帕金森病患者慌张步态的三维步态分析

doi:10.3969/j.issn.1006-9771.2019.07.018

《中国康复理论与实践》 ›› 2019, Vol. 25 ›› Issue (7): 832-835.doi: 10.3969/j.issn.1006-9771.2019.07.018

帕金森病患者慌张步态的三维步态分析

郭永亮¹, 卢健军², 冯重睿¹, 刘梦娇¹, 刘初容¹

1.广东三九脑科医院康复训练中心；广东广州市 510510
2.广东三九脑科医院神经内六科，广东广州市 510510

收稿日期:2018-09-14 修回日期:2018-10-19 出版日期:2019-07-25 发布日期:2019-07-23
通讯作者: 郭永亮 E-mail:drguoyl@126.com
作者简介:郭永亮(1989-)，男，汉族，广东汕头市人，治疗师，主要研究方向：三维步态分析，表面肌电。

Features of Gait Festination for Patients with Parkinson's Disease: A Three-Dimensional Gait Analysis

GUO Yong-liang¹, LU Jian-jun², FENG Zhong-rui¹, LIU Meng-jiao¹, LIU Chu-rong¹

1.Department of Rehabilitation Training Center; b. Department of the 6th Neurology, Guangdong 999 Brain Hospital, Guangzhou, Guangdong 510510, China
2.Department of Rehabilitation Training Center; b. Department of the 6th Neurology, Guangdong 999 Brain Hospital, Guangzhou, Guangdong 510510, China

Received:2018-09-14 Revised:2018-10-19 Published:2019-07-25 Online:2019-07-23
Contact: GUO Yong-liang E-mail:drguoyl@126.com

摘要/Abstract

摘要： 目的研究帕金森病患者慌张步态的临床特征。方法 2016年1月至2018年1月，选取伴慌张步态的帕金森“开”期患者20例(慌张组)、无慌张步态表现的帕金森病“开”期患者20例(非慌张组)和正常志愿者20例(正常组)，采用BTS运动捕捉系统和SmartAnalyzer软件进行三维重建，计算步行过程中的时空及踝关节运动学参数。结果与非慌张组相比，慌张组双侧跨步时间、左侧摆动时间、左踝最大背屈角度减小，踝第一高峰出现阶段提前(P < 0.05)；与正常组相比，慌张组双侧站立相延长，摆动相、跨步长、步长、步速减小，踝第一高峰出现阶段提前，双踝最大跖屈角减小(P < 0.05)。结论慌张步态帕金森病患者步长小，步频快，步速慢；由于躯干质心不自主前移，踝关节高峰提前；由于平衡功能较差，踝关节最大跖屈角减小。

关键词: 帕金森病, 慌张步态, 步态分析

Abstract: Objective To investigate the characteristics of gait festination in patients with Parkinson's disease. Methods From January, 2016 to January, 2018, 20 Parkinson's disease patients with festination (festination group), other 20 Parkinson's disease patients without festination (non-festination group) (all in ON stage) and 20 healthy controls were tested BTS Motion Capture System and analyzed with SmartAnalyzer. Results The stride time, swing time of left side and maximum ankle dorsiflexion angle of left side decreased in the festination group compared with those in the non-festination group, while the first peak of ankle appeared earlier (P < 0.05). The stance phase increased in the festination group compared with those in the controls (P < 0.05), while the swing phase, stride length, step length and velocity decreased, as well as the maximum ankle plantar flexion (P < 0.05), and the first peak of ankle appeared earlier (P < 0.05). Conclusion Festination is characterized as less step length, faster step cadence and slower velocity. The first peak of ankle appeared earlier for the center of mass moving foreward. The maximum plantar flexion angle of the ankle reduces for the poor balance function.

Key words: Parkinson's disease, festination, gait analysis

中图分类号:

R742.5

郭永亮, 卢健军, 冯重睿, 刘梦娇, 刘初容. 帕金森病患者慌张步态的三维步态分析[J]. 《中国康复理论与实践》, 2019, 25(7): 832-835.

GUO Yong-liang, LU Jian-jun, FENG Zhong-rui, LIU Meng-jiao, LIU Chu-rong. Features of Gait Festination for Patients with Parkinson's Disease: A Three-Dimensional Gait Analysis[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2019, 25(7): 832-835.

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帕金森病患者慌张步态的三维步态分析

Features of Gait Festination for Patients with Parkinson's Disease: A Three-Dimensional Gait Analysis

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