Hoffman Lisa, Burt Nicholas D, Piniella Nicholas R, Baker Madison, Volino Nicole, Yasin Saeed, Jung Min-Kyung, Leder Adena, Sousa Amber
Department of Family Medicine, New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
New York Institute of Technology College of Osteopathic Medicine, Old Westbury, NY, USA.
Parkinsons Dis. 2023 Jun 1;2023:6645554. doi: 10.1155/2023/6645554. eCollection 2023.
BACKGROUND: Non-motor symptoms of Parkinson's disease (PD) such as cognitive impairment are common and decrease patient quality of life and daily functioning. While no pharmacological treatments have effectively alleviated these symptoms to date, non-pharmacological approaches such as cognitive remediation therapy (CRT) and physical exercise have both been shown to improve cognitive function and quality of life in people with PD. OBJECTIVE: This study aims to determine the feasibility and impact of remote CRT on cognitive function and quality of life in patients with PD participating in an organized group exercise program. METHODS: Twenty-four subjects with PD recruited from Rock Steady Boxing (RSB), a non-contact group exercise program, were evaluated using standard neuropsychological and quality of life measures and randomized to the control or intervention group. The intervention group attended online CRT sessions for one hour, twice a week for 10 weeks, engaging in multi-domain cognitive exercises and group discussion. RESULTS: Twenty-one subjects completed the study and were reevaluated. Comparing groups over time, the control group ( = 10) saw a decline in overall cognitive performance that trended towards significance ( = 0.05) and a statistically significant decrease in delayed memory ( = 0.010) and self-reported cognition ( = 0.011). Neither of these findings were seen in the intervention group ( = 11), which overwhelmingly enjoyed the CRT sessions and attested to subjective improvements in their daily lives. CONCLUSIONS: This randomized controlled pilot study suggests that remote CRT for PD patients is feasible, enjoyable, and may help slow the progression of cognitive decline. Further trials are warranted to determine the longitudinal effects of such a program.
背景:帕金森病(PD)的非运动症状,如认知障碍很常见,会降低患者的生活质量和日常功能。虽然迄今为止尚无药物治疗能有效缓解这些症状,但认知康复疗法(CRT)和体育锻炼等非药物方法已被证明可改善帕金森病患者的认知功能和生活质量。 目的:本研究旨在确定远程CRT对参加有组织团体锻炼计划的帕金森病患者认知功能和生活质量的可行性及影响。 方法:从非接触式团体锻炼计划“摇滚稳定拳击”(RSB)招募的24名帕金森病患者,使用标准神经心理学和生活质量测量方法进行评估,并随机分为对照组或干预组。干预组每周两次参加为期10周、每次一小时的在线CRT课程,进行多领域认知练习和小组讨论。 结果:21名受试者完成研究并接受重新评估。随着时间推移比较两组,对照组(n = 10)的整体认知表现有所下降,有趋于显著的趋势(P = 0.05),延迟记忆(P = 0.010)和自我报告的认知能力(P = 0.011)有统计学显著下降。干预组(n = 11)未出现这些情况,干预组绝大多数人喜欢CRT课程,并证明日常生活有主观改善。 结论:这项随机对照试验性研究表明,针对帕金森病患者的远程CRT是可行的、令人愉快的,可能有助于减缓认知衰退的进展。有必要进行进一步试验以确定该计划的长期效果。
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