A Prospective Evaluation of an Outpatient Assessment of Postural Instability to Predict Risk of Falls in Patients with Parkinson's Disease Presenting for Deep Brain Stimulation

被引：8

作者：

Brandmeir, Nicholas J. ^{[1
]}

Brandmeir, Cheryl L. ^{[2
]}

Kuzma, Kristine ^{[1
]}

McInerney, James ^{[1
]}

机构：

[1] Penn State Milton S Hershey Med Ctr, Dept Neurosurg, Hershey, PA USA

[2] Penn State Milton S Hershey Med Ctr, Dept Therapy Serv, Hershey, PA USA

来源：

MOVEMENT DISORDERS CLINICAL PRACTICE | 2016年 / 3卷 / 02期

关键词：

Parkinson's; postural instability; gait; TUG; berg; biodex; physical therapy; DBS;

D O I：

10.1002/mdc3.12257

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Background: Postural instability (PI) and falls, major causes of morbidity in patients with PD, are often overlooked. DBS is a mainstay therapy for Parkinson's disease (PD) and has been purported to both worsen and improve PI. An effective PI evaluation that can predict fall risk in patients with PD presenting for DBS is needed. Methods: Forty-nine consecutive patients with PD were enrolled. Self-reported falls were the gold standard. Tests evaluated were the Berg Balance Scale (BBS), Timed-Up-and-Go (TUG), Pull Test, and Biodex Balance System Sway Index on firm (SI-FIRM) and soft (SI-SOFT) surfaces. Results: The best single tests for fall risk were the BBS and SI-FIRM, each with sensitivities of 79% and specificities of 60% and 65%, respectively. When the evaluation was combined into a composite measure requiring four positive tests out of five, the sensitivity was 72% and specificity was 80%. Conclusions: A simple, efficient outpatient physical therapy assessment is effective in diagnosing fall risk in patients with PD.

引用

页码：151 / 155

页数：5