在连续的多模式水生和陆基干预计划后,帕金森病患者的平衡、运动方面和日常生活活动的改善。

IF 1.5 Q3 REHABILITATION
Dielise Debona Iucksch, Juliana Siega, Giovanna Cristina Leveck, Luize Bueno de Araujo, Tainá Ribas Mélo, Vera Lúcia Israel
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引用次数: 1

摘要

帕金森氏病(PD)是一种神经退行性疾病,具有异质性的临床状况和运动改变,可降低功能。姿势不稳定是疾病进展的运动方面之一,有可能增加跌倒的风险,从而影响日常生活活动(ADL)。本研究的目的是验证在水生环境(ae)和陆基环境(LEs)中依次应用的多模式干预程序(MIP)对PD患者的平衡、姿势控制、运动活动和ADL的影响。这是一项介入性临床研究,患者在Hoehn和Yahr量表中处于1至4期,使用Berg平衡量表(BBS)、mini - best评估系统测试(mini - best)、统一帕金森病评定量表(UPDRS) II和III、动态步态指数(DGI)和静姿(QS)在力平台上进行评估。MIP依次采用水生(AIs)和陆地干预(LIs)进行,每种干预12周,每周两次,每次持续1小时,干预之间间隔12周。比较分析采用Friedman方差分析,多重比较采用Wilcoxon符号秩、Bonferroni校正和效应量(r)。样本包括18例PD患者(66.83±11.74岁)。根据BBS,人工智能和全面干预(FI)有很大的影响。对于mini - best, LI和FI有很大的影响。根据UPDRS II, MIP在LI和FI后改善ADL,效果中等,UPDRS III在LI和FI后改善运动方面,效果较大。DGI在分析中不敏感,在FI后存在天花板效应。在QS分析中没有发现差异。本研究发现,在AI和LI连续MIP后,PD患者的平衡、ADL和运动方面得到改善,这表明陆基和水生干预对PD患者是互补和有利的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Improvement of Balance, Motor Aspects, and Activities of Daily Living in Parkinson's Disease after a Sequential Multimodal Aquatic- and Land-Based Intervention Program.

Improvement of Balance, Motor Aspects, and Activities of Daily Living in Parkinson's Disease after a Sequential Multimodal Aquatic- and Land-Based Intervention Program.

Improvement of Balance, Motor Aspects, and Activities of Daily Living in Parkinson's Disease after a Sequential Multimodal Aquatic- and Land-Based Intervention Program.

Parkinson's disease (PD) is a neurodegenerative, with heterogeneous clinical conditions and motor changes that reduce functioning. Postural instability is one of the motor aspects of disease progression, with a potential increase in the risk of falls, consequently affecting the activities of daily living (ADL). The objective of this study was to verify the influence of a multimodal intervention program (MIP) sequentially applied in aquatic- (AEs) and land-based environments (LEs) on balance, postural control, motor activities, and ADL in people with PD. It is an interventional clinical study with patients in stages 1 to 4 in the Hoehn and Yahr scale, assessed with Berg Balance Scale (BBS), Mini-Balance Evaluation System Test (Mini-BESTest), Unified Parkinson's Disease Rating Scale (UPDRS) II and III, Dynamic Gait Index (DGI), and quiet stance (QS) analysis in a force platform. The MIP was conducted sequentially with aquatic- (AIs) and land-based interventions (LIs) for 12 weeks each, twice a week, each session lasting 1 hour, and a 12-week interval between interventions. The comparison analysis was made with Friedman ANOVA, and the multiple comparisons with Wilcoxon signed-rank, Bonferroni correction, and effect size (r). The sample comprised 18 people with PD (66.83 ± 11.74 years). The AI and the full intervention (FI) had a large effect according to BBS. With Mini-BESTest, the LI and FI had a large effect. According to UPDRS II, the MIP improved ADL after LI, with a medium effect, and the motor aspects of UPDRS III improved after LI and FI, with a large effect. DGI was not sensitive in the analyses, with a ceiling effect after FI. No differences were identified in QS analyses. This research identified improved balance, ADL, and motor aspects in people with PD after sequential MIP in AI and LI, indicating that land-based and aquatic interventions are complementary and advantageous to people with PD.

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来源期刊
CiteScore
3.80
自引率
0.00%
发文量
16
审稿时长
19 weeks
期刊介绍: Rehabilitation Research and Practice is a peer-reviewed, Open Access journal that publishes original research articles, review articles, and clinical studies in all areas of physical medicine and rehabilitation. The journal focuses on improving and restoring functional ability and quality of life to those with physical impairments or disabilities. In addition, articles looking at techniques to assess and study disabling conditions will be considered.
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