快节奏手臂运动后上肢统一帕金森病评定量表运动评分的改善：一项初步研究。
Improvement in upper-limb UPDRS motor scores following fast-paced arm exercise: A pilot study.
作者信息
Levy-Tzedek Shelly, Arbelle Dan, Forman Dan, Zlotnik Yair
机构信息
Department of Physical Therapy, Recanati School for Community Health Professions, Ben Gurion University of the Negev, Beer Sheva, Israel.
Zlotowski Center for Neuroscience, Ben Gurion University of the Negev, Beer Sheva, Israel.
出版信息
Restor Neurol Neurosci. 2018;36(4):535-545. doi: 10.3233/RNN-180818.
BACKGROUND
The symptoms of patients with Parkinson's disease (PD) have been shown to improve when they perform fast-paced rhythmic cycling movements with their lower limbs.
OBJECTIVE
Our goal in this pilot experiment was to test the feasibility and the benefits of a short exercise program involving fast-paced rhythmic movements of the upper limb for patients with PD.
METHODS
We used an experimental procedure that elicits large, fast-paced movements by the participants without the direct instructions to do so by the experimenter. Ten participants with PD (71.0±6.5 years old) performed a 50-min fast-paced rhythmic exercise of the upper limb after withdrawal from PD medication for at least 12 hours.
RESULTS
Participants improved their kinematic performance, in terms of accuracy and combined speed and amplitude (p < 0.02), as well as their upper-limb MDS-UPDRS motor scores (p = 0.023).
CONCLUSIONS
The results demonstrate the feasibility of using the described apparatus to perform an exercise session of approximately 50 min with both arms, and give a preliminary indication of the potential benefit of such an exercise program.
背景
帕金森病（PD）患者在进行下肢快节奏节律性骑行运动时，其症状已被证明会有所改善。
目的
在这项初步实验中，我们的目标是测试一项针对PD患者的、包含上肢快节奏节律性运动的短期锻炼计划的可行性和益处。
方法
我们采用了一种实验程序，该程序能使参与者在没有实验者直接指令的情况下做出大幅度、快节奏的动作。10名PD患者（71.0±6.5岁）在至少停药12小时后进行了50分钟的上肢快节奏节律性锻炼。
结果
参与者在运动学表现方面有所改善，包括准确性以及速度与幅度的综合表现（p<0.02），其上肢MDS-UPDRS运动评分也有所改善（p=0.023）。
结论
结果证明了使用所述器械进行约50分钟双臂锻炼的可行性，并初步表明了此类锻炼计划的潜在益处。
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