Clinimetrics of postural instability in Parkinson’s disease

被引:0
作者
B. R. Bloem
Dennis J. Beckley
Bob J. van Hilten
Raymund A. C. Roos
机构
[1] Department of Neurology,
[2] Leiden University Medical Centre,undefined
[3] P.O. Box 9600,undefined
[4] 2300 RC Leiden,undefined
[5] The Netherlands e-mail: bloem@rullf2.medfac.leidenuniv.nl Tel.: +31-71-52623308 Fax: +31-71-5248253,undefined
[6] Department of Neurology,undefined
[7] School of Medicine,undefined
[8] University of California,undefined
[9] Davis,undefined
[10] USA,undefined
来源
Journal of Neurology | 1998年 / 245卷
关键词
Key words Parkinson’s disease; Posture; Dynamic posturography;
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摘要
Judgement of the ability to recover balance after a sudden shoulder pull is used as a clinical measure of postural instability in Parkinson’s disease. To further evaluate its merits, we compared this ‘retropulsion test’ with dynamic posturography in 23 Parkinson patients. Dynamic posturography involved 20 serial ‘toe-up’ support surface rotations, which induced backward body sway. We found a moderate correlation (Spearman’s ρ = 0.54; P < 0.05) between the retropulsion test and body sway after platform rotations during the ‘off’ phase, but no correlation during the ‘on’ phase (Spearman’s ρ = 0.43; P = 0.11). These results cast doubt on the use of the retropulsion test as a measure of postural instability in Parkinson’s disease.
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页码:669 / 673
页数:4
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