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帕金森病的物理康复方法:系统文献综述

A Physical Rehabilitation Approach for Parkinson's Disease: A Systematic Literature Review.

作者信息

Tobar Andrea, Jaramillo Arturo P, Costa Stefany C, Costa Karla T, Garcia Sandy S

机构信息

Rehabilitation Medicine, Pontificia Universidad Católica del Ecuador (PUCE), Quito, ECU.

General Practice, Universidad Estatal de Guayaquil, Machala, ECU.

出版信息

Cureus. 2023 Sep 5;15(9):e44739. doi: 10.7759/cureus.44739. eCollection 2023 Sep.

DOI:10.7759/cureus.44739
PMID:37809151
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10552785/
Abstract

Parkinson's disease (PD) is one of the most common neurological ailments. With diverse motor affectations (postural instability, resting tremor, bradykinesia, and rigidity), people with Parkinson's disease (PwP) have a broad spectrum of non-motor symptoms. These include autonomic function changes, cognitive deterioration, neuropsychiatric difficulties, and sleep interruptions. Psychological disturbances, such as anxiety and sadness, are common among PwP. This discomfort is often accompanied by a decrease in general functioning, both at work and in social contacts. Furthermore, people who are experiencing psychological distress have a quick decrease in both physical and cognitive capacities. Furthermore, Pwp who also suffer from anxiety and depression are more likely to acquire dementia. It is worth noting that studies have shown good outcomes in the treatment of physical disabilities in PWP and the various therapeutics available for each affected body part, such as in the legs when they have walking problems, resting tremor in their hands, or micrography, which is a common symptom in these patients. The medical research databases PubMed/Medline, Google Scholar, and the Cochrane Library were used to look for relevant materials. Upon meticulous scrutiny, a thorough investigation was conducted on the papers at hand. A total of 10 publications were meticulously selected based on stringent qualifying criteria. The present investigation examines various perspectives regarding the physical rehabilitation of individuals diagnosed with PD. The majority of therapeutic interventions employed revolve around cutting-edge technologies, such as virtual reality (VR), combined with exercise regimens. These interventions have demonstrated notable statistical significance in terms of enhancing various physical aspects, including endurance, performance, gait capacity, perception, and overall independence in daily life activities. One of the gathered studies makes use of the therapeutic benefits of yoga to help PwP deal with their anxiety and improve their mental health. Based on the aforementioned information, further investigation is required to ascertain the optimal approach for physical rehabilitation management and develop diverse strategies aimed at assisting individuals with PD in attaining physical autonomy.

摘要

帕金森病(PD)是最常见的神经疾病之一。帕金森病患者(PwP)存在多种运动障碍(姿势不稳、静止性震颤、运动迟缓及僵硬),同时还有广泛的非运动症状。这些症状包括自主神经功能改变、认知衰退、神经精神问题及睡眠中断。心理障碍,如焦虑和抑郁,在帕金森病患者中很常见。这种不适通常伴随着工作和社交中总体功能的下降。此外,经历心理困扰的人身体和认知能力会迅速下降。此外,同时患有焦虑和抑郁的帕金森病患者更易患痴呆症。值得注意的是,研究表明在治疗帕金森病患者的身体残疾方面取得了良好效果,并且针对每个受影响身体部位都有各种治疗方法,比如腿部有行走问题、手部有静止性震颤或书写过小症(这些患者的常见症状)时。利用医学研究数据库PubMed/Medline、谷歌学术和考克兰图书馆来查找相关资料。经过仔细审查,对现有论文进行了全面调查。根据严格的合格标准精心挑选了10篇出版物。本研究探讨了关于帕金森病患者身体康复的各种观点。所采用的大多数治疗干预措施围绕前沿技术,如虚拟现实(VR),并结合运动方案。这些干预措施在增强包括耐力、表现、步态能力、感知以及日常生活活动中的整体独立性等各种身体方面已显示出显著的统计学意义。其中一项收集到的研究利用瑜伽的治疗益处来帮助帕金森病患者应对焦虑并改善心理健康。基于上述信息,需要进一步研究以确定身体康复管理的最佳方法,并制定各种策略来帮助帕金森病患者实现身体自主。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ebd/10552785/27a137528b08/cureus-0015-00000044739-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ebd/10552785/27a137528b08/cureus-0015-00000044739-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0ebd/10552785/27a137528b08/cureus-0015-00000044739-i01.jpg

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Randomized, Controlled Trial of Exercise on Objective and Subjective Sleep in Parkinson's Disease.帕金森病患者客观和主观睡眠的随机对照试验。
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