Department of Rehabilitation, ASL Taranto, 74121 Taranto, Italy.
Hospital Clinic "Le Terrazze" di Cunardo, Varese, 210365, Italy, 5 Department of Neurology and Neurorehabilitation, Clinical and Research Institute, Piancavallo, 28921 Verbania, Italy.
Sensors (Basel). 2019 May 7;19(9):2101. doi: 10.3390/s19092101.
For people with Parkinson's disease (PD), falls are a critical point. Focal vibration training (FVT) may represent a valid tool to improve postural performances and reduce the risk of falls. The aim of this study was to evaluate the efficacy of FVT to improve the postural stability in PD patients.
Since October 2015, 55 consecutive PD patients have been selected (T0) for an approach including FVT associated with a rehabilitative protocol (RP); after eight weeks (T1), those patients showing a relevant improvement in the clinical rating scales ((Timed Up and Go (TUG), Tinetti, Unified Parkinson's disease rating scale (UPDRS) Part III, Berg Balance scale (BBS) and falls rate scale), continued with the FVT protocol (FVTRP group). The remaining patients continued with only the RP (RP group). In July 2018, we have extrapolated the data of the last clinical visit (T2) to observe any differences in the rate of falls.
The FVTRP group shows a decrement in the rate of falls from 2.1 to 1.25 (p 0.036) and a stability of the levodopa equivalent daily dosage (LEDD). The RP group shows an increment of LEDD and stability in falls.
FVT has been confirmed as a valid tool to enhance the effect of the rehabilitation protocol aimed at postural training.
对于帕金森病（PD）患者来说，跌倒是一个关键点。焦点振动训练（FVT）可能是一种有效的工具，可以改善姿势表现并降低跌倒风险。本研究的目的是评估 FVT 改善 PD 患者姿势稳定性的效果。
自 2015 年 10 月以来，选择了 55 名连续的 PD 患者（T0）进行包括 FVT 与康复方案（RP）相结合的方法；八周后（T1），那些在临床评估量表（TUG、Tinetti、统一帕金森病评定量表（UPDRS）第三部分、伯格平衡量表（BBS）和跌倒率量表）中显示出明显改善的患者继续进行 FVT 方案（FVTRP 组）。其余患者仅继续进行 RP（RP 组）。2018 年 7 月，我们 extrapolated 了最后一次临床就诊（T2）的数据，以观察跌倒率的任何差异。
FVTRP 组的跌倒率从 2.1 降至 1.25（p 0.036），并且左旋多巴等效日剂量（LEDD）稳定。RP 组显示 LEDD 增加和跌倒稳定。
FVT 已被证实是一种有效的工具，可以增强旨在进行姿势训练的康复方案的效果。
