肩关节运动范围与痴呆症相关
Yasuyuki Honjo1,2, Kuniaki Nagai3, Takuma Yuri2
1Department of Memory Clinic, Kyoto Kaisei Hospital, Kyoto, Japan.
Dementia and geriatric cognitive disorders
|August 28, 2024
概括
痴呆症与肩膀运动范围 (ROM) 的减少有关,特别是在阿尔茨海默氏症痴呆症 (ADD) 和勒维体痴呆症 (DLB) 中. 保持社交互动可能有助于在痴呆症患者中保持肩膀ROM.
科学领域:
- 神经学 神经学
- 老年病的医生 老年病的医生
- 整形外科 整形外科 整形外科
背景情况:
- 痴呆症,包括阿尔茨海默氏症痴呆症 (ADD) 和患有莱维体的痴呆症 (DLB),与各种症状有关.
- 肩关节运动范围的限制 (ROM) 经常在痴呆症患者中观察到,特别是那些有痴呆症行为和心理症状的人 (BPSD).
- 痴呆症亚型与受限肩关节ROM之间的确切关系尚不清楚.
研究的目的:
- 调查痴呆症诊断与肩关节运动范围 (ROM) 之间的关联.
- 探索痴呆症患者的认知功能,行为症状和肩关节ROM之间的相关性.
主要方法:
- 这项研究涉及日本7家记忆诊所的234名新外科医生.
- 使用迷你精神状态检查 (MMSE) 和修订的哈塞加瓦痴呆症量表 (HDS-R) 评估认知功能.
- 痴呆症的行为和心理症状 (BPSD) 通过神经精神病查询问卷 (NPI-Q) 进行评估;用日本整形医学协会 (JOA) 评分评估的肩膀关节ROM.
主要成果:
- 下肩关节ROM (右,左和总) 与男性性别,晚年,较高的NPI-Q得分和较低的HDS-R和MMSE得分有显著的关联.
- 限制肩关节ROM与特定的认知缺陷 (例如,序列7,口头频率) 和BPSD (例如,幻觉,夜间干扰) 相相关.
- 痴呆症组,特别是患有勒维体 (DLB) 的痴呆症,与对照组相比,肩膀关节的ROM明显恶化.
结论:
- 痴呆症与肩膀关节的限制关节显著相关.
- 保持沟通和社会互动可能在痴呆症患者的肩关节ROM中发挥作用.
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