Zhang Ting, Liu Wei, Gao Song
College of Physical Education and Health Sciences, Zhejiang Normal University, Jinhua, China.
University Hospital, Zhejiang Normal University, Jinhua, China.
Front Neurol. 2022 Sep 1;13:931460. doi: 10.3389/fneur.2022.931460. eCollection 2022.
Parkinson's disease (PD) is an important health problem caused by the degeneration of brain neurons. Bradykinesia and lower balance ability seriously affect the quality of life of people with PD. Non-motor symptoms, such as cognitive impairment, accompany the course of the disease but still lack sufficient attention. In general, drugs combined with cognitive training are the most common ways to improve cognitive impairment in people with PD. However, long-term use of psychiatric drugs may lead to side effects such as brain death and movement disorders. Recently, mindfulness has been used by researchers in the treatment of cognitive impairment, because healthy older adults who engage in mind-body exercises for a long time have higher cognitive levels than normal aging populations. Mind-body exercise, as a therapy that combines concentration, breath control, and physical activity, is beneficial for improving practitioners' brain and mental health. Mind-body exercises such as Tai Chi, yoga, dance, and Pilates can improve cognitive performance in older adults with or without cognitive impairment. Therefore, mind-body exercise may be a feasible strategy for the treatment of cognitive impairment in people with PD. This study summarizes the latest evidence that mind-body exercises including Tai Chi, Qigong, yoga, and dance improve cognitive impairment associated with PD. We also explored the limitations of current mind-body exercise research, aiming to provide new ideas for improving mind-body exercise as a strategy to alleviate cognitive impairment in people with PD.
帕金森病(PD)是一种由脑神经元退化引起的重要健康问题。运动迟缓及平衡能力下降严重影响帕金森病患者的生活质量。认知障碍等非运动症状伴随疾病进程,但仍未得到足够重视。一般来说,药物联合认知训练是改善帕金森病患者认知障碍最常见的方法。然而,长期使用精神类药物可能会导致诸如脑死亡和运动障碍等副作用。最近,正念已被研究人员用于治疗认知障碍,因为长期进行身心锻炼的健康老年人比正常衰老人群具有更高的认知水平。身心锻炼作为一种将专注、呼吸控制和身体活动相结合的疗法,有利于改善练习者的大脑和心理健康。太极拳、瑜伽、舞蹈和普拉提等身心锻炼可以改善有或没有认知障碍的老年人的认知表现。因此,身心锻炼可能是治疗帕金森病患者认知障碍的一种可行策略。本研究总结了包括太极拳、气功、瑜伽和舞蹈在内的身心锻炼改善帕金森病相关认知障碍的最新证据。我们还探讨了当前身心锻炼研究的局限性,旨在为改进身心锻炼作为缓解帕金森病患者认知障碍的策略提供新思路。