在线职业治疗作为帕金森病的康复干预:系统回顾。

IF 1.7 Q2 MEDICINE, GENERAL & INTERNAL
Antigoni Kountoura, Thomas Tegos, Marianthi Arnaoutoglou, Magdalini Tsolaki
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引用次数: 0

摘要

背景/目的:职业治疗(OT)在解决帕金森病(PD)患者的功能限制和促进独立性方面起着至关重要的作用。OT干预的目标是运动技能、日常活动和参与有意义的任务。远程保健,即远程提供保健服务,扩大了获得康复的机会,包括PD的门诊治疗。虽然一些研究已经检查了在线OT的好处,但需要对其对功能结果和生活质量(QoL)的影响进行全面评估。本综述旨在评估在线OT干预对PD患者功能结局和生活质量的影响。方法:本综述采用系统化的方法,以系统评价和元分析的首选报告项目(PRISMA)框架为指导,尽管它不构成完整的系统评价或元分析。在2023年8月至2024年9月期间,对PubMed、Web of Science、Scopus和Embase数据库进行了全面的搜索。研究的目标是随机对照试验(rct),研究PD患者的远程康复干预。如果研究没有以英文发表,没有采用RCT设计,或者在PD的职业治疗范围内缺乏对远程康复的关注,则排除研究。此外,系统综述、荟萃分析、定性研究和没有可测量结果的研究被排除在外。9项研究符合纳入标准,其中4项直接涉及职业治疗师,5项在职业治疗师实践范围内评估干预措施。结果:本综述的主要结果集中在PD患者的活动能力改善上,通过步态指标(如步态速度、步幅和步态变异性)进行评估。次要结果评估远程康复对生活质量的影响,使用帕金森病问卷(PDQ-39)等工具和其他疾病特异性工具。研究结果表明,在线OT干预显著改善了PD患者的运动技能、认知功能和日常生活活动。此外,这些干预措施提高了整体幸福感和生活质量。远程模式促进了持续的参与和对治疗的坚持,有助于更好的长期结果。结论:在线OT干预在改善PD患者的功能结局和生活质量方面显示出良好的潜力。这些发现强调了远程医疗扩大获得门诊服务的潜力,从而提高了这一人群的长期康复结果。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Online Occupational Therapy as a Rehabilitation Intervention for Parkinson's Disease: A Systematized Review.

Background/Objectives: Occupational therapy (OT) plays a crucial role in addressing functional limitations and promoting independence in Parkinson's disease (PD) patients. OT interventions target motor skills, daily activities, and engagement in meaningful tasks. Telehealth, the remote delivery of healthcare services, has expanded access to rehabilitation, including OT for PD. While several studies have examined the benefits of online OT, a comprehensive assessment of its impact on functional outcomes and quality of life (QoL) is needed. This review aimed to evaluate the effects of online OT interventions on functional outcomes and QoL of patients with PD. Methods: This review employed a systematized approach, guided by the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) framework, though it did not constitute a full systematic review or meta-analysis. A comprehensive search was conducted across PubMed, Web of Science, Scopus, and Embase databases between August 2023 and September 2024. The search targeted randomized controlled trials (RCTs) investigating telerehabilitation interventions in OT for individuals with PD. Studies were excluded if they were not published in English, did not employ an RCT design, or lacked a focus on telerehabilitation within the scope of occupational therapy for PD. Additionally, systematic reviews, meta-analyses, qualitative studies, and studies without measurable outcomes were excluded. Nine studies met the inclusion criteria, with four involving occupational therapists directly and five evaluating interventions within the scope of OT practice. Results: The primary outcomes of this review focused on mobility improvements in PD patients, assessed through gait metrics such as gait speed, stride length, and gait variability. Secondary outcomes evaluated the impact of telerehabilitation on QoL, using tools such as the Parkinson's Disease Questionnaire (PDQ-39) and other disease-specific instruments. The findings demonstrated that online OT interventions significantly improved motor skills, cognitive function, and activities of daily living in PD patients. Furthermore, these interventions enhanced overall well-being and QoL. The remote format fostered sustained engagement and adherence to therapy, contributing to better long-term outcomes. Conclusions: Online OT interventions show promising potential for improving functional outcomes and QoL in PD patients. These findings underscore the potential of telehealth to expand access to OT services, thereby enhancing long-term rehabilitation outcomes for this population.

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来源期刊
Clinics and Practice
Clinics and Practice MEDICINE, GENERAL & INTERNAL-
CiteScore
2.60
自引率
4.30%
发文量
91
审稿时长
10 weeks
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