多学科强化康复对帕金森病认知和执行功能的影响:临床数据库分析
Ivana Baldassarre1, Rossella Rotondo1, Laura Piccardi1,2
1San Raffaele Cassino, 03043 Cassino, Italy.
Journal of clinical medicine
|July 13, 2024
概括
多学科强化康复在帕金森病 (PD) 患者的认知和执行功能显著改善. 六周的治疗导致认知测试得分更高,许多患者达到正常范围.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 认知科学 认知科学
背景情况:
- 帕金森病 (PD) 通常涉及认知能力下降,影响执行功能.
- 评估密集康复治疗对PD认知改善的有效性至关重要.
研究的目的:
- 评估6周多学科强化康复治疗对帕金森病患者的全球认知功能和执行功能的影响.
主要方法:
- 来自"NeuroRehab"临床数据库的104名帕金森病患者的回顾性分析.
- 患者接受了为期6周的强化日常康复,包括体育炼和职业治疗.
- 在基线 (T0) 和治疗后 (T1) 评估认知功能时,使用了迷你心理状态检查 (MMSE),蒙特利尔认知评估 (MoCA) 和正面评估电池 (FAB) 来评估认知功能.
主要成果:
- 与基线相比,在康复后的MMSE,MoCA和FAB得分中观察到显著改善.
- 超过50%的最初MMSE得分较低的患者的病情改善到切断值以上.
- 对于MoCA和FAB,人们注意到了很高的改善率,许多患者的认知分数达到正常.
结论:
- 一个为期6周的多学科康复计划显示了增强帕金森病住院患者认知状态的潜力.
- 强化康复可能是管理PD认知缺陷的有价值的治疗策略.
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