Department of Physical Therapy, Faculty of Medical & Health Sciences, School of Health Professions, Tel Aviv University, Tel Aviv 6997801, Israel.
Movement Disorders Institute and Department of Neurology, Chaim Sheba Medical Center, Tel Hashomer, Ramat-Gan 5262000, Israel.
Sensors (Basel). 2024 May 22;24(11):3318. doi: 10.3390/s24113318.
People with Parkinson's disease often show deficits in dexterity, which, in turn, can lead to limitations in performing activities of daily life. Previous studies have suggested that training in playing the piano may improve or prevent a decline in dexterity in this population. In this pilot study, we tested three participants on a six-week, custom, piano-based training protocol, and quantified dexterity before and after the intervention using a sensor-enabled version of the nine-hole peg test, the box and block test, a test of finger synergies using unidimensional force sensors, and the Quantitative Digitography test using a digital piano, as well as selected relevant items from the motor parts of the MDS-Unified Parkinson's Disease Rating Scale (MDS-UPDRS) and the Parkinson's Disease Questionnaire (PDQ-39) quality of life questionnaire. The participants showed improved dexterity following the training program in several of the measures used. This pilot study proposes measures that can track changes in dexterity as a result of practice in people with Parkinson's disease and describes a potential protocol that needs to be tested in a larger cohort.
帕金森病患者通常表现出动作不灵活的缺陷，这反过来又会导致日常生活活动能力的受限。先前的研究表明，钢琴训练可能会改善或预防该人群动作不灵活的下降。在这项初步研究中，我们对三名参与者进行了为期六周的、基于钢琴的定制训练方案，并使用一种带有传感器的九孔钉测试、盒子和木块测试、使用单维力传感器的手指协同测试、以及使用数字钢琴的定量数字测试，以及来自运动部分的 MDS-统一帕金森病评定量表 (MDS-UPDRS) 和帕金森病问卷 (PDQ-39) 生活质量问卷的选定相关项目，在干预前后对动作灵活性进行了量化。参与者在使用的几个措施中表现出动作灵活性的改善。这项初步研究提出了可以跟踪帕金森病患者因练习而导致的动作灵活性变化的措施，并描述了一个需要在更大队列中进行测试的潜在方案。
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