[诊断帕金森病的病理和适应性平衡变化,以选择康复计划]
1Siberian State Medical University, Tomsk, Russia.
概括
帕金森病 (PD) 患者表现出影响康复的复杂平衡问题. 提出了一个量身定制的计划,整合了群体和包容性的方法,以获得更好的结果.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 老年学是一门学科.
背景情况:
- 帕金森病 (PD) 显著影响静态和动态平衡.
- 了解这些平衡赤字对于有效的康复战略至关重要.
研究的目的:
- 评估帕金森病 (PD) 患者的静态和动态平衡.
- 通过基于小组和包含小组的方法来告知康复计划的选择.
主要方法:
- 一项比较的非随机研究,涉及50名女性PD患者 (Hoehn和Yahr阶段2-3) 和25名健康女性对照.
- 评估包括稳定计,"站起来"测试,短物理性能电池 (SPPB),手动动力计,静止测试和MDS UPDRS第三部分的运动功能.
主要成果:
- 与对照人群相比,PD患者在松平面中表现出压力中心位移的改变,与UPDRS得分相关.
- 静态平衡 (SPPB) 和"站起来"测试时间通常是正常的,但与PD患者的年龄和UPDRS得分相关.
- 在这两组中均观察到正静性低血压,但在患有这种病症的PD患者中观察到长时间的"起床并进行"测试时间.
结论:
- 在PD中,平衡障碍源于复杂的感觉运动整合障碍,受多巴胺基路径和衰老之外的病理和适应性变化的影响.
- 康复计划应该考虑这些多方面的变化,并纳入基于群体和包容性的方法.
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