[患有帕金森病的患者害怕跌倒]
1Siberian State Medical University, Tomsk, Russia.
Zhurnal nevrologii i psikhiatrii imeni S.S. Korsakova
|December 9, 2025
概括
在帕金森病 (PD) 患者中,跌倒的恐惧更高,与年龄,疾病持续时间,运动问题和抑郁症有关. 定期体育活动可以减少这种恐惧,降低关节骨折风险,改善PD患者的生活质量.
科学领域:
- 神经学 神经学
- 老年学是一门学科.
- 物理疗法物理治疗
背景情况:
- 帕金森病 (PD) 是一种神经退行性疾病,影响运动控制.
- 对老年人,特别是患有PD的人来说,害怕跌倒是一个很大的担忧.
- 了解影响跌倒恐惧的因素对于预防跌倒和改善生活质量至关重要.
研究的目的:
- 调查帕金森病患者的跌倒恐惧和临床因素之间的关系.
- 评估体育活动对跌倒恐惧和PD中跌倒风险的影响.
- 评估患有PD的个体对跌倒恐惧和生活质量之间的关联.
主要方法:
- 一项涉及霍恩和雅尔2 - 3期PD的女性患者和健康女性对照组的比较研究.
- 使用国际落效率尺度 (FES-I) 和特定活动平衡信心 (ABC) 尺度来评估恐惧.
- 评估临床因素,包括疾病持续时间,运动功能 (MDS UPDRS-Part III),抑郁症 (BDI),认知状态 (MoCA),生活质量 (PDQ-39,EQ-5D-3L),身体活动水平和骨折风险 (FRAX).
主要成果:
- 患有PD的患者报告说,与年龄,PD持续时间,运动障碍,抑郁症和更差的生活质量相关的更大的跌倒恐惧 (更高的FES-I得分).
- 在PD患者中,平衡的信心 (ABC尺度) 与年龄,运动功能,抑郁症,生活质量和部骨折风险有关.
- 在PD患者中,进行足够的体力活动与更高的平衡信心 (ABC分数) 有关.
结论:
- 患有PD的老年人更害怕跌倒,与疾病进展,运动缺陷和抑郁症有关.
- 通过体育活动获得平衡的更强的信心,可以减轻复杂跌倒的风险,特别是近端关节骨折,并改善PD患者的整体生活质量.
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