Correlation Analysis between Individual Biomechanical Gait Freezing and Anxiety and Depression

Zhuqiang Ye
Graduate student, School of Law, Shanghai University of Political Science and Law, Shanghai, China
Leya Zhang
Lecturer, Mental Health Education and Counseling Center, Shanghai University of Medicine and Health Sciences, Shanghai, China
Yiming Zhai
Lecturer, College of Policing Studies, Shanghai University of Political Science and Law, Shanghai, China

Abstract:

Objective: The aim of this research was to delve into the association between the phenomenon of gait immobilization and the psychological states of anxiety and depression in individuals suffering from Parkinson's disease. The objective is to furnish a theoretical foundation for clinical interventions and nursing care. Methods: Utilizing a case-control study framework, this inquiry selected 60 Parkinson's disease patients exhibiting gait immobilization who were receiving treatment at the Second Affiliated Hospital of Hebei North University between January 2020 and September 2022 as the experimental group. Concurrently, for comparative purposes, we randomly chose 120 Parkinson's disease patients without gait immobilization as the control group. A thorough comparison of the clinical data between the two cohorts was conducted. Assessments included the use of the Unified Parkinson's Disease Rating Scale (UPDRS) Part III, Hamilton Depression Scale (HAMD), Hamilton Anxiety Scale (HAMA), Mini-Mental State Examination (MMSE), and Montreal Cognitive Assessment (MoCA) to gauge the patients' condition and psychological wellbeing. Results: The findings revealed that the duration of illness in the experimental group was markedly longer compared to the control group, and the H-Y grade was also significantly elevated (P<0.05). The UPDRS Part III scores, HAMD scores, and HAMA scores in the experimental group were notably higher than those in the control group (P<0.05). Furthermore, HAMD and HAMA scores in the experimental group exhibited a positive correlation with UPDRS Part III scores (r=0.585 and 0.504, P<0.05). Logistic regression analysis indicated that the length of illness and H-Y grade were significant determinants of gait immobilization in Parkinson's disease patients (P<0.05). Conclusions: This research indicates that gait immobilization in Parkinson's disease patients is influenced by the length of illness and H-Y grade. The occurrence of frozen gait may result in an upsurge in adverse emotional states such as anxiety and depression. These insights suggest that during the clinical management and nursing of Parkinson's disease, it is crucial to focus on the assessment and management of patients' psychological status to enhance their quality of life. The data yielded by this study contribute valuable insights for further examination of the correlation between frozen gait and psychological status in Parkinson's disease patients, warranting additional research and attention.