帕金森病患者躯干位置感的改变及其与脊柱姿势和脊柱活动的关系

IF 0.9 4区 医学 Q4 NEUROSCIENCES Motor Control Pub Date : 2023-07-01 DOI:10.1123/mc.2022-0107
Mustafa Ertuğrul Yaşa, Ali Rıza Sonkaya, Buse Korkmaz, Özge Çoban, Necmiye Ün Yıldırım
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引用次数: 0

摘要

基底神经节在感觉运动整合中起着重要作用,其功能障碍对本体感觉有显著影响。帕金森病(PD)以黑质多巴胺能神经元的进行性丧失为特征,在整个病程中导致各种运动和非运动症状。本研究的目的是确定躯干位置感,并探讨其与PD患者脊柱姿势和脊柱活动的关系。方法:选取35例PD患者和35例年龄匹配的对照组。用“主干重定位误差”确定主干位置感。脊髓小鼠用于评估脊柱姿势和脊柱活动度。结果:根据Hoehn-Yahr评分量表,大多数患者处于1期(68.6%)。与对照组相比,PD患者躯干位置感明显降低(p < 0.001),但与PD患者脊柱姿势和脊柱活动度无相关性(p > 0.05)。结论:本研究揭示了PD患者的躯干位置感觉在疾病早期就受到损害。然而,脊柱姿势和脊柱活动度均与躯干本体感觉下降无关。需要在帕金森病晚期进一步研究这些关系。
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Altered Trunk Position Sense and Its Relationship With Spinal Posture and Spinal Mobility in Patients With Parkinson's Disease.

Introduction: Proprioception is significantly affected by dysfunction of the basal ganglia, which play an important role in sensorimotor integration. Parkinson's disease (PD), which is characterized by progressive loss of the dopaminergic neurons of the substantia nigra, leads to a variety of motor and nonmotor symptoms throughout the course of the disease. The aim of this study was to determine trunk position sense and to investigate its relationship with spinal posture and spinal mobility in patients with PD.

Methods: The study included 35 patients with PD and 35 age-matched control subjects. Trunk position sense was determined with "trunk reposition errors." A spinal mouse was used to assess spinal posture and spinal mobility.

Results: According to the Hoehn-Yahr rating scale, the majority of the patients were in Stage 1 (68.6%). Trunk position sense was found to be significantly decreased in patients with PD compared with the control group (p < .001) but was not correlated with spinal posture and spinal mobility in patients with PD (p > .05).

Conclusions: This study revealed that trunk position sense was impaired in PD from the early stages of the disease. However, neither spinal posture nor spinal mobility was associated with decreased trunk proprioception. Further research into these relationships in the late stages of PD is needed.

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来源期刊
Motor Control
Motor Control 医学-神经科学
CiteScore
1.80
自引率
9.10%
发文量
48
审稿时长
>12 weeks
期刊介绍: Motor Control (MC), a peer-reviewed journal, provides a multidisciplinary examination of human movement across the lifespan. To keep you abreast of current developments in the field of motor control, it offers timely coverage of important topics, including issues related to motor disorders. This international journal publishes many types of research papers, from clinical experimental to modeling and theoretical studies. These papers come from such varied disciplines as biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation. Motor Control, the official journal of the International Society of Motor Control, is designed to provide a multidisciplinary forum for the exchange of scientific information on the control of human movement across the lifespan, including issues related to motor disorders. Motor Control encourages submission of papers from a variety of disciplines including, but not limited to, biomechanics, kinesiology, neurophysiology, neuroscience, psychology, physical medicine, and rehabilitation. This peer-reviewed journal publishes a wide variety of types of research papers including clinical experimental, modeling, and theoretical studies. To be considered for publication, papers should clearly demonstrate a contribution to the understanding of control of movement. In addition to publishing research papers, Motor Control publishes review articles, quick communications, commentaries, target articles, and book reviews. When warranted, an entire issue may be devoted to a specific topic within the area of motor control.
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