UFRS STAPS, Université du Sud Toulon-Var, La Garde 83957, France.
Parkinsons Dis. 2012;2012:754186. doi: 10.1155/2012/754186. Epub 2012 Jan 9.
Disorders of posture, balance, and gait are debilitating motor manifestations of advancing Parkinson's disease requiring rehabilitation intervention. These problems often reflect difficulties with coupling or sequencing posture and locomotion during complex whole body movements linked with falls. Considerable progress has been made with demonstrating the effectiveness of exercise interventions for individuals with Parkinson's disease. However, gaps remain in the evidence base for specific interventions and the optimal content of exercise interventions. Using a conceptual theoretical framework and experimental findings, this perspective and review advances the viewpoint that rehabilitation interventions focused on separate or isolated components of posture, balance, or gait may limit the effectiveness of current clinical practices. It is argued that treatment effectiveness may be improved by directly targeting posture and locomotion coupling problems as causal factors contributing to balance and gait dysfunction. This approach may help advance current clinical practice and improve outcomes in rehabilitation for persons with Parkinson's disease.". . .postural activity should be regarded as a function in its own right and not merely as a component of movement. . ."James Purdon Martin.
姿势、平衡和步态障碍是帕金森病进展中使人衰弱的运动表现，需要康复干预。这些问题通常反映了在与跌倒相关的复杂全身运动中，姿势和运动的耦合或顺序出现困难。已经在证明运动干预对帕金森病患者的有效性方面取得了相当大的进展。然而，在特定干预措施和运动干预的最佳内容方面，证据基础仍然存在差距。本文通过使用概念理论框架和实验发现，从观点和综述的角度推进了这样一种观点，即专注于姿势、平衡或步态的单独或孤立成分的康复干预措施可能会限制当前临床实践的效果。有人认为，通过直接针对姿势和运动的耦合问题作为导致平衡和步态功能障碍的因果因素，治疗效果可能会得到改善。这种方法可能有助于推进当前的临床实践，并改善帕金森病患者的康复结果。……姿势活动本身应被视为一种功能，而不仅仅是运动的一个组成部分。……詹姆斯·普顿·马丁。
