帕金森病患者的复杂康复

IF 0.3 Q4 REHABILITATION
I. Khubetova
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引用次数: 0

摘要

目的:评估帕金森病患者综合康复计划的临床效果材料和方法:研究在运动障碍区域中心(敖德萨,乌克兰)进行。对90例1-2.5 Hoehn-Yahr分期患者进行了检查。将患者随机分为三组(I (n=30) -标准药物治疗,II (n=30) -标准药物治疗+物理治疗,III (n=30) -标准药物治疗+物理治疗+艺术治疗)。采用UPDRS问卷、贝克抑郁量表(BDI)、蒙特利尔认知评估(MoCA)和Pegboard测试对治疗效果进行评估。随访期为12个月。结果:II组和III组患者在体力消耗后情绪有所改善。他们观察到白天嗜睡的减少,颤抖的减少,焦虑和恐惧的强度减少。观察期间,II组4例(13.3%)、III组2例(6.7%)、对照组12例(40.0%)出现疾病进展迹象(χ2 = 4.18 p = 0.04、χ2 = 7.55 p = 0.006)。使用复杂的康复可以减轻帕金森病的运动和非运动表现的严重程度。2. 在复杂的康复计划中纳入艺术治疗可以使疾病进展的病例数量减少一半。3.在整个观察期内,综合康复治疗的积极效果得以保持。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Complex Rehabilitation of Patients with Parkinson’s Disease
Aim: To assess the clinical effectiveness of a comprehensive rehabilitation program for patients with Parkinson’s disease Materials and Methods: The study was conducted in the regional center for movement disorders (Odesa, Ukraine). 90 patients with 1-2.5 Hoehn-Yahr stage were examined. Patients were randomly assigned to three groups (I (n=30) – standard drug therapy, II (n=30) – standard drug therapy +physical therapy, III (n=30) – standard drug therapy +physical therapy+ art therapy). The effectiveness of the therapy was assessed using the UPDRS questionnaires, Beck Depression Inventory (BDI), Montreal Cognitive Assessment (MoCA), and Pegboard Test. The follow-up period was 12 months. Results: Patients of the II and III groups noted an improvement in mood after physical exertion. They observed a decrease in daytime sleepiness, a decrease in tremors, and a decrease in the intensity of anxiety and fear. During the observation period, signs of disease progression were observed only in 4 (13.3%) patients of group II, in 2 (6.7%) patients of group III and in 12 (40.0%) ) patients of the control group (respectively, χ2 = 4.18 p = 0.04 and χ2 = 7.55 p = 0.006) Conclusions: 1. The use of complex rehabilitation allows to reduce the severity of motor and non-motor manifestations of Parkinson's disease. 2. The inclusion of art therapy in the complex rehabilitation program allows to halve the number of cases of disease progression. 3. The positive effect of the use of comprehensive rehabilitation is maintained throughout the observation period.
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来源期刊
Acta Balneologica
Acta Balneologica REHABILITATION-
自引率
66.70%
发文量
58
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