[논문]파킨슨 환자들의 질환등급, 균형, 낙상 및 보행능력 평가척도 고찰

김창환; 김미영; 임비오

doi:10.5103/kjsb.2015.25.4.441

파킨슨 환자들의 질환등급, 균형, 낙상 및 보행능력 평가척도 고찰
A Literature Review of Parkinson's Disease Rating, Balance, Fall and Gait Scales 원문보기

한국운동역학회지 = Korean journal of sport biomechanics, v.25 no.4, 2015년, pp.441 - 451

김창환 (인하대학교 의학전문대학원 재활의학교실) , 김미영 (성신여자대학교 생활과학대학 운동재활복지학과) , 임비오 (중앙대학교 사범대학 체육교육학과)

Abstract ▼ AI-Helper

Objective : The purpose of the study was to investigate and compare the differences between Parkinson's disease rating, balance, fall and gait scales. Results : Parkinson's disease rating scales include the Hoehn-Yahr Scale and the Unified Parkinson's Disease Rating Scale (UPDRS). The Hoehn-Yahr Scale can measure disease rates easily; however it is not sensitive enough to evaluate the disease's process and management. UPDRS's advantage is in it's higher inter-reliability score; however it is more complicated to use. Parkinson's balance scales are comprised of the Berg Balance Scale (BBS) and the Activities-Specific Balance Confidence Scale (ABC). BBS has the advantage in that it is cheaper to measure and simple in use. ABC's advantage is especially in it's ability to measure higher functional levels; however it is more difficult measure responses due to scores appearing in both extremes. The Fall Efficacy Scale (FES) and The Survey of Activities and Fear of Falling in the Elderly (SAFE) are Parkinson's fall scales. FES's leverage over SAFE is that it is simpler to measure; however it does not coincide with responses which proves disadvantageous in measuring balance loss in high-level Parkinson's patients. SAFE's advantage is in it's simpler use and ability to be utilized without encountering the fear of fall; however it's at a disadvantage in regards to its use with multilateral aspects providing insufficient inspection. Lastly, the Dynamic Gait Index (DGI) and the Functional Gait Assessment (FGA) are Parkinson's gait scales. DGI is advantageous in its ability to test gait ability when exposed to a variety of external environments; however it is disadvantageous in that it registers higher scores with activities. FGA's advantage is in it's dynamic balance test; however it at a disadvantage with those unable to walk. Conclusion : A researcher of Parkinson's patients must choose each scale while considering their positive and negative characteristics.

주제어

질의응답

핵심어	질문	논문에서 추출한 답변
	호엔야르 척도의 2단계 내용은 무엇인가요?	제2단계 : 안정 시 몸의 양측에서 떨림이나 강직 등이 관찰(Unilateral and axial involvement),
	파킨슨병의 병리학적 특징은 무엇인가요?	파킨슨병(Parkinson`s disease)은 신경전달물질인 도파민의 분비저하로 인해 발생되는 퇴행성 뇌질환이다(Kim & Won, 2004; Kim, Kim & Lim, 2013; Kim, Kim, Moon & Lim, 2014). 파킨슨병은 중뇌(midbrain)의 흑색질(substantia nigra)의 도파민(dopamine) 신경세포의 소실과 신경세포의 세포질 내의 루이체(Lewy body)의 존재가 병리학적 특징이다 (Spillantini, Schmidt, Lee, Trojanowski, Jakes & Goedert, 1997). 파킨슨병의 원인으로는 유전성, 뇌염 및 뇌질환, 그리고 약물 중독 등이며, 정확한 원인은 아직 규명되지 않았다(Lim & Kim, 2007; Kim, Kim & Lim, 2014).
	파킨슨병(Parkinson`s disease)은 무엇인가요?	파킨슨병(Parkinson`s disease)은 신경전달물질인 도파민의 분비저하로 인해 발생되는 퇴행성 뇌질환이다(Kim & Won, 2004; Kim, Kim & Lim, 2013; Kim, Kim, Moon & Lim, 2014). 파킨슨병은 중뇌(midbrain)의 흑색질(substantia nigra)의 도파민(dopamine) 신경세포의 소실과 신경세포의 세포질 내의 루이체(Lewy body)의 존재가 병리학적 특징이다 (Spillantini, Schmidt, Lee, Trojanowski, Jakes & Goedert, 1997).

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