Influence of lower limb hip and knee hyperextension compensation on gait of patients with Parkinson's disease
10.3969/j.issn.1001-1242.2025.06.008
- VernacularTitle:下肢髋膝过伸代偿对帕金森病患者步态的影响
- Author:
Jingyi ZHANG
1
;
Chen WANG
;
Shan TIAN
Author Information
1. 复旦大学附属华山医院康复医学科,上海,200040
- Publication Type:Journal Article
- Keywords:
Parkinson's disease;
process;
gait analysis;
kinematics paramete
- From:
Chinese Journal of Rehabilitation Medicine
2025;40(6):855-860
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To study the effect of lower limb hip and knee hyperextension compensation on gait characteristics of Parkinson's disease patients at different stages.Method:A total 149 patients with primary Parkinson's disease admitted to Huashan Hospital of Fudan Universi-ty from 2020 to 2022 were divided into three groups based on the duration of the disease:short course group(duration≤5years),medium course group(5 years10 years).Additionally,37 healthy subjects were selected as the control group.A wearable gait acquisition device was used to collect the temporal and spatial parameters of gait and movement parameters of the three groups of patients and the healthy control group.The differences in gait parameters among the groups were compared.Result:The gait parameters of Parkinson's disease patients changed significantly with the progression of the dis-ease.Compared with the healthy control group,the stride length and stride speed of Parkinson's disease pa-tients showed the most significant impairment.Additionally,the angles of hip flexion and knee flexion during walking decreased significantly with the progression of the disease and were proportional to the duration of the disease,while the angles of compensatory activity of hip extension and knee extension increased in the early stage of the disease,and the compensatory function gradually subsided with the progression of the disease(the regression of hip extension compensation was earlier than that of knee extension compensation),leading to the gradual aggravation of abnormal gait.Conclusion:The compensatory mechanism of hip and knee hyperextension in the lower extremities presents a dynamic evolution pattern through the course of Parkinson's disease.This has guiding significance for function-al diagnosis,rehabilitation treatment and disease prediction in Parkinson's disease.
