认知相比,患有PD和异常认知的个体在步行时的动态平衡明显更受损.
- 这些发现适用于临床和仪器评估方法.
- 其他评估的平衡领域在认知组之间没有显著差异.
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