摘要
目的以平衡仪为标准,分析Berg平衡量表(Berg Balance Scale,BBS)在帕金森病患者平衡评估中的适用性,并制定针对性的干预方案。方法选取2020年1月至2022年9月就诊于复旦大学附属华山医院神经内科和康复医学科的186例帕金森病患者,使用平衡仪评估患者的静态平衡功能,并根据Berg平衡量表、左旋多巴等效药物剂量对患者的平衡功能参数进行分析。结果药物剂量不影响平衡仪得分;BBS与平衡仪之间的相关性较好,量表得分越高,平衡仪得分越低(r=-0.333,P<0.001);BBS总分21~40分的患者左旋多巴等效剂量与BBS第11项之间正相关(r=0.715,P=0.046),BBS总分51~56分的患者左旋多巴等效剂量与BBS第6项之间显著负相关(r=-0.300,P=0.001)。BBS失分最多的项目依次为:(14)无支持单腿站立(134人)、(13)无支持双足前后站立(122人)、(11)原地转身360度(75人)、(8)站立位双上肢前伸并向前移动(70人)和(12)双足交替踏台阶/踏板(56人)。结论在缺少专业设备的情况下,BBS评估PD患者的平衡功能具有良好的临床适用性,且可根据失分项目制定针对性的康复方案。
Objective To analyze the applicability of Berg Balance Scale(BBS)in the balance assessment of Parkinson’s disease(PD)patients with balancing instrument test as the standard,so as to formulate targeted intervention programs accordingly.Methods A total of 186 patients with PD admitted to Department of Neurology and Department of Rehabilitation Medicine,Huashan Hospital,Fudan University from Jan 2020 to Sep 2022 were selected as the research objects.The static balance function of the patients was evaluated by balancing instrument.The balance function parameters were analyzed according to BBS and levodopa equivalent dose.Results The drug dose did not affect the score of balance instrument.There was a good correlation between BBS and balance instrument.The higher the scale score,the lower the balance instrument score(r=-0.333,P<0.001).There was a positive correlation between levodopa equivalent dose and item 11 of BBS in subjects with BBS total score of 21-40(r=0.715,P=0.046).There was a significant negative correlation between levodopa equivalent dose and item 6 of BBS in subjects with BBS total score of 51-56(r=-0.300,P=0.001).The number of people who lost the most points in BBS from large to small was item 14 of standing on one leg(134 cases),item 13 of standing without support with one foot in front(122 cases),item 11 of turning 360 degrees(75 cases),item 8 of reaching forward with outstretched arms(70 cases),and item 12 of placing one feet alternately on a step or a stool(56 cases).Conclusion In the absence of balancing instrument,BBS has good clinical applicability in the evaluation of PD patients,and some items can be focused on according to the lost points.
作者
王辰
田闪
王卫宁
李策
朱玉连
WANG Chen;TIAN Shan;WANG Wei-ning;LI Ce;ZHU Yu-lian(Department of Rehabilitation Medicine,Huashan Hospital,Fudan University,Shanghai 200040,China;School of Sports and Health,Shanghai University of Sport,Shanghai 200438,China)
出处
《复旦学报(医学版)》
北大核心
2025年第3期403-407,共5页
Fudan University Journal of Medical Sciences
基金
国家重点研发计划(2023YFC3603905)
上海申康医院发展中心市级医院临床管理优化项目(SHDC22023304-B)
上海市创新医疗器械应用示范项目(23SHS05400-05)。
