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物理疗法康复方法对帕金森病的疗效:都拉斯案例研究。

Effectiveness of physiotherapy rehabilitation approaches for Parkinson's disease: A Durrës case study.

机构信息

Department of Medical Technical Sciences, Aleksandër Moisiu University of Durrës, Durres, Albania.

Department of Clinical Subjects, University of Medicine Tirana, Tirana, Albania.

出版信息

Physiother Res Int. 2024 Oct;29(4):e2124. doi: 10.1002/pri.2124.

Abstract

BACKGROUND AND PURPOSE

The article's significance lies in the substantial rise in the risk of developing Parkinson's disease (PD), necessitating the exploration of various approaches to rehabilitation and medical treatment. The purpose of the article is to detect the direct effect of physiotherapy for patients with PD and to identify how it helps in slowing down cardio-pulmonary failure, improving the posture, balance, bradykinesia and tremor.

METHODS

The research utilised clinical data from 407 PD patients aged 30-100 years at the Central Polyclinic of Durrës, spanning 2011-2022, and included a systematic literature review and statistical analysis comparing physiotherapy outcomes with European Union standards.

RESULTS

The research demonstrates the efficiency of physiotherapy in the short and long term in the treatment of PD for patients and medical personnel. All information can be used to increase the functional abilities of patients and minimise complications after physiotherapy and to estimate the effectiveness of different exercises in delaying PD. Older adults, particularly those aged 71-80, are most affected by PD, with males more likely to be diagnosed. Physiotherapy rehabilitation improves motor symptoms, posture, and balance in 30-80-year-olds, but its effectiveness declines with age. Advanced rehabilitation methods in Italy lead to better outcomes, suggesting the potential for improvement in Durres disease.

CONCLUSIONS

The study emphasises the need for improved rehabilitation strategies for older patients by recommending tailored programs, advanced methods, standardisation, training, and long-term monitoring. Further research should concentrate on the long-term sustainability of physiotherapy benefits, the development of targeted interventions for older patients, and the integration of innovative therapeutic approaches.

摘要

背景与目的

本文的重要意义在于帕金森病(PD)风险显著增加,因此需要探索各种康复和治疗方法。本文旨在探讨物理治疗对 PD 患者的直接作用,并明确其在减缓心肺衰竭、改善姿势、平衡、运动迟缓及震颤方面的作用。

方法

研究使用了 2011 年至 2022 年期间在都拉斯中央综合诊所的 407 名 30-100 岁 PD 患者的临床数据,包括系统文献综述和与欧盟标准比较的物理治疗结果的统计分析。

结果

研究表明,物理治疗在 PD 患者的短期和长期治疗中具有效率,所有信息都可用于提高患者的功能能力并最小化物理治疗后的并发症,并评估不同运动对延缓 PD 的效果。老年人,特别是 71-80 岁的老年人,受 PD 影响最大,男性更易被诊断。物理治疗康复可改善 30-80 岁人群的运动症状、姿势和平衡,但随年龄增长效果下降。意大利先进的康复方法可带来更好的结果,表明都拉斯疾病有改善的潜力。

结论

研究强调了为老年患者改善康复策略的必要性,建议制定个性化方案、采用先进方法、标准化、培训和长期监测。未来的研究应集中于物理治疗益处的长期可持续性、针对老年患者的针对性干预措施的发展以及创新治疗方法的整合。

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