感觉刺激或感觉线索被用作改善帕金森病患者步态障碍的治疗工具,但是大多数研究似乎都集中在听觉刺激上。这项研究的目的是对步态障碍的视觉线索的使用进行系统评价。步态时的双重任务,冻结和帕金森病患者跌倒的发生率,以获得治疗意义。我们对Cochrane系统评价数据库等主要数据库进行了系统评价,TripDataBase,PubMed,OvidMEDLINE,OvidEMBASE和物理治疗证据数据库,在2005年至2012年期间,根据《综合报告标准》的建议,评估Downs&Black质量指数中包含的论文质量。21篇文章最终纳入本系统综述(共892名参与者),方法学质量不同,在唐斯和黑色质量指数中平均达到17.27点(范围:11-21)。视觉线索对步态中的时空参数产生改善,转动执行,减少帕金森病患者冻结和跌倒的出现。视觉提示在步态过程中似乎有利于双重任务,减少第二项任务的干扰。需要进一步的研究来确定疾病每个阶段的首选刺激类型。
Sensory stimuli or sensory cues are being used as a therapeutic tool for improving gait disorders in Parkinson\'s disease patients, but most studies seem to focus on auditory stimuli. The aim of this study was to conduct a systematic
review regarding the use of visual cues over gait disorders, dual tasks during gait, freezing and the incidence of falls in patients with Parkinson to obtain therapeutic implications. We conducted a systematic
review in main databases such as Cochrane Database of Systematic Reviews, TripDataBase, PubMed, Ovid MEDLINE, Ovid EMBASE and Physiotherapy Evidence Database, during 2005 to 2012, according to the recommendations of the Consolidated Standards of Reporting Trials, evaluating the quality of the papers included with the Downs & Black Quality Index. 21 articles were finally included in this systematic
review (with a total of 892 participants) with variable methodological quality, achieving an average of 17.27 points in the Downs and Black Quality Index (range: 11-21). Visual cues produce improvements over temporal-spatial parameters in gait, turning execution, reducing the appearance of freezing and falls in Parkinson\'s disease patients. Visual cues appear to benefit dual tasks during gait, reducing the interference of the second task. Further studies are needed to determine the preferred type of stimuli for each stage of the disease.