Program in Physical Therapy, Department of Rehabilitation Medicine, Columbia University Medical Center, New York, New York 10032, USA.
Mov Disord. 2010;25 Suppl 1:S146-51. doi: 10.1002/mds.22784.
Motor impairment and functional limitations are known sequelae of Parkinson's disease. Occupational therapy (OT) is recognized as an important adjunct to pharmacological management. This critical review provides an update on the effectiveness of OT. Eight studies were included in the review, three on occupational therapy task-related training, two on functional training with external cues and three on OT as part of interdisciplinary treatment. Due to lack of level I studies, it is difficult to determine conclusively the effect of OT. However, there is evidence to suggest that treatment produces improvements in motor and quality of life for the duration of therapy. Implications for future studies and practice are discussed.
运动障碍和功能限制是帕金森病的已知后遗症。职业治疗(OT)被认为是药物治疗的重要辅助手段。本综述提供了 OT 有效性的最新信息。该综述纳入了 8 项研究,其中 3 项研究涉及职业治疗任务相关训练,2 项研究涉及使用外部线索进行功能训练,3 项研究涉及 OT 作为多学科治疗的一部分。由于缺乏一级研究,因此很难确定 OT 的确切效果。然而,有证据表明,治疗在治疗期间可以改善运动和生活质量。讨论了对未来研究和实践的影响。