LSVT® BIG与通过帕金森病同步远程康复进行渐进式结构化移动训练相比:一项随机对照试验
Guzin Kaya Aytutuldu1,2, Burcu Ersoz Huseyinsinoglu3, Nazan Karagoz Sakalli4
1Department of Physiotherapy and Rehabilitation (English), Faculty of Health Sciences, Biruni University, Istanbul, Turkey.
概括
同步远程康复改善了帕金森病 (PD) 患者的平衡和步态. 李·西尔弗曼语音治疗® BIG (LSVT® BIG) 协议显示,在早期的PD中,对于动态平衡和信心有特别的好处.
科学领域:
- 神经科学是一个神经科学.
- 康复医学 康复医学 康复医学
- 老年学是一门学科.
背景情况:
- 帕金森病 (PD) 是一种普遍的神经退行性疾病,其特点是运动障碍.
- 电话康复为管理PD等慢性疾病提供了一个有希望的方法.
研究的目的:
- 为了比较基于同步远程康复的Lee Silverman Voice Treatment® BIG (LSVT® BIG) 和帕金森病 (PD) 患者的渐进型结构化移动训练的疗效.
- 评估这些干预措施对平衡,步态和生活质量的影响.
主要方法:
- 32名PD患者 (Hoehn-Yahr 1-3期) 被随机分配到LSVT® BIG或渐进性移动性训练组.
- 两组人都接受了60分钟的会议,每周4次,持续4周,通过同步在线视频会议.
- 主要结局:迷你平衡评估系统测试 (Mini-BESTest);次要结局:定时起步和移动测试 (TUG),步态时空参数,姿势稳定,平衡信心 (ABC-SF),活动量表 (PAS) 和生活质量 (PDQ-39).
主要成果:
- 在动态平衡 (Mini-BESTest),平衡信心 (ABC-SF) 和活动状态 (PAS) 中观察到显著的改善,有利于LSVT® BIG组.
- 这两种干预都导致了 TUG,步态空间时间参数和生活质量的显著改善 (PDQ-39).
结论:
- 这两种远程康复方案都有效地改善了PD患者的平衡,步态,活动水平和生活质量.
- 在早期PD中,LSVT® BIG可能是改善动态平衡,平衡信心和活动的首选选择.
- 建议使用可靠的方法进行进一步的研究,以证实这些发现.
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