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神经康复对改善帕金森病患者功能恢复及生活质量的有效性:一例报告

Effectiveness of Neurorehabilitation in Improving the Functional Recovery and Quality of Life of Patients With Parkinson's Disease: A Case Report.

作者信息

Israni Pinky D, Yadav Vaishnavi, Sasun Anam R

机构信息

Cardiovascular and Respiratory Physiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

Neurophysiotherapy, Ravi Nair Physiotherapy College, Datta Meghe Institute of Higher Education and Research, Wardha, IND.

出版信息

Cureus. 2024 Jan 10;16(1):e52021. doi: 10.7759/cureus.52021. eCollection 2024 Jan.

Abstract

Parkinson's disease (PD) is a degenerative neurological illness characterized by various motor and non-motor symptoms that can lead to varying degrees of functional impairment. Key neuropathological findings include Lewy bodies containing synuclein and the loss of dopaminergic neurons in the substantia nigra, reducing the facilitation of voluntary movements. The disease is marked by bradykinesia, rigidity, and tremors. Here, we present the case of a 56-year-old man who sought neurorehabilitation due to tremors, slowness of movements, and weakness. The rehabilitation plan was carefully devised with weekly goals. The rehabilitation spanned six weeks, during which the individual showed positive improvement in all measured outcomes. Virtual reality and exergame technologies have emerged as prominent tools for enhancing balance and gait in PD. Our study utilized outcome measures such as the Unified Parkinson's Disease Rating Scale, the World Health Organization Quality-of-Life Scale, and the Barthel Index. Neurophysiotherapy plays a significant role in enhancing a patient's functional rehabilitation.

摘要

帕金森病(PD)是一种退行性神经疾病,其特征是出现各种运动和非运动症状,可导致不同程度的功能障碍。关键的神经病理学发现包括含有α-突触核蛋白的路易小体以及黑质中多巴胺能神经元的丧失,从而减少了对自主运动的促进作用。该疾病的特征是运动迟缓、僵硬和震颤。在此,我们介绍一例56岁男性病例,该患者因震颤、运动迟缓及虚弱而寻求神经康复治疗。康复计划是根据每周目标精心制定的。康复治疗为期六周,在此期间,患者在所有测量结果方面均呈现积极改善。虚拟现实和运动游戏技术已成为改善帕金森病患者平衡和步态的重要工具。我们的研究采用了如统一帕金森病评定量表、世界卫生组织生活质量量表和巴氏指数等结果测量指标。神经物理治疗在增强患者的功能康复方面发挥着重要作用。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ae49/10853604/97b4637f9f44/cureus-0016-00000052021-i01.jpg

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