阿基米德螺旋评级:正常的决定因素和基于人口的极限
Franziska Hopfner1, Anja Tietz2, Yuri D'Elia3,4
1Department of Neurology, Ludwig-Maximilians University, Munich, Germany.
Movement disorders clinical practice
|September 5, 2024
概括
阿基米德螺旋评分 (ASR) 随着年龄的增长而增加,在老年人,男性和非主导手中,较高的评分可能表明非生理性震. 本研究定义了正常的ASR范围,以帮助区分生理和病理手.
科学领域:
- 神经学 神经学
- 生物医学工程 生物医学工程
背景情况:
- 动作震评估对于诊断神经疾病至关重要.
- 从生理学和病理学的区分依赖于检查员的专业知识.
- 阿基米德螺旋评分 (ASR) 提供了一种可重复的方法来量化动作震的严重程度.
研究的目的:
- 在一个大规模的健康人口样本中确定阿基米德螺旋评分 (ASR) 范围和百分点.
- 分析性别,年龄和主导手对ASR的影响.
- 建立规范性的ASR极限,以区分正常的和潜在的病理性震.
- 为一致的ASR评估提供参考图纸.
主要方法:
- 随机抽取了14个性别年龄层中的1343名参与者.
- 收集了2686对的阿基米德螺旋,用双手绘制.
- 使用标准化震评级尺度 (0-9) 评估的螺旋图.
主要成果:
- ASR在两性中都表现出随着年龄的增长而增加的二次数.
- 与非主导手相比,主导手的ASR较低.
- 与男性相比,女性的ASR较低.
- 特定于性别和年龄的97.5百分点表明非生理性震高于ASR4 (60岁以下) 和5 (60岁以上).
结论:
- 动作震的严重程度随着年龄的增长而增加,尤其是在晚年.
- 高龄人,男性和非主导手的ASR在这些群体中处于已确定的"正常"范围内.
- 这些发现提供了证据,以支持临床医生使用ASR区分生理和病理手.
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