Updates in Parkinson's Disease Integrative Therapies: an Evidence-Based Review.

IF 4.8 2区医学 Q1 CLINICAL NEUROLOGY

Current Neurology and Neuroscience Reports Pub Date : 2023-11-01 Epub Date: 2023-11-03 DOI:10.1007/s11910-023-01312-z

Sushma Kola, Indu Subramanian

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引用次数: 0

Abstract

Purpose of review: This review summarizes recent evidence-based integrative therapies for Parkinson's disease (PD) that may improve motor and non-motor symptoms, enhance quality of life, and alter disease progression.

Recent findings: Imaging studies have demonstrated that aerobic exercise changes brain structure and function, while strength training improves posture and balance. Loneliness is associated with worsening PD severity, but social prescribing and cognitive behavioral therapy may effectively foster connections. Ayurvedic and traditional Chinese medicine practices including yoga, meditation, tai chi, and acupuncture may help improve mobility, mood, sleep, and quality of life. Art therapy enhances visuospatial skills, whereas music and dance therapy can alleviate freezing of gait. Several studies demonstrate successful use of these integrative strategies virtually, thereby improving patient accessibility and participation. PD management has broadened to include integrative approaches combining conventional and complementary therapies. Potential benefits of movement, nutrition, sleep, socialization, and mind-body practices have been confirmed with several recent randomized controlled trials.

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帕金森病综合治疗的最新进展：基于证据的综述。

综述目的：这篇综述总结了最近针对帕金森病（PD）的循证综合疗法，这些疗法可以改善运动和非运动症状，提高生活质量，并改变疾病进展。最近的发现：影像学研究表明，有氧运动可以改变大脑结构和功能，而力量训练可以改善姿势和平衡。孤独感与帕金森病的严重程度恶化有关，但社会处方和认知行为疗法可能有效地促进联系。阿育吠陀和传统中医实践，包括瑜伽、冥想、太极和针灸，可能有助于改善行动能力、情绪、睡眠和生活质量。艺术治疗可以提高视觉空间技能，而音乐和舞蹈治疗可以缓解步态冻结。几项研究表明，这些综合策略在虚拟环境中得到了成功的应用，从而提高了患者的可及性和参与度。帕金森病的管理已经扩大到包括传统疗法和补充疗法相结合的综合方法。最近的几项随机对照试验证实了运动、营养、睡眠、社交和身心实践的潜在益处。

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来源期刊

Current Neurology and Neuroscience Reports 医学-临床神经学

CiteScore

9.20

自引率

0.00%

发文量

审稿时长

6-12 weeks

期刊介绍： Current Neurology and Neuroscience Reports provides in-depth review articles contributed by international experts on the most significant developments in the field. By presenting clear, insightful, balanced reviews that emphasize recently published papers of major importance, the journal elucidates current and emerging approaches to the diagnosis, treatment, management, and prevention of neurological disease and disorders. Presents the views of experts on current advances in neurology and neuroscience Gathers and synthesizes important recent papers on the topic Includes reviews of recently published clinical trials, valuable web sites, and commentaries from well-known figures in the field.