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首页> 外文期刊>Journal of Parkinsonism and Restless Legs Syndrome >A quick and easy-to-use clinical scale to assess balance in Parkinson's disease
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A quick and easy-to-use clinical scale to assess balance in Parkinson's disease

机译：一种快速且易于使用的临床量表，用于评估帕金森氏病的平衡

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Background: Balance difficulty is a major contributor to falls in Parkinson's disease (PD). However, the new Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) motor examination contains only one subtest – postural instability – and it is only 3% of the total that assesses balance. There are several balance scales, but they were not developed for PD and they do not complement the MDS-UPDRS. There is a need for a quick and easy-to-use balance scale in PD and one that complements the MDS-UPDRS.Methods: The Barrow Neurological Institute (BNI) balance scale was developed as a complement to the MDS-UPDRS and was used to evaluate the risk of falling in 53 PD patients. There were nine patients who fell three times per month ("fallers"). The BNI scale was compared with the widely used Tinetti scale. The Tinetti scale has 16 subtests; the BNI scale has five.Results: The nine fallers had a significantly longer PD duration, a higher MDS-UPDRS score, a higher (worse) BNI balance score, and a lower (worse) Tinetti score compared to 44 nonfallers. Fallers were significantly more impaired on the MDS-UPDRS subtest of postural stability and on the BNI scale. A BNI scale score ≥ 13 had a sensitivity of 100% and a specificity of 88.6% in identifying fallers, whereas a Tinetti scale score ≤ 18 had a sensitivity of 55.6% and a specificity of 95.5% in identifying fallers. The BNI scale with five subtests is easier to perform than the Tinetti with 16 subtests.Conclusion: The BNI balance scale is more sensitive and specific in predicting falls than the Tinetti. It is a useful adjunct to the MDS-UPDRS.
机译：背景：平衡困难是导致帕金森氏病（PD）下降的主要原因。但是，新的运动障碍学会帕金森病疾病统一评估量表（MDS-UPDRS）的运动检查仅包含一项子测验-姿势不稳-仅评估总数的3％。有多个余额表，但它们不是为PD开发的，也不补充MDS-UPDRS。 PD中需要一种快速且易于使用的平衡秤，并且需要一种补充MDS-UPDRS的秤。方法：开发了Barrow Neuroologic Institute（BNI）平衡秤作为MDS-UPDRS的补充并被使用评估53名PD患者跌倒的风险。有9名患者每月跌倒3次（“跌倒者”）。将BNI量表与广泛使用的Tinetti量表进行了比较。 Tinetti量表有16个子测验。 BNI量表有五个。结果：与44个非跌倒者相比，九个跌倒者的PD持续时间明显更长，MDS-UPDRS得分更高，BNI平衡得分更高（更差），Tinetti得分更低（更差）。在姿势稳定性的MDS-UPDRS子测验和BNI量表上，跌倒者受到的伤害更大。 BNI量表评分≥13在识别下降者方面的敏感性为100％，特异性为88.6％，而Tinetti量表评分≤18在识别下降者中的敏感性为55.6％，特异性为95.5％。包含五个子测试的BNI量表比具有16个子测试的Tinetti易于执行。结论：BNI平衡量表在预测跌倒方面比Tinetti更为敏感和具体。它是MDS-UPDRS的有用附件。

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