在帕金森病患者中改善姿势平衡的不同练习的有效性:系统性审查和网络元分析
Di Wang1, Wen J Cui2, Zhen H Hou3
1Department of Sports Science, Zhejiang University, Hangzhou, China.
Frontiers in aging neuroscience
|August 2, 2023
概括
对于帕金森病患者来说,运动游戏,舞蹈和节奏性听觉运动显著改善了姿势平衡. 这些发现有助于指导运动选择,以便在帕金森病管理中获得更好的平衡结果.
科学领域:
- 神经学 神经学
- 康复科学 康复科学 康复科学
- 运动生理学 运动生理学
背景情况:
- 运动是帕金森病 (PD) 的公认干预措施之一.
- 在PD中增强姿势平衡的最佳运动选择仍在争论中.
- 这项研究解决了为PD患者提供基于证据的运动建议的需要.
研究的目的:
- 系统地比较和排名各种运动干预措施,以改善帕金森病患者的姿势平衡.
- 用随机对照试验 (RCT) 的数据量化不同类型的运动的有效性.
主要方法:
- 在主要数据库 (PubMed,Cochrane,Embase,Web of Science,PsycINFO) 中进行了全面的文献搜索.
- 包括60个涉及3537名参与者的RCT,公布至2023年3月.
- 使用Cochrane风险偏见工具评估方法质量;进行了网络元分析.
主要成果:
- 过度博运动在定时启动测试中显著改善 (SUCRA = 91.5%).
- 舞蹈干预显示了伯格平衡量级得分的显著提高 (SUCRA = 81.3%).
- 节奏性听力运动显著改善了迷你平衡评估系统测试得分 (SUCRA = 95.6%).
结论:
- 运动,舞蹈和节奏性听觉炼是改善帕金森病姿势平衡的卓越干预措施.
- 这些发现为临床医生和患者在选择PD有效的炼策略方面提供了宝贵的见解.
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