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

Abstract

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

CLC Number:

R742.7

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.

Figures/Tables 3

References 22

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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

Balance and Stability for Patients with Idiopathic Normal Pressure Hydrocephalus

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