长期物理康复改善老年帕金森病患者平衡和运动能力的有效性

Jaime Silva Cárdenas, Nicolas Velásquez Chávez, Matías Rosas Ruiz, Sandra Vargas Vega, Cristian Mansilla Antilef, Nicole B. Fritz Silva
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引用次数: 0

摘要

行走和平衡的改变是解决老年帕金森病(PD)的关键。这些改变会对日常生活活动产生负面影响,降低生活质量,增加跌倒的风险。目的:分析不同长期运动干预对改善60岁以上帕金森病患者行走和平衡参数的效果。方法:对PEDro、PubMed、WOS和EBSCO 5个数据库近10年的实验研究进行分析。PEDro量表用于分析研究的质量,并将研究结果与最小可检测变化(minimum detectable change, MDC)进行对比。结果:从413项研究中,共有7项rct和2项先导研究被纳入分析。年龄范围分别为65.8±10.7岁和73.59±7.93岁。病程为5 ~ 15年。方法论的质量从“好”到“优秀”不等。结论:高强度力量训练、进行性阻力增加、有氧运动、行走与平衡训练等干预措施对PD人群的临床效果更为显著。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
effectiveness of long-term physical rehabilitation to improve balance and locomotion in older people with Parkinson's disease
Walking and balance alterations are critical to address in older adults living with Parkinson's Disease (PD). These alterations negatively impact activities of daily life, decrease the quality of life and increase the risk of falls. Objective: Analyse the effectiveness of different long-term exercise interventions to improve walking and balance parameters in people aged over 60 years with PD. Methods: Experimental studies from the last 10 years collected from 5 databases (PEDro, PubMed, WOS and EBSCO) were analysed. PEDro scale was used to analyse the quality of the studies, and the result shown in the studies was contrasted with the minimal detectable change (MDC). Results: From 413 studies, a total of 7 RCTs and 2 pilot studies were included in the analysis. The range of age was 65.8 ± 10.7 and 73.59 ± 7.93 years. The duration of the disease was 5 to 15 years. The methodological quality ranged from "good" to "excellent". Conclusions: More significant clinical effect in PD population was obtained after interventions that included: high-intensity strength training, progressive increase of resistance, aerobic exercise, and walking and balance training.
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