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파킨슨병 환자의 경직에 대한 임상적 평가의 정량화

Quantification of Clinical assessment of Rigidity in patients with Parkinson's Disease

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초록

The purpose of this study was to quantify the clinical assessment of rigidity at wrist in patients with Parkinson's disease. The experimental system was designed that the effect of gravity was negated by restricting motion at the horizontal plane and inertia was predetermined from a biomechanical measurement. Forty five patients with Parkinson’s disease participated in this study. Viscoelastic properties were calculated from the experimental data acquired during intermittent passive movement of wrist. Viscoelastic constants correlated well with the rigidity scores of UPDRS, i.e., Spearman’s r=0.733 and 0.905 for spring and damping constants, respectively. The results suggest that viscoelastic properties can be used as quantitative measures of rigidity.

Abstract

The purpose of this study was to quantify the clinical assessment of rigidity at wrist in patients with Parkinson's disease. The experimental system was designed that the effect of gravity was negated by restricting motion at the horizontal plane and inertia was predetermined from a biomechanical measurement. Forty five patients with Parkinson’s disease participated in this study. Viscoelastic properties were calculated from the experimental data acquired during intermittent passive movement of wrist. Viscoelastic constants correlated well with the rigidity scores of UPDRS, i.e., Spearman’s r=0.733 and 0.905 for spring and damping constants, respectively. The results suggest that viscoelastic properties can be used as quantitative measures of rigidity.

참고문헌 (11)

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  3. L.R. Van Dillen, "Interrater reliability of a clinical scale of rigidity", Phys Ther, 68(11), pp.1679~1681 (1988)
  4. E.J. Van Someren, "New actigraph for long-term tremor recording", Mov Disord, 21(8), pp.1136~1143 (2006)
  5. R. Okuno, "Measurement system of finger-tapping contact force for quantitative diagnosis of Parkinson's disease", Conf Proc IEEE Eng Med Biol Soc, 2007, pp.1354~1357 (2007)
  6. M.K. Mak, "Quantitative measurement of trunk rigidity in parkinsonian patients", J Neurol, 254(2), pp.202~209 (2007)
  7. A. Prochazka, "Measurement of rigidity in Parkinson's disease", Mov Disord, 12(1), pp.24~32 (1997)
  8. V.S. Fung, "Objective quantification of resting and activated parkinsonian rigidity:a comparison of angular impulse and work scores", Mov Disord, 15(1), pp.48~55 (2000)
  9. B. Sepehri, "Quantification of rigidity in Parkinson's disease", Ann Biomed Eng, 35(12), pp.2196~2203 (2007)
  10. D.A. Winter, "Biomechanics and motor control of human movement", pp.75~76, John Wiley & Sons Inc
  11. S.K. Patrick, "Quantification of the UPDRS Rigidity Scale", IEEE Trans Neural Syst Rehabil Eng., 9(1), pp.31~41 (2001)

관련 논문AI추천

특발성 파킨슨병 환자의 완서증 정량화를 위한 전완 내회전/외회전 운동의 각속도 측정권도영, 권유리, 김지원, 박건우, 신진영, 엄광문, 이요셉, 이재호대한의용생체공학회 · 의공학회지2009 · 제30권 제2호3차원 전기측각 보행분석기를 이용한 파킨슨씨병 환자의 임상 양상에 따른 보행 분석고성범, 김세주, 백혜진, 윤준식, 이규호대한임상신경생리학회 · Annals of Clinical Neurophysiology2009 · 제11권 제1호자이로센서를 이용한 특발성 파킨슨병 환자와 정상인의 손가락 벌렸다 오므리기 동작의 측정과 비교고성범, 권도영, 권유리, 김지원, 박병규, 엄광문, 이재호, 홍정화대한의용생체공학회 · 의공학회지2010 · 제31권 제3호양손에서 웨어러블 시스템을 이용한 파킨슨병의 정량적 진전 평가김상경, 김정환, 김한별, 박광석, 박혜영, 이홍지, 전범석, 전효선, 정유진대한의용생체공학회 · 의공학회지2014 · 제35권 제4호파킨슨병 환자의 낙상과 비-낙상에 대한 통합형 파킨슨병 평가척도(Unified Parkinson’s Disease Rating Scale)의 비교이수영, 황수진특수교육재활과학연구소 · 특수교육재활과학연구2011 · 제50권 제4호컴퓨터화 자세측정기를 이용한 파킨슨병 환자의 균형 조절 능력에 대한 평가곽현, 김상범, 김원복, 김재우, 윤기성, 이건철, 이경우, 천상명대한재활의학회 · Annals of Rehabilitation Medicine2007 · 제31권 제2호

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