基于运动学习的临床普拉提训练对帕金森病康复的影响@Parkinsonpilates：一个平行组，随机对照试验，随访3个月

IF 3.3 3区医学 Q1 INTEGRATIVE & COMPLEMENTARY MEDICINE

Complementary therapies in medicine Pub Date : 2025-03-11 DOI:10.1016/j.ctim.2025.103161

Fahriye Coban , Beliz Belgen Kaygisiz , Ferda Selcuk

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引用次数: 0

摘要

目的：通过3个月的随访，研究我们为帕金森病（pwPD）患者开发的综合运动学习临床普拉提方案在提供步行、平衡、反应时间、节奏和功能活动方面的持久运动技能方面的效果。设计一个平行组，随机对照试验（RCT）。设置XXX医疗中心，XXX和XXX物理治疗和康复中心，尼科西亚。患有hoehn & Yahr 2-3期的pwPD参与者被随机分配到帕金森普拉提组（PP）和常规物理治疗组（CP）。干预措施两组均接受60 min的训练，每周两次，以及每周4次的家庭物理治疗计划，持续12周。干预组接受PP治疗，CP组接受PD普通理疗培训。主要结果测量主要结果是不定时的步态和平衡量表，节奏和尼尔森足反应测试分数。次要结果是统一帕金森病评定量表- iii子量表、计时和行走测试、功能到达测试和伯格平衡量表。结果收集4次：预试、6次。治疗后数周和3个月后随访。结果sat后测、步态与平衡、反应时间、功能活动能力、静态与动态平衡较CP均有显著改善，运动检查与CP相似（p >； .05）。除了这些随访结果外，功能活动能力相似（p >； .05），节奏（p <； .05）显示PP有显著改善。此外，根据两两比较，PP在所有4项测量中都比cp在节奏和反应时间上有显著改善。结论需要更多的研究来阐明我们开发的PD方案的效果。不可忽视的是，我们的方案可以根据未来研究的建议再次改进。

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Motor learning-based clinical pilates training for the Parkinson’s disease rehabilitation @Parkinsonpilates: A parallel group, randomised controlled trial with 3-month follow-up

Objectives

To examine the effect of integrated motor learning clinical pilates protocol we developed for patients with Parkinson’s Disease (pwPD) on providing enduring motor skills in walking, balance, reaction time, cadence, and functional mobility at 3-months follow-up.

Design

A parallel-group, randomized controlled trial (RCT).

Setting

XXX Medical Center, XXX, and XXX Physiotherapy and Rehabilitation Center, Nicosia.

Participants

32 pwPD with Hoehn&Yahr stages 2–3 were randomly assigned to the Parkinsonpilates Group (PP) and the Conventional Physiotherapy (CP) Group.

Interventions

Both groups received 60 min of training, twice a week, and a home physiotherapy program 4 times a week, for 12 weeks. The intervention group received PP, while the CP group received general physiotherapy training for PD.

Main outcome measures

The primary outcomes were untimed Gait and Balance Scale, Cadence, and Nelson Foot Reaction Test scores. The secondary outcomes were The Unified Parkinson's Disease Rating Scale-III subscales, Timed Up and Go Test, Functional Reach Test, and Berg Balance Scale. Outcomes were convened 4 times: pre-test, 6. weeks, post-treatment, and after 3-month follow-up.

Results

At post-test, gait and balance, reaction time, functional mobility, static and dynamic balance showed a significant improvement in PP compared to CP, and the motor examination was similar(p > .05). In addition to these results at follow-up, functional mobility was similar(p > .05) and cadence(p < .05) showed a significant improvement in PP. In addition, according to pairwise comparisons, the PP showed a significant improvement in cadence and reaction time in all 4 measures compared to CP.

Conclusions

More studies are needed to clarify the effects of the program we developed for PD. It should not be ignored that our protocol can be improved again according to the suggestions of future studies.

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来源期刊

Complementary therapies in medicine 医学-全科医学与补充医学

CiteScore

8.60

自引率

2.80%

发文量

101

审稿时长

112 days

期刊介绍： Complementary Therapies in Medicine is an international, peer-reviewed journal that has considerable appeal to anyone who seeks objective and critical information on complementary therapies or who wishes to deepen their understanding of these approaches. It will be of particular interest to healthcare practitioners including family practitioners, complementary therapists, nurses, and physiotherapists; to academics including social scientists and CAM researchers; to healthcare managers; and to patients. Complementary Therapies in Medicine aims to publish valid, relevant and rigorous research and serious discussion articles with the main purpose of improving healthcare.