物理治疗计划改善帕金森病患者的长期运动技能

Inés Gago Fernández, Jesús Seco Calvo
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引用次数: 4

摘要

本研究的目的是探讨物理治疗对帕金森病(PD)患者的影响。采用统一帕金森病评定量表(UPDRS)对19例患者进行评估。UPDRS是一个多维度量表,由四个部分组成:1)心理状态、行为和态度;2)日常活动;3)运动检查;4)治疗并发症及改良Hoehn-Yahr量表。帕金森病引起的运动并发症对身体和功能能力有重要影响。采用SPSS 14.0®软件对干预前和干预后阶段的运动检查结果进行线性回归分析。干预前和干预后各阶段全球标点符号中心趋势测量值为:在干预前阶段,平均值由干预前的64.22±16.383上升至干预后的50.89±19.499;在非高峰期,平均值在85.78±12.549 ~ 75.78±17.745之间。背部、髋部、踝关节肌肉力量的定量减少,伴随丙感觉、视觉和最低支撑基础的损伤,是帕金森病患者不稳定的主要原因。如果练习次数(第3组和第4组)增加到7-12次,运动测试的分数会更高。这表明颈部僵硬、身体姿势、平衡和步态得到改善,而且这种改善是持久的。
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Programa de fisioterapia mejora a largo plazo las habilidades motoras en pacientes con enfermedad de Parkinson

The objective of this study is to examine the effect physical therapy on patients with Parkinson's Disease (PD).

Nineteen patients were evaluated with the Unified Parkinson's Disease Rating Scale (UPDRS). UPDRS is a multidimensional scale composed of four sections: 1) mental state, behavior and attitude; 2) daily activities; 3) motor examination; 4) therapeutic complications and modified Hoehn-Yahr scale. The motor complications caused by the PD have an important effect on physical and functional capacity.

The results relative to motor examination in the stage pre-intervention and post-intervention are shown with the linear regression, using SPSS software version 14.0®.

Measurements of central trend of the global punctuation reached in the pre-intervention and post-intervention stages are: in the on stage, the average goes from 64.22 ± 16.383 before physical therapy intervention to 50.89 ± 19.499 after the intervention; in the off stage, the value of the average goes from 85.78 ± 12.549 to 75.78 ± 17.745.

Quantitative reduction of muscular strength in the back, hips, ankles, with damage in propioception, visual sense and the lowest support base, are the main causes of instability in patients with Parkinson's Disease.

If the number of sessions (groups 3 and 4) are increased to a range of 7-12, the scores on the motor examination are higher. This indicates that neck stiffness, body posture, balance and gait improve, and this improvement is longer-lasting.

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