水热环境是否适合为帕金森病患者提供康复治疗?一项回顾性研究。

Is the aquatic thermal environment a suitable place for providing rehabilitative treatment for person with Parkinson's disease? A retrospective study.

机构信息

Rehabilitation Unit, Department of Neuroscience, University of Padua, Via Giustiniani 2, 35128, Padua, Italy.

Rehabilitation Department, Sant'Isidoro Hospital, Federazione Europea Ricerca Biomedica (FERB) Onlus, Trescore Balneario, BG, Italy.

出版信息

Int J Biometeorol. 2019 Jan;63(1):13-18. doi: 10.1007/s00484-018-1632-1. Epub 2018 Nov 5.

Abstract

Many authors showed that aquatic physiotherapy could improve quality of life and reduce postural instability and risk of falling in elderly subjects. The aim of this research was to explore if the thermal aquatic environment is a suitable place for rehabilitative training in person with Parkinson disease (PwP) with results comparable to the standard physiotherapy. A retrospective study was conducted on a database of 14 persons with Parkinson who were admitted to a thermal aquatic rehabilitation to undergo treatments made to improve gait and balance impairments. The rehabilitation training consisted of 45-min sessions conducted twice a week, on non-consecutive days, over 4 weeks of functional re-education and kinesitherapy in the thermal pool. Educational and prevention instructions were also given to the patients during each session. Additionally, nutrition (diet), health education, and cognitive behavioral advice were given to our patients by therapists. The clinical characteristics of the sample were age 66 ± 9, disease duration 7 ± 5, and Hoehn and Yahr 1.5 ± 0.5. The statistical analysis showed a statistically significant improvement for the UPDRS p = 0.0005, for The Berg Balance Scale p = 0.0078, for the PDQ8 p = 0.0039, Tinetti p = 0.0068, and for Mini BESTest p = 0.0002. Our data suggest that this intervention could become a useful strategy in the rehabilitation program of PwP. The simplicity of treatment and the lack of side effects endorse the use of thermal aquatic environment for the gait and balance recovery in PwP.

摘要

许多作者表明,水疗物理疗法可以提高生活质量,减少老年人的姿势不稳定和跌倒风险。本研究旨在探讨热疗水疗环境是否适合帕金森病患者(PwP)进行康复训练,其结果是否可与标准物理疗法相媲美。我们对 14 名帕金森病患者进行了回顾性研究,这些患者在热疗水疗康复中心接受治疗,以改善步态和平衡障碍。康复训练包括在热疗池中进行 45 分钟的 4 周功能再教育和运动疗法,每周两次,非连续两天进行。每次治疗时,还向患者提供教育和预防说明。此外,治疗师还向患者提供营养(饮食)、健康教育和认知行为建议。样本的临床特征为年龄 66±9 岁,病程 7±5 年,Hoehn 和 Yahr 1.5±0.5。统计分析显示 UPDRS 评分(p=0.0005)、Berg 平衡量表评分(p=0.0078)、PDQ8 评分(p=0.0039)、Tinetti 评分(p=0.0068)和 Mini BESTest 评分(p=0.0002)均有统计学意义。我们的数据表明,这种干预措施可能成为 PwP 康复计划中的一种有用策略。治疗的简单性和缺乏副作用支持热疗水疗环境在 PwP 步态和平衡恢复中的应用。

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