Effects of upper limb vibratory stimulation training on motor symptoms in Parkinson's disease: an observational study.

IF 2.5 4区医学 Q1 REHABILITATION Journal of Rehabilitation Medicine Pub Date : 2024-02-26 DOI:10.2340/jrm.v56.19495

Valentina Varalta, Anna Righetti, Elisa Evangelista, Alberto Vantini, Alessandro Martoni, Stefano Tamburin, Cristina Fonte, Ilaria Antonella Di Vico, Michele Tinazzi, Andreas Waldner, Alessandro Picelli, Mirko Filippetti, Nicola Smania

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Abstract

Objectives: Parkinson's disease is characterized by motor and non-motor symptoms. Tremor is one of the motor symptoms that can affect manual skills and have an impact on daily activities. The aim of the current study is to investigate the effect of upper limb training provided by a specific vibratory device (Armshake®, Move It GmbH - Bochum, Germany) on tremor and motor functionality in patients with Parkinson's disease. Furthermore, the training effect on global cognitive functioning is assessed.

Design: An uncontrolled before-after clinical trial.

Patients: Individuals with diagnosis of Parkinson's disease, motor upper limbs deficits, and absence of dementia.

Methods: Participants underwent a 3-week programme (3 times a week) and was evaluated before, after, and at 1 month follow-up by motor (Fahn Tolosa Marin Tremor Rating Scale, Unified Parkinson's Disease Rating Scale - part III, Purdue Pegboard Test, Disability of the Arm, Shoulder and Hand Questionnaire) and cognitive (Montreal Cognitive Assessment) scales.

Results: Twenty subjects are included. After treatment a statistically significant improvement in tremor, manual dexterity and activities of daily living was found. The data indicated no effects on global cognitive functioning.

Conclusion: These findings suggest positive effects of vibratory stimulation training on upper limb motor symptoms in Parkinson's disease.

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上肢振动刺激训练对帕金森病运动症状的影响：一项观察性研究。

目的：帕金森病以运动症状和非运动症状为特征。震颤是运动症状之一，可影响手部技能并对日常活动造成影响。本研究旨在探讨通过特定振动装置（Armshake®，Move It GmbH - 德国波鸿）进行上肢训练对帕金森病患者震颤和运动功能的影响。此外，还评估了训练对整体认知功能的影响：设计：无对照前后临床试验：患者：确诊为帕金森病、上肢运动功能障碍且无痴呆症的患者：参与者接受为期 3 周的治疗（每周 3 次），并在治疗前、治疗后和随访 1 个月时接受运动量表（Fahn Tolosa Marin 震颤评分量表、帕金森病统一评分量表--第三部分、普渡佩格板测试、手臂、肩部和手部残疾问卷）和认知量表（蒙特利尔认知评估）的评估：共纳入 20 名受试者。治疗后，震颤、手部灵活性和日常生活活动均有明显改善。结论：这些研究结果表明，振动疗法对震颤、手部灵活性和日常生活活动有积极的影响：这些研究结果表明，振动刺激训练对帕金森病患者的上肢运动症状有积极影响。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Journal of Rehabilitation Medicine 医学-康复医学

CiteScore

5.60

自引率

5.70%

发文量

102

审稿时长

4-8 weeks

期刊介绍： Journal of Rehabilitation Medicine is an international peer-review journal published in English, with at least 10 issues published per year. Original articles, reviews, case reports, short communications, special reports and letters to the editor are published, as also are editorials and book reviews. The journal strives to provide its readers with a variety of topics, including: functional assessment and intervention studies, clinical studies in various patient groups, methodology in physical and rehabilitation medicine, epidemiological studies on disabling conditions and reports on vocational and sociomedical aspects of rehabilitation.