老年步態障礙

Geriatric Gait Disorders

李棟洲(Tung-Chou Li) ； 武俊傑(Chun-Chieh Wu)

《台灣老年醫學暨老年學雜誌》 10卷1期 (2015/02) Pp. 1-15

https://doi.org/10.29461/TGG.201502_10(1).0001

摘要

老年人的步態問題是造成功能障礙的一個常見因素。雖然年齡增加將造成部分生理功能減弱而影響步態，但是部份步態改變不僅是來自年齡的因素而是和其他疾病相關。大部份老年人的步態障礙常常是多重因素所造成的結果，同時合併有神經性和非神經性的原因。所以在評估老年人的步態問題時必須把所有的相關疾病考慮進去，而且必須考量不同層級的感覺動作功能缺損。在這篇文章裡，我們回顧與老年步態疾病中相關的發生率、影響、原因、同時指出了隨著年齡增加常見的步態變化。其次我們提出常見老年步態疾病的臨床表現並回顧一些臨床評估步態的方法，最後介紹一些降低步態疾病嚴重度的介入方法。

關鍵字

老年 ； 步態 ； 障礙

並列摘要

Gait disorders are a major cause of functional impairment and morbidity in the elderly population. Some changes in gait are related to underlying medical diseases like osteoarthritis and should not be considered an inevitable consequence of aging. More often than not, a gait disorder in older persons represents the combined effects of two or more coexisting conditions and carries with it both neurologic and non-neurologic components. Assessment of gait in older persons should therefore take into consideration of comorbidities and different levels of sensorimotor deficits. In this article, we review the prevalence, impact, and causes of gait disorders in the elderly. We also outline the significant changes in gait patterns associated with advancing age. We then proceed to discuss the core clinical features of common geriatric gait disorders and review some bedside tests to assess gait and finally interventions known to reduce the severity of gait disorders.

並列關鍵字

geriatric ； gait ； disorder