파킨슨 환자들의 질환등급, 균형, 낙상 및 보행능력 평가척도 고찰

Abstract

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