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基于综合物理治疗的康复对帕金森病患者驼背姿势的影响。

The effect of comprehensive physiotherapy-based rehabilitation on stooped posture in Parkinson's disease.

作者信息

Kawami Yuki, Marumoto Kohei, Shiomi Yukina, Okinishi Masakado, Kozuki Tsuyoshi, Oyabu Hiroko, Yokoyama Kazumasa, Nikaido Yasutaka, Akisue Toshihiro

机构信息

Department of Physical Therapy, Faculty of Rehabilitation, Hyogo Prefectural Rehabilitation Hospital at Nishi-Harima: 1-7-1 Kouto, Shingu-cho, Tatsuno, Hyogo 679-5165, Japan.

Department of Rehabilitation Science, Kobe University Graduate School of Health Sciences, Japan.

出版信息

J Phys Ther Sci. 2018 Dec;30(12):1440-1445. doi: 10.1589/jpts.30.1440. Epub 2018 Nov 21.

Abstract

[Purpose] The effect of physiotherapy on stooped posture in Parkinson's disease patients remains to be clarified. Therefore, the purpose of this study was to investigate whether comprehensive physiotherapy-based rehabilitation can improve stooped posture in Parkinson's disease patients. [Participants and Methods] The participants were Parkinson's disease patients with stooped posture. Outpatients were assigned to the control group and inpatients to the postural rehabilitation group. The outcomes measured were trunk bending angle, lumbar lordosis, and thoracic kyphosis. Each group was assessed at baseline and 1 month later. [Results] Of 22 participants identified, 20 were included, with 10 participants in the postural rehabilitation group and 10 in the control group. The age in the postural rehabilitation group was significantly greater than that in the control group, while other parameters were comparable in both groups. After the month-long intervention, the trunk bending angle and lumbar lordosis were significantly improved in the postural rehabilitation group compared to the control group. [Conclusion] The results showed improvement in stooped posture in the postural rehabilitation group as compared to the control group. Furthermore, improvement of lumbar lordosis accompanied improvement of stooped posture. These findings suggest that comprehensive physiotherapy-based rehabilitation may improve stooped posture in Parkinson's disease patients.

摘要

[目的] 物理治疗对帕金森病患者驼背姿势的影响尚待明确。因此,本研究的目的是调查基于综合物理治疗的康复能否改善帕金森病患者的驼背姿势。[参与者与方法] 参与者为有驼背姿势的帕金森病患者。门诊患者被分配到对照组,住院患者被分配到姿势康复组。测量的结果指标为躯干弯曲角度、腰椎前凸和胸椎后凸。每组在基线和1个月后进行评估。[结果] 在确定的22名参与者中,20名被纳入研究,姿势康复组和对照组各有10名参与者。姿势康复组的年龄显著大于对照组,而两组的其他参数具有可比性。经过为期1个月的干预后,与对照组相比,姿势康复组的躯干弯曲角度和腰椎前凸有显著改善。[结论] 结果显示,与对照组相比,姿势康复组的驼背姿势有所改善。此外,腰椎前凸的改善伴随着驼背姿势的改善。这些发现表明,基于综合物理治疗的康复可能改善帕金森病患者的驼背姿势。

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