在患有Charcot-Marie-Tooth疾病的个体中平衡信心和跌倒:一个横截面观察性研究
Kirsten M Anderson1, Bopha Chrea2, Riccardo Zuccarino3
1Department of Physical Therapy and Rehabilitation Science, Carver College of Medicine University of Iowa Iowa City Iowa USA.
患有Charcot-Marie-Tooth病 (CMT) 的人经常跌倒,平衡信心降低. 脚足关节整形 (AFOs) 有助于改善平衡,但对于具有挑战性的活动,需要有针对性的干预措施.
科学领域:
- 神经学 神经学
- 整形外科 整形外科 整形外科
- 康复科学 康复科学 康复科学
背景情况:
- 查洛-玛丽-牙病 (CMT) 经常导致平衡障碍和功能缺陷.
- 脚足骨架 (AFOs) 是CMT患者常用的,以提高平衡和移动性.
- 了解AFOs对跌倒和平衡信心的现实影响对于患者管理至关重要.
研究的目的:
- 使用AFO评估CMT患者的跌倒频率.
- 评估AFO在CMT人口中平衡的感知有效性.
- 用AFO测量CMT患者在各种活动中的平衡信心.
主要方法:
- 一项调查分发给使用AFO的306名CMT患者.
- 收集的数据包括下跌频率,感知到的AFO有效性和使用活动特定余额保证尺度的余额保证.
- 参与者通过患者联系登记处招募,并通过电子邮件回复.
主要成果:
- 14%的参与者报告在过去24小时内跌倒,38%在过去一周内跌倒.
- 78%的参与者认为他们的AFOs改善了他们的平衡.
- 平衡信心差异很大,在平面上有很高的信心,在不平坦或具有挑战性的地形上有很低的信心.
结论:
- 对于有CMT的人来说,AFOs提供了感知余额的好处,但跌倒仍然很常见.
- 活动特定平衡信心量表可以识别CMT患者的跌倒风险较高.
- 结果可以为目标患者教育,治疗计划和未来的AFO设计研究提供信息.
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