Faculty of Health Sciences, The University of Western Ontario, London, ON, Canada N6A 3K7.
Parkinsons Dis. 2012;2012:589152. doi: 10.1155/2012/589152. Epub 2011 Dec 5.
Motor learning has been found to occur in the rehabilitation of individuals with Parkinson's disease (PD). Through repetitive structured practice of motor tasks, individuals show improved performance, confirming that motor learning has probably taken place. Although a number of studies have been completed evaluating motor learning in people with PD, the sample sizes were small and the improvements were variable. The purpose of this meta-analysis was to determine the ability of people with PD to learn motor tasks. Studies which measured movement time in upper extremity reaching tasks and met the inclusion criteria were included in the analysis. Results of the meta-analysis indicated that people with PD and neurologically healthy controls both demonstrated motor learning, characterized by a decrease in movement time during upper extremity movements. Movement time improvements were greater in the control group than in individuals with PD. These results support the findings that the practice of upper extremity reaching tasks is beneficial in reducing movement time in persons with PD and has important implications for rehabilitation.
运动学习已被发现存在于帕金森病(PD)患者的康复中。通过对运动任务进行重复的结构化练习,个体表现出性能的提高,这证实了运动学习可能已经发生。尽管已经完成了许多评估 PD 患者运动学习的研究,但样本量较小,改善情况也各不相同。本荟萃分析的目的是确定 PD 患者学习运动任务的能力。分析中包括了测量上肢伸展任务中运动时间并符合纳入标准的研究。荟萃分析的结果表明,PD 患者和神经健康对照者都表现出运动学习,其特征是上肢运动中的运动时间减少。对照组的运动时间改善大于 PD 患者。这些结果支持以下发现,即进行上肢伸展任务的练习有利于减少 PD 患者的运动时间,这对康复具有重要意义。