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Altered Dynamic Postural Control during Step Turning in Persons with Early-Stage Parkinson's Disease

机译:早期帕金森氏病患者转弯时动态姿势控制的改变

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摘要

Persons with early-stage Parkinson's disease (EPD) do not typically experience marked functional deficits but may have difficulty with turning tasks. Studies evaluating turning have focused on individuals in advanced stages of the disease. The purpose of this study was to compare postural control strategies adopted during turning in persons with EPD to those used by healthy control (HC) subjects. Fifteen persons with EPD, diagnosed within 3 years, and 10 HC participated. Participants walked 4 meters and then turned 90°. Dynamic postural control was quantified as the distance between the center of pressure (COP) and the extrapolated center of mass (eCOM). Individuals with EPD demonstrated significantly shorter COP-eCOM distances compared to HC. These findings suggest that dynamic postural control during turning is altered even in the early stages of PD.
机译:患有早期帕金森氏病(EPD)的人通常不会出现明显的功能缺陷,但可能难以进行车削任务。评估转向的研究集中于疾病晚期的个体。这项研究的目的是比较EPD患者转身时所采用的姿势控制策略与健康对照(HC)对象所采用的姿势控制策略。三年内被诊断出的15名患有EPD的人和10名HC参加了。参与者走了4米,然后转过90度。动态姿势控制量化为压力中心(COP)与外推质心(eCOM)之间的距离。与HC相比,EPD患者的COP-eCOM距离明显缩短。这些发现表明,即使在PD的早期,转弯时的动态姿势控制也会改变。

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