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帕金森病患者是否能从动态体重支持中获益?关于Rysen新兴作用的一项初步研究。

Do Patients with Parkinson's Disease Benefit from Dynamic Body Weight Support? A Pilot Study on the Emerging Role of Rysen.

作者信息

Ciatto Laura, Pullia Massimo, Tavilla Graziana, Dauccio Biagio, Messina Daniela, De Cola Maria Cristina, Quartarone Angelo, Cellini Roberta, Bonanno Mirjam, Calabrò Rocco Salvatore

机构信息

IRCCS Centro Neurolesi "Bonino-Pulejo", Via Palermo, C.da Casazza, S.S 113, 98123 Messina, Italy.

出版信息

Biomedicines. 2023 Jul 30;11(8):2148. doi: 10.3390/biomedicines11082148.

DOI:10.3390/biomedicines11082148
PMID:37626645
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10452686/
Abstract

Parkinson's disease (PD) is a neurodegenerative disorder characterized by motor and non-motor alterations. Typical motor symptoms include resting tremors, bradykinesia (hypokinesia or akinesia), muscular stiffness, gait alterations, and postural instability. In this context, neurorehabilitation may have a pivotal role in slowing the progression of PD, using both conventional and innovative rehabilitation approaches. Thirty patients (15 males and 15 females) affected by PD were enrolled in our study. We randomly divided the patients into two groups, an experimental group (EG) and a control group (CG). In particular, the EG performed gait and balance training using the Rysen system, which is an innovative body weight support (BWS) system, whilst the CG received conventional physiotherapy. Both groups underwent 20 sessions, five times weekly, with each session lasting about 40 min. At the end of the training sessions (T1), we found that both groups (EG and CG) achieved clinical improvements, although the EG showed better scores for post-treatment regarding global motor functioning and postural stability compared to the CG. In conclusion, our results suggest that the Rysen system, which is an innovative BWS tool, could be considered a valid device for improving postural control and global motor functions, when compared to conventional gait training, in patients affected by PD.

摘要

帕金森病(PD)是一种以运动和非运动改变为特征的神经退行性疾病。典型的运动症状包括静止性震颤、运动迟缓(运动减少或运动不能)、肌肉僵硬、步态改变和姿势不稳。在这种情况下,神经康复可能在减缓帕金森病进展方面发挥关键作用,可采用传统和创新的康复方法。30例帕金森病患者(15例男性和15例女性)纳入我们的研究。我们将患者随机分为两组,即实验组(EG)和对照组(CG)。具体而言,实验组使用Rysen系统进行步态和平衡训练,该系统是一种创新的体重支持(BWS)系统,而对照组接受传统物理治疗。两组均进行20次治疗,每周5次,每次治疗持续约40分钟。在训练结束时(T1),我们发现两组(实验组和对照组)均取得了临床改善,尽管与对照组相比,实验组在治疗后整体运动功能和姿势稳定性方面得分更高。总之,我们的结果表明,与传统步态训练相比,Rysen系统作为一种创新的体重支持工具,可被视为改善帕金森病患者姿势控制和整体运动功能的有效设备。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/98e95d178154/biomedicines-11-02148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/f5feab83f57c/biomedicines-11-02148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/ac9359a3c30a/biomedicines-11-02148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/98e95d178154/biomedicines-11-02148-g003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/f5feab83f57c/biomedicines-11-02148-g001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/ac9359a3c30a/biomedicines-11-02148-g002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/e67f/10452686/98e95d178154/biomedicines-11-02148-g003.jpg

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Neuroimage Clin. 2022;35:103123. doi: 10.1016/j.nicl.2022.103123. Epub 2022 Jul 25.
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The Falls Efficacy Scale International is a valid measure to assess the concern about falling and its changes induced by treatments.
瀑布效能量表国际版是一种有效的测量工具,用于评估对跌倒的担忧及其治疗引起的变化。
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Electrophysiological Evaluation of Audiovestibular Pathway Dysfunction in Parkinson's Disease and Its Correlates: A Case Control Study.帕金森病视听前庭通路功能障碍的电生理评估及其相关性:一项病例对照研究。
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The effect of body weight-supported overground gait training for patients with Parkinson's disease: A retrospective case-control observational study.体重支持地面步态训练对帕金森病患者的影响:一项回顾性病例对照观察研究。
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