帕金森氏症的精准医学和音乐疗法

IF 1.8 Q3 CLINICAL NEUROLOGY
Peng Li-Hua , Lamarana Jallow , Yurong Tan , Ousman Bajinka
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引用次数: 0

摘要

背景:帕金森病(PD)是一种复杂的神经退行性疾病,需要多方面的治疗方法。精准医学的最新突破和越来越多的证据表明音乐疗法的疗效为全面的PD治疗提供了新的机会,既解决了生物学机制,又解决了生活质量问题。目的:本综述评估了精准医学和音乐疗法干预PD的现状,主要有三个目的:(1)综合基于基因的治疗和基于音乐的干预的证据;(2)确定这些方法之间潜在的协同作用;(3)强调临床实践中关键的实施挑战。研究发现:我们的分析显示,精确医学方法,包括gba1靶向venglustat和LRRK2激酶抑制剂,在基因谱的指导下,在临床试验中显示出显著的前景。同时,音乐疗法显示出强大的临床效益,RAS能使步态参数改善15-20%,团体唱歌项目能增强语言功能和心理健康。新兴技术,特别是可穿戴传感器和自适应人工智能平台,正在提高这两种治疗方式的精确度和个性化。然而,我们发现了持续存在的挑战,包括对精准医学中标准化生物标志物的需求,以及对音乐治疗方案更严格的临床验证。结论:精准医学和音乐治疗的战略整合为PD治疗提供了一种新的、以患者为中心的框架,同时针对病理机制和功能结果。未来的实施应侧重于克服无障碍障碍,进行大规模的纵向研究,并制定综合治疗方案,将遗传见解与个性化神经调节方法相结合。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Precision medicine and music therapy for Parkinson’s Disease
Background: Parkinson’s disease (PD) is a complex neurodegenerative disorder requiring multidimensional treatment approaches. Recent breakthroughs in precision medicine and growing evidence for music therapy efficacy present new opportunities for comprehensive PD management that addresses both biological mechanisms and quality of life outcomes Objectives: This mini review evaluates the current state of precision medicine and music therapy interventions for PD, with three primary aims: (1) to synthesize evidence for genetic-based treatments and music-based interventions, (2) to identify potential synergies between these approaches, and (3) to highlight critical implementation challenges in clinical practice. Finding: Our analysis revealed that precision medicine approaches, including GBA1-targeted venglustat and LRRK2 kinase inhibitors, show significant promise in clinical trials when guided by genetic profiling. Concurrently, music therapy demonstrates robust clinical benefits, with RAS producing 15–20% improvements in gait parameters and group singing programs enhancing both speech function and psychosocial wellbeing. Emerging technologies, particularly wearable sensors and adaptive AI platforms, are enhancing the precision and personalization of both treatment modalities. However, we identified persistent challenges including the need for standardized biomarkers in precision medicine and more rigorous clinical validation for music therapy protocols. Conclusions: The strategic integration of precision medicine and music therapy offers a novel, patient-centered framework for PD management that simultaneously targets pathological mechanisms and functional outcomes. Future implementation should focus on overcoming accessibility barriers, conducting large-scale longitudinal studies, and developing integrated treatment protocols that combine genetic insights with personalized neuromodulation approaches.
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来源期刊
Clinical Parkinsonism  Related Disorders
Clinical Parkinsonism Related Disorders Medicine-Neurology (clinical)
CiteScore
2.70
自引率
0.00%
发文量
50
审稿时长
98 days
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