一个新的基于家庭的电话康复计划,针对帕金森病的跌倒预防:初步试验
Mitra Afshari1, Andrea V Hernandez1, Jessica M Joyce1
1Department of Neurological Sciences (MA, AVH, JMJ, GTS, CGG); Department of Physical Therapy (AWH), College of Health Sciences; and Department of Occupational Therapy (KLT), College of Health Sciences, Rush University Medical Center, Chicago, IL.
Neurology. Clinical practice
|January 12, 2024
概括
基于家庭的远程康复显著降低了帕金森病 (PD) 患者的跌倒风险. 这种方法改善了物理和职业治疗目标和家庭安全,为未来的跌倒预防策略显示了希望.
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:
- 对于患有帕金森病 (PwP) 的人来说,跌倒是一个重要的问题,通常发生在家庭环境中.
- 目前的防摔策略主要以临床为中心,这限制了它们对家庭风险的有效性.
- 需要一种新的方法来解决PwP在他们的生活空间内高频率下降的问题.
研究的目的:
- 评估基于家庭的远程康复的可行性和初步有效性,以减少患有帕金森病 (PD) 的人的跌倒风险.
- 评估远程物理/职业治疗 (PT/OT) 对跌倒风险和家庭安全修改的影响.
- 探索患者驱动的结果测量在PD的远程康复的潜力.
主要方法:
- 一个非随机的试验试验,涉及15名患有轻度至中度PD (Hoehn和Yahr阶段2-3) 患有跌倒风险的人.
- 参与者参与了为期10周的两周一次的电话PT / OT会议,在护理合作伙伴的监督下.
- 目标实现量表 (GAS) 用于衡量实现个性化目标的进展,结果在10周和6个月后期进行评估.
主要成果:
- 所有参与者都完成了120次电视观看,没有学或不良事件.
- 综合PT和OT-GAS得分的显著改善从基线10周后观察到,并在6个月后持续 (p < 0.001).
- 虚拟家居安全巡视导致高度遵守修改建议 (87%在10周,91%在6个月).
结论:
- 基于家庭的远程康复提供了一个可行的和有效的策略,用于预防帕金森病 (PD) 的跌倒.
- 目标实现量表 (GAS) 证明了其作为患者为中心的结果测量工具的实用性,用于在远程康复中异构的PD人群.
- 这种创新方法提高了功能目标和家庭安全,为减少PwP下降提供了一个有希望的途径.
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