1 Department of Rehabilitation Sciences and Physiotherapy, Ghent University, Ghent, Belgium.
2 Department of Geriatrics, Ghent University Hospital, Ghent, Belgium.
Am J Alzheimers Dis Other Demen. 2018 Jun;33(4):205-214. doi: 10.1177/1533317518760594. Epub 2018 Feb 22.
Paratonia is a major underlying motor problem impeding functionality and locomotion in dementia. Despite its undeniable impact on patient's quality of life and daily care, there is a lack of evidence-based therapy on patients with this condition.
We surveyed physiotherapists working in nursing homes in Flanders (Belgium) concerning the use and perceived effect of therapeutic strategies and positioning methods/aids.
Positioning and soft passive mobilization were the most applied and positively appraised therapeutic interventions. Highest ratings for positioning were found for C-shaped positioning cushions and multi-position wheelchair. According to the respondents, key points for paratonia approach were relaxation, positioning, active movement stimulation, and-to some extent-passive mobilization. Indispensable for any success however is multidisciplinary cooperation.
These findings might provide an inspirational path for research to verify possible (evidence based) beneficial treatments that could be applied to improve current and future treatment of patients with paratonia.
张力障碍是一种主要的潜在运动问题，会阻碍痴呆患者的功能和运动能力。尽管它对患者的生活质量和日常护理有不可否认的影响，但针对这种情况的循证治疗方法还很缺乏。
我们调查了在佛兰德斯（比利时）养老院工作的物理治疗师，了解他们对治疗策略和定位方法/辅助工具的使用情况和感知效果。
定位和软性被动运动是应用最广泛、评价最高的治疗干预措施。C 形定位垫和多功能轮椅的定位效果评价最高。根据受访者的说法，张力障碍治疗的关键点是放松、定位、主动运动刺激，以及在一定程度上的被动运动。然而，任何成功都离不开多学科合作。
这些发现可能为研究提供灵感，以验证可能的（基于证据的）有益治疗方法，这些方法可以应用于改善目前和未来张力障碍患者的治疗。
