帕金森病患者足底压力分布特点和步态特点及 针对性康复训练的方案

目的:探讨帕金森病(PD)患者的足底压力分布特点和步态特点及针对性康复训练的治疗效果。方法:原发性PD患者50例纳入PD组,健康中老年人50例纳入对照组。采用Gaitview足底压力测量仪检测2组的静态和动态足底压力。结果:静态足底压力测定中,PD组左、右足足底5区(第5跖骨)压力分别为(40.41±22.46)kPa和(30.42±13.14)kPa,明显高于对照组的(21.60±10.39)kPa和(20.79±9.10)kPa(均P0.001)。2组行走时足底各区域的压力差异均无统计学意义(P0.05);PD组的左、右足足跟着地时间分别为(0.84±2.05)s和(1.64±3.17)s,均明显短于对照组的(4.72±2.96)s和(6.33±6.27)s(均P0.001)。结论:足底压力测定可分析PD患者步态障碍的特点和程度,针对性康复训练需强调后跟先落地。

Characteristics of Plantar Pressure Distribution and Gait in Patients with Parkinson's Disease and Therapeutic Effect of Targeted Rehabilitation Training

To investigate the characteristics of plantar pressure distribution and gait in patients with Parkinson''s disease (PD) and the therapeutic effect of targeted rehabilitation training. Methods: Fifty patients with primary PD were included in this study as the PD group, and 50 healthy middle-aged and elderly subjects were selected as the control group. Static and dynamic plantar pressure of subjects in both groups was measured using the Gaitview system. Results: During static assessments, the left and right foot Zone 5 (the fifth metatarsal) plantar pressure was (40.41 ± 22.46) kPa and (30.42 ± 13.14) kPa respectively in the PD group, significantly higher than the (21.60 ± 10.39) kPa and (20.79 ± 9.10) kPa in the control group (both P<0.001). During dynamic assessments, the two groups showed no significant difference in plantar pressure in all zones of the foot (P>0.05). The left and right foot heel-strike duration of the PD group was (0.84±2.05) s and (1.64±3.17) respectively, both being significantly shorter than the (4.72±2.96) s and (6.33±6.27) s of the control group (both P<0.001). Conclusion: Plantar pressure information is essential for the analysis of the characteristics and extent of gait disorders in patients with PD. Targeted rehabilitation training should emphasize heel-first landing.