What Is Wrong with Balance in Parkinson's Disease?

被引：110

作者：

Park, Jeong-Ho ^{[1
]}

Kang, Yeo-Jeong ^{[1
]}

Horak, Fay Bahling ^{[2
,3
]}

机构：

[1] Soonchunhyang Univ, Bucheon Hosp, Coll Med, Dept Neurol, Bucheon, South Korea

[2] Oregon Hlth & Sci Univ, Sch Med, Dept Neurol, 3181 SW Sam Jackson Pk Rd, Portland, OR 97239 USA

[3] Portland VA Med Ctr, Portland, OR 97239 USA

来源：

JOURNAL OF MOVEMENT DISORDERS | 2015年 / 8卷 / 03期

基金：

美国国家卫生研究院;

关键词：

Balance; Posture; Parkinson's disease; Falls; Management;

D O I：

10.14802/jmd.15018

中图分类号：

R74 [神经病学与精神病学];

学科分类号：

摘要：

Postural instability and resulting falls are major factors determining quality of life, morbidity, and mortality in individuals with Parkinson's disease (PD). A better understanding of balance impairments would improve management of balance dysfunction and prevent falls in patients with PD. The effects of bradykinesia, rigidity, impaired proprioception, freezing of gait and attention on postural stability in patients with idiopathic PD have been well characterized in laboratory studies. The purpose of this review is to systematically summarize the types of balance impairments contributing to postural instability in people with PD.

引用

页码：109 / 114

页数：6

共 35 条

[1] Prospective assessment of falls in Parkinson's disease [J].

Bloem, BR ;

Grimbergen, YAM ;

Cramer, M ;

Willemsen, M ;

Zwinderman, AH .

JOURNAL OF NEUROLOGY, 2001, 248 (11) :950-958

[2] Are automatic postural responses in patients with Parkinson's disease abnormal due to their stooped posture? [J].

Bloem, BR ;

Beckley, DJ ;

van Dijk, JG .

EXPERIMENTAL BRAIN RESEARCH, 1999, 124 (04) :481-488

[3] Postural abnormalities to multidirectional stance perturbations in Parkinson's disease [J].

Carpenter, MG ;

Allum, JHJ ;

Honegger, F ;

Adkin, AL ;

Bloem, BR .

JOURNAL OF NEUROLOGY NEUROSURGERY AND PSYCHIATRY, 2004, 75 (09) :1245-1254

[4] Stimulus-dependent changes in the vestibular contribution to human postural control [J].

Cenciarini, M ;

Peterka, RJ .

JOURNAL OF NEUROPHYSIOLOGY, 2006, 95 (05) :2733-2750

[5] Parkinson's disease impairs the ability to change set quickly [J].

Chong, RKY ;

Horak, FB ;

Woollacott, MH .

JOURNAL OF THE NEUROLOGICAL SCIENCES, 2000, 175 (01) :57-70

[6] Reduced performance in balance, walking and turning tasks is associated with increased neck tone in Parkinson's disease [J].

Franzen, Erika ;

Paquette, Caroline ;

Gurfinkel, Victor S. ;

Cordo, Paul J. ;

Nutt, John G. ;

Horak, Fay B. .

EXPERIMENTAL NEUROLOGY, 2009, 219 (02) :430-438

[7] Excessive Postural Sway and the Risk of Falls at Different Stages of Parkinson's Disease [J].

Frenklach, Arma ;

Louie, Stephanie ;

Koop, Mandy Miller ;

Bronte-Stewart, Helen .

MOVEMENT DISORDERS, 2009, 24 (03) :377-385

[8] A meta-regression of the long-term effects of deep brain stimulation on balance and gait in PD [J].

George, R. J. St. ;

Nutt, J. G. ;

Burchiel, K. J. ;

Horak, F. B. .

NEUROLOGY, 2010, 75 (14) :1292-1299

[9] Postural orientation and equilibrium: what do we need to know about neural control of balance to prevent falls? [J].

Horak, Fay B. .

AGE AND AGEING, 2006, 35 :7-11

[10] CENTRAL PROGRAMMING OF POSTURAL MOVEMENTS - ADAPTATION TO ALTERED SUPPORT-SURFACE CONFIGURATIONS [J].

HORAK, FB ;

NASHNER, LM .

JOURNAL OF NEUROPHYSIOLOGY, 1986, 55 (06) :1369-1381

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