帕金森病患者双重任务训练的有效性:通过元分析进行系统性审查
Héctor García-López1, María de Los Ángeles Castillo-Pintor2, Adelaida María Castro-Sánchez1
1Department of Nursing, Physical Therapy and Medicine University of Almeria Almeria Spain.
Movement disorders clinical practice
|September 29, 2023
概括
双任务训练 (DTT) 改善了帕金森病 (PD) 患者的步态,平衡和运动功能. 这种安全的疗法可以提高步行速度,步长,节奏和平衡,比单任务训练或通常的护理更有效.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 老年学是指老年学的学科.
背景情况:
- 双任务训练 (DTT) 整合了同时进行的运动和认知练习.
- 帕金森病 (PD) 显著影响步态,平衡和运动功能.
研究的目的:
- 评估与单任务训练 (STT) 和PD患者的常规护理 (UC) 相比,DTT的有效性.
- 评估DTT对步态,平衡,运动障碍,日常活动和生活质量的影响.
主要方法:
- 一个随机对照试验 (RCT) 的元分析,遵循PRISMA指南.
- 搜索了主要的数据库 (PubMed,SCOPUS等) 对于将DTT与STT和UC进行比较的RCT.
- 通过PEDro尺度和通过科恩标准化平均差异 (SMD) 聚合效应大小评估方法质量.
主要成果:
- 包括17个RCT和826名参与者;平均PEDro得分为6.59.
- 与STT和UC相比,DTT显著改善了步行速度,步长,节奏和功能平衡.
- 此外,DTT还提高了动态平衡,减少了运动障碍,没有报告的不良影响.
结论:
- 双重任务训练是PD患者的安全有效干预措施.
- 在PD患者中,DTT在改善步态,平衡和运动功能方面表现出卓越的结果.
- 这些发现支持DTT作为帕金森病管理的有价值的治疗策略.
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