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帕金森病患者的动作观察。一种运动康复的运动⁻认知联合方法。初步报告。

Action Observation in People with Parkinson's Disease. A Motor⁻Cognitive Combined Approach for Motor Rehabilitation. A Preliminary Report.

作者信息

Di Iorio Walter, Ciarimboli Alessandro, Ferriero Giorgio, Feleppa Michele, Baratto Luigi, Matarazzo Giuseppe, Gentile Giovanni, Masiero Stefano, Sale Patrizio

机构信息

Rehabilitation Unit, Villa Margherita, 82100 Benevento, Italy.

Division of Physical Medicine and Rehabilitation, Salvatore Maugeri Foundation, Scientific Institute of Lissone, IRCCS, 20851 Lissone, Italy.

出版信息

Diseases. 2018 Jul 4;6(3):58. doi: 10.3390/diseases6030058.

DOI:10.3390/diseases6030058
PMID:29973489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6164477/
Abstract

The aim of this study was to assess the role of Action Observation (AO) to improve balance, gait, reduce falls, and to investigate the changes in P300 pattern. Five cognitively intact People with Parkinson’s disease (PwP) were enrolled in this prospective, quasi-experimental study to undergo a rehabilitation program of AO for gait and balance recovery of 60 min, three times a week for four weeks. The statistical analysis showed significant improvements for Unified Parkinson’s Disease Rating Scale (UPDRS) motor section III = 0.0082, Short form 12-items Healthy Survey (SF-12) Mental Composite Score (MCS) = 0.0007, Freezing of gait Questionnaire (FOG-Q) = 0.0030, The 39-items Parkinson’s Disease Questionnaire (PDQ-39) = 0.100, and for P300ld = 0.0077. In conclusion, AO reveals to be a safe and feasible paradigm of rehabilitative exercise in cognitively preserved PwP.

摘要

本研究的目的是评估动作观察(AO)在改善平衡、步态、减少跌倒方面的作用,并研究P300模式的变化。五名认知功能完好的帕金森病患者(PwP)参与了这项前瞻性、准实验性研究,接受为期四周、每周三次、每次60分钟的AO康复计划,以恢复步态和平衡。统计分析显示,统一帕金森病评定量表(UPDRS)运动部分III(P = 0.0082)、简短健康调查问卷12项版(SF - 12)心理综合评分(MCS)(P = 0.0007)、步态冻结问卷(FOG - Q)(P = 0.0030)、39项帕金森病问卷(PDQ - 39)(P = 0.100)以及P300潜伏期(P = 0.0077)均有显著改善。总之,在认知功能保留的PwP中,AO是一种安全可行的康复锻炼模式。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/6164477/a3e4df8633c0/diseases-06-00058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/6164477/a3e4df8633c0/diseases-06-00058-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/c068/6164477/a3e4df8633c0/diseases-06-00058-g001.jpg

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本文引用的文献

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The Activation of the Mirror Neuron System during Action Observation and Action Execution with Mirror Visual Feedback in Stroke: A Systematic Review.镜像神经元系统在脑卒中患者镜像视觉反馈动作观察和动作执行中的激活:系统评价。
Neural Plast. 2018 Apr 24;2018:2321045. doi: 10.1155/2018/2321045. eCollection 2018.
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Boosting the Motor Outcome of the Untrained Hand by Action Observation: Mirror Visual Feedback, Video Therapy, or Both Combined-What Is More Effective?通过动作观察来提高未训练手的运动功能:镜像视觉反馈、视频治疗,还是两者结合更有效?
Neural Plast. 2018 Apr 10;2018:8369262. doi: 10.1155/2018/8369262. eCollection 2018.
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当我患有运动障碍时观看芭蕾舞会发生什么?帕金森病的一项功能磁共振成像病例报告。
Front Psychol. 2020 Aug 7;11:1999. doi: 10.3389/fpsyg.2020.01999. eCollection 2020.
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Neuro-Psychiatric Disorders: From Diagnosis to Care.神经精神疾病:从诊断到护理
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Basal ganglia and beyond: The interplay between motor and cognitive aspects in Parkinson's disease rehabilitation.
基底神经节及其他:帕金森病康复中运动和认知方面的相互作用。
Neurosci Biobehav Rev. 2018 Jul;90:294-308. doi: 10.1016/j.neubiorev.2018.05.007. Epub 2018 May 4.
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Age-Related Differences in Cortical and Subcortical Activities during Observation and Motor Imagery of Dynamic Postural Tasks: An fMRI Study.年龄相关的在观察和动态姿势任务的运动想象期间的皮质和皮质下活动的差异:一项 fMRI 研究。
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