NYU School of Medicine, Rusk Institute of Rehabilitation Medicine, New York, NY, USA.
PM R. 2009 Mar;1(3 Suppl):S42-8; quiz S49-50. doi: 10.1016/j.pmrj.2009.01.018.
This self-directed learning module provides an evidence-based update of exercise-based rehabilitation interventions to treat Parkinson disease (PD). It is part of the study guide on stroke and neurodegenerative disorders in the Self-Directed Physiatric Education Program for practitioners and trainees in physical medicine and rehabilitation. This focused review emphasizes treatment of locomotion deficits, upper limb motor control deficits, and hypokinetic dysarthria. New dopaminergic agents and deep brain stimulation are facilitating longer periods of functional stability for patients with PD. Adjunctive exercise-based treatments can therefore be applied over longer periods of time to optimize function before inevitable decline from this neurodegenerative disease. As function deteriorates in patients with PD, the role of caregivers becomes more critical, thus training caregivers is of paramount importance to help maintain a safe environment and limit caregiver anxiety and depression. The overall goal of this article is to enhance the learner's existing practice techniques used to treat PD through exercise-based intervention methods.
本自学模块提供了基于运动的康复干预措施治疗帕金森病 (PD) 的循证更新。它是物理医学与康复从业者和学员自我指导物理医学教育计划中风和神经退行性疾病学习指南的一部分。本次重点复习强调治疗运动障碍、上肢运动控制障碍和运动徐缓性构音障碍。新型多巴胺能药物和深部脑刺激使 PD 患者获得更长时间的功能稳定性。因此，在这种神经退行性疾病不可避免地导致功能下降之前，可以应用辅助性基于运动的治疗方法，从而使功能得到最佳化。随着 PD 患者功能的恶化，照顾者的角色变得更加重要，因此培训照顾者对于帮助维持安全的环境以及限制照顾者的焦虑和抑郁至关重要。本文的总体目标是通过基于运动的干预方法增强学习者治疗 PD 时所使用的现有实践技术。
