特发性正常压力脑积水患者平衡稳定性特征

doi:10.3969/j.issn.1006-9771.2021.07.002

《中国康复理论与实践》 ›› 2021, Vol. 27 ›› Issue (7): 751-754.doi: 10.3969/j.issn.1006-9771.2021.07.002

• 专题运动与平衡功能研究 • 上一篇下一篇

特发性正常压力脑积水患者平衡稳定性特征

段林茹^1a,郑洁皎^1a(),方旭昊^1b,毛仁玲^1b

1.复旦大学附属华东医院, a.康复医学科; b.神经外科, 上海市 200040

收稿日期:2021-02-24 修回日期:2021-03-16 出版日期:2021-07-25 发布日期:2021-07-28
通讯作者: 郑洁皎 E-mail:zjjcss@163.com
作者简介:段林茹(1990-),女,汉族,河南濮阳市人,硕士研究生,主要研究方向：神经康复、姿势控制。|郑洁皎(1953-),女,汉族,上海市人,主要研究方向：老年康复、康复管理。
基金资助:
1.上海市卫健委卫生行业临床研究专项青年项目(20194Y0463);2.国家重点研发计划重点专项(2020YFC2008700);3.上海市卫计委面上项目(201740003);4.华东医院培育学科(H1160)

Balance and Stability for Patients with Idiopathic Normal Pressure Hydrocephalus

DUAN Lin-ru^1a,ZHENG Jie-jiao^1a(),FANG Xu-hao^1b,MAO Ren-ling^1b

1. a. Department of Rehabilitation; b. Department of Neurosurgery, Huadong Hospital Affiliated to Fudan University, Shanghai 200040, China

Received:2021-02-24 Revised:2021-03-16 Published:2021-07-25 Online:2021-07-28
Contact: ZHENG Jie-jiao E-mail:zjjcss@163.com
Supported by:
Shanghai Municipal Health Commission Clinical Research Special Project(Youth)(20194Y0463);National Key Research and Development Program(Key)(2020YFC2008700);Shanghai Municipal Health and Family Planning Commission Research Project(General)(201740003);Huadong Hospital Cultivation Discipline(H1160)

摘要/Abstract

摘要：

目的观察特发性正常压力脑积水(iNPH)患者存在的姿势控制问题。

方法 2017年5月至2018年5月,本院iNPH患者13例(患者组)和健康人15例(对照组)采用平衡功能测试系统进行感觉统合测试,记录6种条件下的平衡分和策略应用分,计算平衡综合分。

结果患者组在睁眼/支撑面稳定、闭眼/支撑面稳定、闭眼/支撑面不稳和视觉干扰/支撑面不稳条件下的平衡分低于对照组(|Z| > 2.042, P < 0.05),平衡综合分显著低于对照组(Z = -3.617, P < 0.001);患者组闭眼/支撑面稳定、睁眼/支撑面不稳、闭眼/支撑面不稳和视觉干扰/支撑面不稳条件下策略应用分高于对照组(|Z| > 2.333, P < 0.05)。

结论 iNPH患者存在动态平衡障碍,主要为本体感觉和前庭觉异常,髋策略应用异常。

关键词: 特发性正常压力脑积水, 姿势控制, 平衡

Abstract:

Objective To observe the features of posture control in patients with idiopathic normal pressure hydrocephalus (iNPH).

Methods From May, 2017 to May, 2018, patients with iNPH in our hospital (n = 13) and healthy controls (n = 15) were measured with sensory organization test on Balance Manager. The balance scores and strategy scores under six conditions were recorded and the comprehensive balance scores were calculated.

Results The balance scores decreased in the patients in the conditions of eyes-open/stable-support, eyes-close/stable-support, eyes-close/unstable-support and eyes-disturb/unstable-support compared with those of the controls (|Z| > 2.042, P < 0.05), as well as the comprehensive balance scores (Z = -3.617, P < 0.001); while the strategy scores increased in the conditions of eyes-close/stable-support, eyes-open/unstable-support, eyes-close/unstable-support and eyes-disturb/unstable-support (|Z| > 2.333, P < 0.05).

Conclusion There are balance disorders in the patients with iNPH, mainly associating with the disorders of proprioceptive and vestibular senses, and application of hip strategy.

Key words: idiopathic normal pressure hydrocephalus, posture control, balance

中图分类号:

R742.7

段林茹,郑洁皎,方旭昊,毛仁玲. 特发性正常压力脑积水患者平衡稳定性特征[J]. 《中国康复理论与实践》, 2021, 27(7): 751-754.

DUAN Lin-ru,ZHENG Jie-jiao,FANG Xu-hao,MAO Ren-ling. Balance and Stability for Patients with Idiopathic Normal Pressure Hydrocephalus[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2021, 27(7): 751-754.

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组别	n	性别(男/女, n)	年龄(岁)	身高(cm)	体质量(kg)
对照组	13	8/5	67.0±0.6	165.0±2.8	64.6±2.2
患者组	15	9/6	67.5±0.5	166.3±2.4	64.5±2.0
χ²/t值		0.934	0.627	-0.547	-0.245
P值		1.000	0.531	0.584	0.809

组别	n	SOT1	SOT2	SOT3	SOT4	SOT5	SOT6	平衡综合分
对照组	13	92.8(92.7, 93.0)	91.3(89.8, 92.8)	90.5(90.1, 90.9)	62.8(56.1, 69.5)	63.5(58.3, 68.7)	61.7(59.6, 63.8)	73.5(72.7, 74.3)
患者组	15	90.2(88.3, 92.1)	86.3(81.3, 91.3)	82.4(71.3, 93.6)	43.6(23.7, 63.6)	12.9(0.2, 25.5)	15.5(1.4, 29.6)	45.8(37.2, 54.5)
Z值		-2.643	-2.042	-1.609	-0.585	-3.600	-3.900	-3.617
P值		0.008	0.041	0.108	0.558	< 0.001	< 0.001	< 0.001

组别	n	SOT1	SOT2	SOT3	SOT4	SOT5	SOT6
对照组	13	92.2(90.8, 93.5)	89.8(89.1, 90.6)	91.8(91.7, 92.0)	61.8(52.8, 70.9)	64.2(63.4, 64.9)	58.5(56.0, 61.0)
患者组	15	92.4(90.2, 94.5)	92.0(90.1, 93.9)	90.7(87.3, 94.1)	77.4(69.1, 85.7)	77.8(72.1, 83.5)	71.0(59.7, 82.3)
Z值		-1.169	-2.781	-0.146	-2.333	-2.625	-2.487
P值		0.243	0.005	0.884	0.020	0.009	0.013

特发性正常压力脑积水患者平衡稳定性特征

Balance and Stability for Patients with Idiopathic Normal Pressure Hydrocephalus

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