A Holistic Approach to Parkinson's Disease: Integrating Advances in Pathophysiology, Diagnosis, and Therapy

Lalit Kumar, Meenakshi Malhotra, Ankit Sharma, A. Singh, A. Singh
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Abstract

Background: Parkinson's disease (PD) is a prevalent neurodegenerative disorder affecting millions worldwide, with an increasing burden projected in the coming years. It involves complex neurological decline primarily affecting the Substantia nigra and Locus coeruleus, leading to motor and non-motor symptoms. Objective: This study aims to provide a comprehensive overview of Parkinson's disease, including its epidemiology, pathophysiology, diagnosis, and available therapies, encompassing both traditional pharmaceutical treatments and emerging technological advancements. Methods: A thorough review of literature was conducted, synthesizing information from various studies and clinical trials to elucidate the current understanding of Parkinson's disease and its management strategies. Results: Parkinson's disease is characterized by the gradual loss of dopamine-producing cells and the presence of Lewy bodies in the brain. Diagnosis relies on clinical evaluation, and treatment typically involves pharmaceutical interventions such as levodopa, COMT inhibitors, dopamine agonists, and deep brain stimulation. Additionally, advancements in technology offer promising avenues for objective symptom assessment and personalized treatment approaches. Conclusion: The management of Parkinson's disease requires a multidisciplinary approach, integrating traditional pharmacological treatments with emerging technologies and complementary therapies like dance therapy, tai chi, and speech therapy. By combining these diverse modalities, healthcare professionals can provide more effective and personalized care, ultimately enhancing the quality of life for individuals living with Parkinson's disease. Keywords: Parkinson's disease, medical therapy, device-aided therapy, alternative interventions, personalized treatment, neurodegenerative disorder
帕金森病的整体治疗方法:整合病理生理学、诊断和治疗方面的进展
背景:帕金森病(Parkinson's disease,PD)是一种常见的神经退行性疾病,影响着全球数百万人,预计未来几年的负担会越来越重。帕金森病涉及复杂的神经功能衰退,主要影响黑质下部和躯体小叶,导致运动和非运动症状。研究目的本研究旨在全面概述帕金森病,包括其流行病学、病理生理学、诊断和现有疗法,包括传统药物治疗和新兴技术进步。研究方法对文献进行全面回顾,综合各种研究和临床试验的信息,阐明目前对帕金森病及其治疗策略的理解。结果:帕金森病的特征是大脑中产生多巴胺的细胞逐渐丧失并出现路易体。诊断依赖于临床评估,治疗通常涉及药物干预,如左旋多巴、COMT 抑制剂、多巴胺激动剂和脑深部刺激。此外,技术的进步为客观症状评估和个性化治疗方法提供了前景广阔的途径。结论帕金森病的治疗需要采用多学科方法,将传统药物治疗与新兴技术以及舞蹈疗法、太极拳和语言疗法等辅助疗法相结合。通过结合这些不同的模式,医护人员可以提供更有效和个性化的护理,最终提高帕金森病患者的生活质量。关键词帕金森病、医学疗法、设备辅助疗法、替代干预、个性化治疗、神经退行性疾病
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