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为期三年的多感官舞蹈学习减缓帕金森病运动症状进展:一项初步纵向研究

Parkinson's Disease Motor Symptom Progression Slowed with Multisensory Dance Learning over 3-Years: A Preliminary Longitudinal Investigation.

作者信息

Bearss Karolina A, DeSouza Joseph F X

机构信息

Center for Vision Research, York University, Toronto, ON M3J 1P3, Canada.

Departments of Psychology, York University, Toronto, ON M3J 1P3, Canada.

出版信息

Brain Sci. 2021 Jul 7;11(7):895. doi: 10.3390/brainsci11070895.

Abstract

Parkinson's disease (PD) is a neurodegenerative disease that has a fast progression of motor dysfunction within the first 5 years of diagnosis, showing an annual motor rate of decline of the Movement Disorder Society Unified Parkinson's Disease Rating Scale (MDS-UPDRS) between 5.2 and 8.9 points. We aimed to determine both motor and non-motor PD symptom progression while participating in dance classes once per week over a period of three years. Longitudinal data was assessed for a total of 32 people with PD using MDS-UPDRS scores. Daily motor rate of decline was zero (slope = 0.000146) in PD-Dancers, indicating no motor impairment, whereas the PD-Reference group showed the expected motor decline across three years ( < 0.01). Similarly, non-motor aspects of daily living, motor experiences of daily living, and motor complications showed no significant decline. A significant group (PD-Dancers and PD-Reference) by days interaction showed that PD who train once per week have less motor impairment (M = 18.75) than PD-References who do not train (M = 24.61) over time ( < 0.05). Training is effective at slowing both motor and non-motor PD symptoms over three years as shown in decreased scores of the MDS-UPDRS.

摘要

帕金森病(PD)是一种神经退行性疾病,在诊断后的前5年内运动功能障碍进展迅速,运动障碍协会统一帕金森病评定量表(MDS-UPDRS)显示每年运动评分下降5.2至8.9分。我们旨在确定在为期三年的时间里,每周参加一次舞蹈课程时帕金森病运动和非运动症状的进展情况。使用MDS-UPDRS评分对总共32名帕金森病患者的纵向数据进行了评估。帕金森病舞蹈组患者的每日运动评分下降率为零(斜率=0.000146),表明无运动功能损害,而帕金森病参照组在三年间呈现出预期的运动功能下降(<0.01)。同样,日常生活的非运动方面、日常生活的运动体验以及运动并发症均未出现显著下降。一个显著的组(帕金森病舞蹈组和帕金森病参照组)随时间的交互作用表明,随着时间推移,每周训练一次的帕金森病患者(M=18.75)比不训练的帕金森病参照组患者(M=24.61)运动功能损害更少(<0.05)。如MDS-UPDRS评分降低所示,训练在三年内对减缓帕金森病的运动和非运动症状均有效。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2efa/8303681/0d2e9c0df512/brainsci-11-00895-g001.jpg

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