在帕金森病中治疗唱歌和呼吸肌肉力量训练:混合方法比较
Jessy Brown1, Elizabeth L Stegemöller1
1Neuroscience and Gerontology Program, Department of Kinesiology, Iowa State University, Ames, IA, United States.
Frontiers in rehabilitation sciences
|December 6, 2024
概括
治疗性歌唱 (TS) 和呼吸肌肉强度训练 (EMST) 在改善帕金森病患者的生活质量,抑郁或焦虑方面没有显著差异. 参与者的偏好各不相同,突出了治疗感知的个体差异.
科学领域:
- 神经学 神经学
- 呼吸系统医学 呼吸系统医学
- 康复 康复 康复 康复
背景情况:
- 帕金森病 (PD) 影响运动和非运动功能,包括呼吸能力.
- 呼吸道肌肉衰弱在PD中很常见,影响生活质量和疾病进展.
- 寻求非药物干预措施来管理呼吸系统症状并改善PD的福祉.
研究的目的:
- 为了比较治疗歌唱 (TS) 和呼吸肌肉力量训练 (EMST) 对PD患者生活质量 (QOL),抑郁和焦虑的疗效.
- 探索参与者对TS和EMST干预措施的看法和偏好.
- 为PD管理提供可访问和可接受的呼吸干预措施的发展提供信息.
主要方法:
- 融合混合方法设计使用随机交叉试验.
- 13名患有轻度至中度PD的参与者 (Hoehn和Yahr阶段1-3) 完成了4周的TS和EMST干预.
- 来自验证问卷的定量数据和采访的定性数据被收集和分析.
主要成果:
- 对于抑郁,焦虑或QOL,TS和EMST之间没有发现显著差异.
- 随着时间的推移,人们观察到感知QOL的显著下降,而这并未得到定性发现的支持.
- 定性分析揭示了好处,可访问性,可接受性,建议/反和偏好的主题,参与者对TS和EMST的偏好相同.
结论:
- 无论是TS还是EMST都没有在改善PD患者的QOL,抑郁或焦虑方面表现出优越性.
- 参与者的偏好和个人差异显著影响了他们对干预措施的看法.
- 改善干预的可接受性和可访问性对于坚持和长期参与至关重要,以潜在地延迟PD的呼吸系统衰退.
更多相关视频
00:07Home-Based Prescribed Pulmonary Exercise in Patients with Stable Chronic Obstructive Pulmonary Disease
Published on: August 24, 2019
9.6K
12:59Improving Strength, Power, Muscle Aerobic Capacity, and Glucose Tolerance through Short-term Progressive Strength Training Among Elderly People
Published on: July 5, 2017
12.5K
相关概念视频
01:24Parkinson's Disease: Treatment
219
Neurodegenerative disorders, such as Parkinson's Disease (PD), involve the gradual and irreversible destruction of neurons in particular brain areas. These disorders exhibit standard features like proteinopathies, selective vulnerability of some neurons, and an interaction of intrinsic properties, genetics, and environmental influences in neural injury.
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
Parkinson's Disease is primarily a result of the loss of dopaminergic neurons in the substantia nigra pars compacta. The cornerstone of...
219
01:15Parkinson's Disease: Overview
479
Neurodegenerative disorders are progressive diseases that cause irreversible damage and loss to neurons in specific brain areas. Examples of these disorders include Parkinson's disease, Alzheimer's disease, Multiple Sclerosis (MS), and Amyotrophic Lateral Sclerosis (ALS). These disorders share characteristics such as proteinopathies, selective neuronal vulnerability, and a complex interplay between genetic and environmental factors. The primary therapeutic goal for these conditions is...
479
01:24Chest Physiotherapy
388
Chest Physiotherapy (CPT) is a therapeutic technique used in respiratory care to improve ventilation, clear bronchial secretions, and enhance the efficiency of respiratory muscles. This therapy includes three primary procedures: postural drainage, percussion, and vibration. It can be performed on spontaneously breathing patients and those who are intubated and mechanically ventilated.
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
Purpose
CPT is primarily used for patients with excessive bronchial secretions who have difficulty clearing...
388
01:30Assessment of Airway, Skin Color, and Use of Accessory Muscles
970
A thorough assessment of respiratory health is paramount in clinical settings to identify and manage respiratory distress and ensure adequate oxygenation. This article elaborates on the critical aspects of respiratory evaluation, including airway assessment, skin color examination, and the observation of accessory muscle use, which are integral to effectively diagnosing and managing patients with respiratory conditions.
Introduction
The initial evaluation of a patient's respiratory system...
Introduction
The initial evaluation of a patient's respiratory system...
970
01:22Chronic Obstructive Pulmonary Disease
1.2K
COPD is defined as a heterogeneous lung condition marked by persistent respiratory symptoms such as dyspnea, cough, and sputum production, caused by abnormalities in the airways that cause airflow obstruction.
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
Smoking is a primary risk factor for COPD, with over 80% of patients having a history of it. Patients typically experience progressive dyspnea or labored breathing, frequent coughing, and recurrent pulmonary infections. Many eventually succumb to respiratory failure, characterized by...
1.2K
01:29Chronic Obstructive Pulmonary Disease-V: Management
2.5K
Managing Chronic Obstructive Pulmonary Disease (COPD) involves a multifaceted approach to reduce symptoms, prevent exacerbations, improve overall health status, and slow disease progression. Key strategies include lifestyle modifications, pharmacotherapy, supportive therapies, and, in some cases, surgery. Here is an overview of the primary COPD management strategies:
Smoking Cessation
Smoking Cessation
2.5K