帕金森病患者的水疗与陆基疗法:系统性审查
Gema Santamaría1, Mario Fernández-Gorgojo2, Eduardo Gutiérrez-Abejón3,4,5,6,7
1Department of Anatomy and Radiology, Faculty of Health Sciences, Campus of Soria, University of Valladolid, 42003 Soria, Spain.
Journal of functional morphology and kinesiology
|May 23, 2025
概括
水疗 (AT) 对帕金森病 (PD) 患者有好处,改善生活质量,心理健康和睡眠. 虽然与陆地疗法 (LT) 相比,对平衡和步态的影响不太清楚,但AT是一种安全有效的选择.
科学领域:
- 神经学 神经学
- 康复医学 康复医学 康复医学
- 物理疗法物理治疗
背景情况:
- 帕金森病 (PD) 是一种主要的神经退行性疾病,导致显著的运动和非运动功能障碍.
- 基于水中的治疗运动 (AT),利用水静电和水力动力学特性,为PD管理提供了一个潜在的补充方法.
- 传统的陆地治疗炼 (LT) 是一种常见的干预措施,但AT的比较有效性需要系统的评估.
研究的目的:
- 在帕金森病 (PD) 患者中,系统地审查和评估水上治疗炼 (AT) 与陆上治疗炼 (LT) 的有效性和安全性.
- 评估AT对关键结果的影响,包括平衡,步态,生活质量,力量,心理健康,疼痛,灵活性和睡眠质量.
- 综合随机对照试验 (RCT) 的证据,为临床实践和未来研究提供信息.
主要方法:
- 按照PRISMA指南进行了系统审查和元分析,搜索主要数据库 (PubMed,Scopus,科学网等). ) 的情况.
- 包括的研究是2014-2024年间发表的RCT,比较了在PD患者中AT干预与LT对照组.
- 结果包括平衡,步态,生活质量,力量,心理健康,疼痛,灵活性和睡眠质量.
主要成果:
- 分析了涉及511名PD患者 (年龄在50-80岁) 的13项RCT,AT通常表现为有益效果和有利的安全概况.
- 与LT相比,AT显著改善了生活质量,心理健康,疼痛,灵活性和睡眠质量 (p < 0.05).
- 虽然AT与基线相比显示出平衡,步态和力量的改善,但由于研究变异性,对这些特定结果的LT的比较证据是不确定的.
结论:
- 基于水中的治疗性炼 (AT) 是一种安全有效的干预措施,用于改善帕金森病 (PD) 患者的生活质量,心理健康,疼痛管理,灵活性和睡眠质量.
- 有证据表明,AT对PD患者的平衡,步态和力量有潜在的益处,尽管与陆地运动 (LT) 的直接比较需要进一步调查.
- 研究方案的变化需要标准化研究设计,以确定AT对LT在所有PD相关功能障碍方面的优势.
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