Do patients with cervical dystonia present a greater risk and more fear of falling?

IF 1 4区医学 Q4 NEUROSCIENCES

Arquivos de neuro-psiquiatria Pub Date : 2025-03-01 Epub Date: 2025-04-27 DOI:10.1055/s-0045-1806822

Sibele Yoko Mattozo Takeda, Ana Félix de Souza, Iara Ferreira Penteado, Djanira Aparecida da Luz Veronez, Hélio Afonso Ghizoni Teive

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引用次数: 0

Abstract

Background: Cervical dystonia (CD) is a movement disorder characterized by involuntary contractions that affect the muscles of the cervical region, causing movements in a twisting pattern. Its chronic-progressive nature can lead to pain, impaired mobility, and greater propensity to falls.

Objective: To verify gait and balance characteristics and their correlation with the risk and fear of falling in 46 CD patients.

Methods: The present was a descriptive and cross-sectional study. For the assessments, we sued the Berg Balance Scale (BBE), the Tinetti Scale (also known as the Performance-Oriented Mobility Assessment, POMA), the Dynamic Gait Index (DGI), the Fall Efficacy Scale-International (FES-I), and the Functional Reach Test (FRT). The patients were recruited during their routine consultations, before the administration of botulinum toxin. For data analysis, we used the BioEstat 5.0 software (free) to verify the distribution of samples (Shapiro-Wilk test) and the correlations among variables (Spearman test) considering p ≤ 0.05%.

Results: The results showed that the patients presented gait changes related to static and dynamic components of balance. Therefore, we observed a greater propensity to falls, with a correlation involving lack of balance, a greater risk of falling and, consequently, more fear of falling.

Conclusion: We verified that changes in the balance of CD patients have a negative impact on gait, increase the risk and the fear of falling, and can lead the individual to restrict their activity levels.

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颈肌张力障碍患者是否有更大的跌倒风险和更大的跌倒恐惧？

背景：颈肌张力障碍（CD）是一种运动障碍，其特征是影响颈部肌肉的不自主收缩，导致扭曲模式的运动。其慢性进行性可导致疼痛、活动能力受损和更大的跌倒倾向。目的：验证46例CD患者的步态和平衡特征及其与跌倒风险和恐惧的相关性。方法：采用描述性和横断面研究。在评估方面，我们使用了Berg平衡量表（BBE）， Tinetti量表（也称为性能导向的移动评估，POMA），动态步态指数（DGI），跌倒功效量表-国际（FES-I）和功能到达测试（FRT）。在给予肉毒杆菌毒素之前，患者在常规咨询期间被招募。数据分析采用BioEstat 5.0软件（免费）进行样本分布检验（Shapiro-Wilk检验）和变量间相关性检验（Spearman检验），考虑p≤0.05%。结果：结果显示，患者的步态变化与平衡的静态和动态成分有关。因此，我们观察到更大的跌倒倾向，这与缺乏平衡、更大的跌倒风险以及因此更害怕跌倒有关。结论：我们证实了CD患者平衡的改变对步态有负面影响，增加了跌倒的风险和恐惧，并可能导致个体限制其活动水平。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Arquivos de neuro-psiquiatria 医学-精神病学

CiteScore

2.10

自引率

7.10%

发文量

262

审稿时长

4-8 weeks

期刊介绍： Arquivos de Neuro-Psiquiatria is the official journal of the Brazilian Academy of Neurology. The mission of the journal is to provide neurologists, specialists and researchers in Neurology and related fields with open access to original articles (clinical and translational research), editorials, reviews, historical papers, neuroimages and letters about published manuscripts. It also publishes the consensus and guidelines on Neurology, as well as educational and scientific material from the different scientific departments of the Brazilian Academy of Neurology. The ultimate goals of the journal are to contribute to advance knowledge in the areas of Neurology and Neuroscience, and to provide valuable material for training and continuing education for neurologists and other health professionals working in the area. These goals might contribute to improving care for patients with neurological diseases. We aim to be the best Neuroscience journal in Latin America within the peer review system.