Department of Occupational Therapy, School of Rehabilitation, Iran University of Medical Sciences (IUMS), Tehran, Iran.
Occupational Therapy, Zabol University of Medical Science, Zabol, Iran.
J Hand Ther. 2018 Oct-Dec;31(4):486-493. doi: 10.1016/j.jht.2017.08.001. Epub 2017 Nov 14.
Blinded randomized controlled trial.
Patients with Parkinson disease (PD) have sensory problems, but there is still no accurate understanding of the effects of sensory-motor interventions on PD.
To investigate the effects of sensory-motor training (SMT) on hand and upper extremity sensory and motor function in patients with PD.
Forty patients with PD were allocated to the SMT group or the control group (CG) (mean ages ± standard deviation: SMT, 61.05 ± 13.9 years; CG, 59.15 ± 11.26 years). The CG received the common rehabilitation therapies, whereas the SMT group received SMT. The SMT included discrimination of temperatures, weights, textures, shapes, and objects and was performed 5 times each week for 2 weeks.
Significantly reducing the error rates in the haptic object recognition test (dominant hand [DH]: F = 15.36, P = .001, and effect size [ES] = 0.29; nondominant hand [NDH]: F = 9.33, P = .004, and ES = 0.21) and the error means in the wrist proprioception sensation test (DH: F = 9.11, P = .005, and ES = 0.19; NDH: F = 13.04, P = .001, and ES = 0.26) and increasing matched objects in the hand active sensation test (DH: F = 12.15, P = .001, and ES = 0.24; NDH: F = 5.03, P = .03, and ES = 0.12) founded in the SMT. Also, the DH (F = 6.65, P = .01, and ES = 0.15), both hands (F = 7.61, P = .009, and ES = 0.17), and assembly (F = 7.02, P = .01, and ES = 0.15) subtests of fine motor performance, as well as DH (F = 10.1, P = .003, and ES = 0.21) and NDH (F = 8.37, P = .006, and ES = 0.18) in upper extremity functional performance, were improved in the SMT.
SMT improved hand and upper extremity sensory-motor function in patients with PD.
The SMT group showed improved sensory and motor function. But these results were limited to levels 1 to 3 of the Hoehn and Yahr Scale.
盲法随机对照试验。
帕金森病（PD）患者存在感觉问题，但对于感觉运动干预对 PD 的影响仍缺乏准确的认识。
研究感觉运动训练（SMT）对 PD 患者手部和上肢感觉和运动功能的影响。
将 40 名 PD 患者分配到 SMT 组或对照组（CG）（平均年龄 ± 标准差：SMT 组，61.05 ± 13.9 岁；CG 组，59.15 ± 11.26 岁）。CG 接受常规康复治疗，而 SMT 组接受 SMT。SMT 包括温度、重量、质地、形状和物体的辨别，每周进行 5 次，持续 2 周。
在触觉物体识别测试中，显著降低了错误率（优势手 [DH]：F = 15.36，P =.001，ES = 0.29；非优势手 [NDH]：F = 9.33，P =.004，ES = 0.21）和手腕本体感觉感知测试中的错误均值（DH：F = 9.11，P =.005，ES = 0.19；NDH：F = 13.04，P =.001，ES = 0.26），并增加了手部主动感觉测试中的匹配物体（DH：F = 12.15，P =.001，ES = 0.24；NDH：F = 5.03，P =.03，ES = 0.12）。此外，DH（F = 6.65，P =.01，ES = 0.15）、双手（F = 7.61，P =.009，ES = 0.17）和装配（F = 7.02，P =.01，ES = 0.15）精细运动表现测试，以及 DH（F = 10.1，P =.003，ES = 0.21）和 NDH（F = 8.37，P =.006，ES = 0.18）上肢功能表现，在 SMT 中均有改善。
SMT 改善了 PD 患者手部和上肢的感觉运动功能。
SMT 组显示出感觉和运动功能的改善。但这些结果仅限于 Hoehn 和 Yahr 量表的 1 到 3 级。
