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帕金森病弯腰驼背的背部伸肌强化训练与背包佩戴治疗:一项回顾性试点研究

Back Extensor Strengthening Exercise and Backpack Wearing Treatment for Camptocormia in Parkinson's Disease: A Retrospective Pilot Study.

作者信息

Lee Kun Hee, Kim Jong Moon, Kim Hyoung Seop

机构信息

Department of Physical Medicine and Rehabilitation, National Health Insurance Service Ilsan Hospital, Goyang, Korea.

出版信息

Ann Rehabil Med. 2017 Aug;41(4):677-685. doi: 10.5535/arm.2017.41.4.677. Epub 2017 Aug 31.

Abstract

OBJECTIVE

To investigate the effect of a conservative treatment regime in Parkinson's disease patients with camptocormia.

METHODS

Nine patients with Parkinson's disease were included in a retrospective pilot study of the value of back extensor strengthening exercise. Six inpatients received a 30-minute treatment, twice daily for 5 weeks, being treated on average for 34 days; while three outpatients visited the clinic and were educated for home exercise and backpack wearing treatment. Outpatients should be scheduled to visit the outpatient department to check physical status every 2-4 weeks for an average of 3 months.

RESULTS

All patients except one showed statistically significant improvements in activities of daily living (ADL) and motor symptoms, as measured by flexion angle at standing posture, Unified Parkinson's Disease Rating Scale (UPDRS) II and III, and modified Hoehn-Yahr staging.

CONCLUSION

Conservative treatment is effective in postural correction of camptocormia in Parkinson's disease, as well as improvement in ADL and motor symptoms.

摘要

目的

探讨保守治疗方案对帕金森病弯腰驼背患者的疗效。

方法

对9例帕金森病患者进行了一项关于背伸肌强化锻炼价值的回顾性初步研究。6例住院患者接受30分钟的治疗,每天2次,共5周,平均治疗34天;3例门诊患者到诊所就诊,接受家庭锻炼和佩戴背包治疗的指导。门诊患者应每2 - 4周安排到门诊部检查身体状况,平均持续3个月。

结果

除1例患者外,所有患者在日常生活活动能力(ADL)和运动症状方面均有统计学意义上的显著改善,评估指标包括站立姿势时的屈曲角度、统一帕金森病评定量表(UPDRS)Ⅱ和Ⅲ以及改良Hoehn - Yahr分期。

结论

保守治疗对帕金森病弯腰驼背的姿势矫正有效,同时也能改善ADL和运动症状。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8d13/5608676/e90187df4e73/arm-41-677-g001.jpg

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