目的：探讨帕金森病（PD）患者的足底压力分布特点和步态特点及针对性康复训练的治疗效果。方 法：原发性PD患者50例纳入PD组，健康中老年人50例纳入对照组。采用Gaitview足底压力测量仪检测2 组的静态和动态足底压力。结果：静态足底压力测定中，PD 组左、右足足底 5 区（第 5 跖骨）压力分别为 （40.41±22.46）kPa 和（30.42±13.14）kPa，明显高于对照组的（21.60±10.39）kPa 和（20.79±9.10）kPa（均 P＜ 0.001）。2组行走时足底各区域的压力差异均无统计学意义（P＞0.05）；PD组的左、右足足跟着地时间分别 为（0.84±2.05）s和（1.64±3.17）s，均明显短于对照组的（4.72±2.96）s和（6.33±6.27）s（均P＜0.001）。结论：足 底压力测定可分析PD患者步态障碍的特点和程度，针对性康复训练需强调后跟先落地

To investigate the characteristics of plantar pressure distribution and gait in patients with Parkinson's disease (PD) and the therapeutic effect of targeted rehabilitation training. Methods: Fifty patients with primary PD were included in this study as the PD group, and 50 healthy middle-aged and elderly subjects were selected as the control group. Static and dynamic plantar pressure of subjects in both groups was measured using the Gaitview system. Results: During static assessments, the left and right foot Zone 5 (the fifth metatarsal) plantar pressure was (40.41 ± 22.46) kPa and (30.42 ± 13.14) kPa respectively in the PD group, significantly higher than the (21.60 ± 10.39) kPa and (20.79 ± 9.10) kPa in the control group (both P<0.001). During dynamic assessments, the two groups showed no significant difference in plantar pressure in all zones of the foot (P>0.05). The left and right foot heel-strike duration of the PD group was (0.84±2.05) s and (1.64±3.17) respectively, both being significantly shorter than the (4.72±2.96) s and (6.33±6.27) s of the control group (both P<0.001). Conclusion: Plantar pressure information is essential for the analysis of the characteristics and extent of gait disorders in patients with PD. Targeted rehabilitation training should emphasize heel-first landing.