在患有帕金森病的容易摔倒的个体中,稳定性的变化在反应式步骤训练后发生
Andrew S Monaghan1, Andrew Hooyman, Leland E Dibble
1College of Health Solutions, Arizona State University, Phoenix (A.S.M., D.S.P.); School of Biological and Health Systems Engineering, Arizona State University, Tempe (A.H.); Department of Physical Therapy and Athletic Training, University of Utah, Salt Lake City (L.E.D.); Mayo Clinic, Scottsdale, Arizona (S.H.M.); and Phoenix VA Health Care Center, Phoenix, Arizona (D.S.P.).
Journal of neurologic physical therapy : JNPT
|June 1, 2023
概括
两周的反应式步骤训练改善了帕金森病 (PwPD) 患有跌倒风险的人的后退步骤稳定性. 这些改进得到了维持,这表明这项培训可能有助于减少跌倒.
科学领域:
- 神经科学是一个神经科学.
- 发动机控制器的控制器
- 老年学是指老年学的学科.
背景情况:
- 对于患有帕金森病 (PwPD) 的人来说,落是一个重大问题.
- 对于平衡至关重要的反应性步行可能会在PwPD中受损,有跌倒的风险.
- 反应式步进训练在改善步进和减少PwPD中跌倒的有效性尚未得到充分证实.
研究的目的:
- 调查2周的反应式步骤训练是否会导致步骤的立即和持久改善.
- 确定这项培训是否减少了 PwPD 中被确定为跌倒风险的潜在跌倒.
主要方法:
- 一个干预前后的研究,25名PwPD (Hoehn & Yahr 1-3) 患有跌倒风险.
- 步进性能 (稳定性边际,步进长度,步进延迟) 评估在训练之前,训练后立即和训练后2个月.
- 跌倒频率记录在2个月之前和之后的2周,6个会议的训练方案.
主要成果:
- 在培训后观察到的稳定性 (MOS) 后退边际显著改善,并在2个月内保持.
- 步骤长度没有显示出统计学上显著的变化,尽管注意到中大效果大小.
- 步骤延迟最初有所改善,但在完整的训练期后没有改善;12名参与者在训练后跌倒较少.
- 较大的MOS改进与减少跌倒相关.
结论:
- 两周的反应性步骤训练可以在落风险的PwPD的特定反应性步骤参数中产生即时和持续的改善.
- 培训显示了作为一个可行的干预措施,以减轻在这一群体的跌倒风险的潜力.
- 进一步的研究可能会探索优化培训协议以获得更广泛的益处.
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