Characteristics of early postural control disorders in elderly patients with Parkinson's disease
10.3969/j.issn.1001-1242.2024.11.009
- VernacularTitle:老年帕金森病患者早期姿势控制障碍的特征
- Author:
Rui-Dong GE
1
;
Haiyang XU
;
Jingwei GUO
Author Information
1. 中日友好医院康复医学科,北京市,100029
- Keywords:
elderly;
Parkinson's disease;
early-stage;
postural control disorders
- From:
Chinese Journal of Rehabilitation Medicine
2024;39(11):1620-1624
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To explore the characteristics of early postural control disorders in elderly patients with Parkinson's disease(PD). Method:The sensory organization test(SOT),limits of stability(LOS),and adaptation test(ADT)were performed on 15 patients with early-stage PD and 10 healthy elderly patients using a dynamic and static balance training system. Result:Compared with the healthy group,in the SOT,early PD patients showed no significant differences in the comprehensive score of sensory organization,proprioceptive,visual,and visual dependence(P＞0.05).How-ever,there was a significant difference in vestibular balance control(P＜0.05).In the LOS,early PD patients exhibited decreased forward and backward max excursions(MXE)(P＜0.05),increased reaction time(RT)(P＜0.05),and decreased backward directional contro1(DCL)(P＜0.05).There were no significant differences in for-ward DCL,left and right MXE,RT,DCL(P＞0.05).In the ADT,there were no significant differences in the incidence of the first fall and the incidence of the last four falls in PD patients and healthy groups in the for-ward and backward tilt tests(P＞0.05). Conclusion:Early PD elderly patients already have postural control disorders,particularly with decreased limits of stability in forward and backward directions and reduced ability to maintain balance using vestibular input.
