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帕金森病步态康复的自动化机械外周刺激:一项综述

Automated mechanical peripheral stimulation for gait rehabilitation in Parkinson's disease: A comprehensive review.

作者信息

Tedeschi Roberto

机构信息

Department of Biomedical and Neuromotor Sciences, Alma Mater Studiorum, University of Bologna, Bologna, Italy.

出版信息

Clin Park Relat Disord. 2023 Sep 23;9:100219. doi: 10.1016/j.prdoa.2023.100219. eCollection 2023.

DOI:10.1016/j.prdoa.2023.100219
PMID:37780489
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10539662/
Abstract

BACKGROUND

Automated Mechanical Peripheral Stimulation (AMPS) has emerged as a potential rehabilitative intervention for gait abnormalities in Parkinson's disease (PD). However, the long-term effects and combined therapy with physical exercise remain unclear. This review aimed to explore the effects of automated mechanical peripheral stimulation (AMPS) on gait and motor performance in individuals with Parkinson's disease (PD).

METHODS

A research was conducted in relevant databases to identify studies investigating the effects of AMPS on gait and motor outcomes in PD patients. Inclusion criteria were set based on Population, Concept, and Context (PCC) criteria. Data extraction and analysis were performed to synthesize the findings.

RESULTS

Ten studies met the inclusion criteria and were included in the review. The studies collectively demonstrated positive effects of AMPS on gait parameters, such as walking velocity, stride length, and walking stability. Some studies also reported improvements in functional performance and muscle activation during walking.

CONCLUSIONS

The findings suggest that AMPS holds promise as a potential intervention to improve gait and motor performance in individuals with PD. However, the evidence is limited, and further well-designed randomized controlled trials are needed to establish the long-term efficacy and optimal protocols for AMPS in PD rehabilitation.

摘要

背景

自动机械外周刺激(AMPS)已成为帕金森病(PD)步态异常的一种潜在康复干预措施。然而,其长期效果以及与体育锻炼的联合治疗效果仍不明确。本综述旨在探讨自动机械外周刺激(AMPS)对帕金森病(PD)患者步态和运动表现的影响。

方法

在相关数据库中进行研究,以识别调查AMPS对PD患者步态和运动结局影响的研究。根据人群、概念和背景(PCC)标准设定纳入标准。进行数据提取和分析以综合研究结果。

结果

十项研究符合纳入标准并被纳入综述。这些研究共同证明了AMPS对步态参数有积极影响,如步行速度、步长和步行稳定性。一些研究还报告了步行过程中功能表现和肌肉激活的改善。

结论

研究结果表明,AMPS有望成为改善PD患者步态和运动表现的潜在干预措施。然而,证据有限,需要进一步设计良好的随机对照试验来确定AMPS在PD康复中的长期疗效和最佳方案。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d6d/10539662/46ce5a039b99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d6d/10539662/46ce5a039b99/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/5d6d/10539662/46ce5a039b99/gr1.jpg

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The key role of physical activity against the neuromuscular deterioration in patients with Parkinson's disease.
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Acta Physiol (Oxf). 2021 Apr;231(4):e13630. doi: 10.1111/apha.13630. Epub 2021 Mar 1.
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