背景:近年来,基于游戏的锻炼已被纳入帕金森病(PD)患者的康复计划,并观察到积极的效果。
目的:本研究旨在调查专门为神经系统患者设计的创新游戏对上肢表现的影响,PD患者的躯干活动和认知。
方法:这项随机对照研究招募了23名患者,并随机分为两组:运动游戏计划(EP)和常规运动计划(CP)。两组均接受有监督的物理治疗,每周3天,共8周(24次)。每个疗程持续1小时。在治疗前后进行评估:9-孔钉试验(9-HPT),明尼苏达手动灵巧测试(MMDT),行李箱减值量表(TIS),蒙特利尔认知评估(MoCA)统一帕金森病评定量表(MDS-UPDRS),定时和去(TUG),功能到达测试(FRT),和帕金森病问卷(PDQ-39)。
结果:20例患者因辍学被纳入分析。我们的研究结果表明,两组在9-HPT优势侧均有显著改善,MMDT,TIS,MDS-UPDRS,TUG,FRT,和PDQ-39(p<0.05)。EP组MoCA评分显著改善(p<0.05),CP组无改善(p>0.05)。结果发现EP组在9-HPT优势侧有较好的改善,MMDT车削试验,而MoCA比CP组时组间变化差异比较(p<0.05)。
结论:基于游戏的训练可以成为改善上肢表现的有用康复工具,躯干移动性,认知,功能移动性,balance,和生活质量,在改善认知和上肢功能方面可能比常规锻炼更具优势。
背景:NCT05235880。发布日期:2022年4月1日。
BACKGROUND: In recent years, game-based exercises have been included more in the rehabilitation programs of Parkinson\'s disease (PD) patients and positive effects have been observed.
OBJECTIVE: This
study aims to investigate the effects of innovative games particularly designed for neurological patients on upper extremity performance, trunk mobility and cognition in patients with PD.
METHODS: Twenty-three patients were enrolled in this randomized controlled
study and randomly allocated into two groups:
Exergames Program (EP) and Conventional Exercise Program (CP). Both groups received supervised physiotherapy sessions for 3 days a week and 8 weeks in total (24 sessions). Each session lasted 1 h. Evaluations were applied before and after the treatment: 9-Hole Peg Test (9-HPT), Minnesota Manual Dexterity Test (MMDT), Trunk Impairment Scale (TIS), Montreal Cognitive Assessment (MoCA), Unified Parkinson\'s Disease Rating Scale (MDS-UPDRS), Timed Up and Go (TUG), Functional Reach Test (FRT), and Parkinson Disease Questionnaire (PDQ-39).
RESULTS: Twenty patients were included in the analysis because of the dropouts. Our findings showed that both groups improved significantly in 9-HPT dominant side, MMDT, TIS, MDS-UPDRS, TUG, FRT, and PDQ-39 (p < 0.05). MoCA scores of EP group improved significantly (p < 0.05) while CP group\'s did not (p > 0.05). It was found that EP group had better improvements in 9-HPT dominant side, MMDT turning test, and MoCA than CP group when the differences in the changes within the groups were compared (p < 0.05).
CONCLUSIONS: Game-based training can be a useful rehabilitation tool to improve upper extremities performance, trunk mobility, cognition, functional mobility, balance, and quality of life and may have superiority over conventional exercises in improving cognition and upper extremity functions.
BACKGROUND: NCT05235880. Release Date: April 1, 2022.