物理治疗在帕金森病患者运动功能康复中应用的研究进展

doi:10.3969/j.issn.1006-9771.2018.02.010

《中国康复理论与实践》 ›› 2018, Vol. 24 ›› Issue (2): 169-172.doi: 10.3969/j.issn.1006-9771.2018.02.010

物理治疗在帕金森病患者运动功能康复中应用的研究进展

张艳明, 宋为群

首都医科大学宣武医院康复医学科,北京市100053

收稿日期:2017-12-18 修回日期:2018-01-03 出版日期:2018-02-25 发布日期:2018-03-02
通讯作者: 宋为群。E-mail: songwq66@163.com
作者简介:张艳明(1980-),男,汉族,河北武邑县人,硕士,副主任技师,主要研究方向：神经疾病、骨关节疾病的康复治疗。通讯作者：宋为群,女,贵州都匀市人,教授、主任医师,主要研究方向：神经康复。
基金资助:
北京市优秀人才项目(青年骨干) (No. 201500002012G117)

Advance in Physical Therapy for Motor Function Rehabilitation of Patients with Parkinson's Disease (review)

ZHANG Yan-ming, SONG Wei-qun

Department of Rehabilitation Medicine, Xuanwu Hospital, Capital Medical University, Beijing 100053, China

Received:2017-12-18 Revised:2018-01-03 Published:2018-02-25 Online:2018-03-02
Contact: SONG Wei-qun. E-mail:songwq66@163.com

摘要/Abstract

摘要： 物理治疗是帕金森病患者除药物和外科治疗之外的一种可行的治疗方法,有助于帮助帕金森病患者治疗效果最佳化,缓解帕金森病患者药物治疗和外科治疗带来的并发症。本文从物理治疗的可能机制、运动功能的康复治疗方法、康复治疗强度及时间以及物理治疗的局限性方面,对物理治疗在帕金森病患者运动功能康复中应用进展进行总结。

关键词: 帕金森病, 运动功能, 物理治疗, 康复, 综述

Abstract: Physical therapy is a feasible treatment for patients with Parkinson's disease besides drugs and surgical treatment, and it helps to optimize the therapeutic effect and alleviate the complications caused by drugs and surgery. This article summarized the application of physical therapy in improving the motor function rehabilitation of patients with Parkinson's disease from several aspects, including the possible mechanisms, the rehabilitation methods of motor function, the intensity and time of treatment, and the limitation of physical therapy.

Key words: Parkinson's disease, motor function, physical therapy, rehabilitation, review

中图分类号:

R742.5

张艳明, 宋为群. 物理治疗在帕金森病患者运动功能康复中应用的研究进展[J]. 《中国康复理论与实践》, 2018, 24(2): 169-172.

ZHANG Yan-ming, SONG Wei-qun. Advance in Physical Therapy for Motor Function Rehabilitation of Patients with Parkinson's Disease (review)[J]. 《Chinese Journal of Rehabilitation Theory and Practice》, 2018, 24(2): 169-172.

参考文献

[1] Mak MK, Wong-Yu IS, Shen X, et al.Long-term effects of exercise and physical therapy in people with Parkinson disease[J]. Nat Rev Neurol, 2017, 13(11): 689-703.
[2] Deane KH, Ellis-Hill C, Jones D, et al.Systematic review of paramedical therapies for Parkinson's disease[J]. Mov Disord, 2002, 17(5): 987-991.
[3] Ramazzina I, Bernazzoli B, Costantino C, et al.Systematic review on strength training in Parkinson's disease: an unsolved question[J]. Clin Interv Aging, 2017, 12: 619-628.
[4] Lauzé M, Daneault JF, Duval C, et al.The effects of physical activity in Parkinson's disease: a review[J]. J Parkinsons Dis, 2016, 6(4): 685-698.
[5] Van Der Kolk N, King LA. Effects of exercise on mobility in people with Parkinson's disease[J]. Mov Disord, 2013, 28(11): 1587-1596.
[6] Ahlskog JE.Does vigorous exercise have a neuroprotective effect in Parkinson disease[J]. Neurology, 2011, 77(3): 288-294.
[7] Yang F, Trolle Lagerros Y, Bellocco R, et al.Physical activity and risk of Parkinson's disease in the Swedish National March Cohort[J]. Brain, 2015, 138(2): 269-275.
[8] Hirsch MA, Farley BG.Exercise and neuroplasticity in persons living with Parkinson's disease[J]. Eur J Phys Rehabil Med, 2009, 45(2): 215-229.
[9] Fisher BE, Li Q, Nacca A, et al.Treadmill exercise elevates striatal dopamine D2 receptor binding potential in patients with early Parkinson's disease[J]. Neuroreport, 2013, 24(10): 509-514.
[10] Sehm B, Taubert M, Conde V, et al.Structural brain plasticity in Parkinson's disease induced by balance training[J]. Neurobiol Aging, 2014, 35(1): 232-239.
[11] Beall EB, Lowe MJ, Alberts JL, et al.The effect of forced-exercise therapy for Parkinson's disease on motor cortex functional connectivity[J]. Brain Connect, 2013, 3(2): 190-198.
[12] Petzinger GM, Fisher BE, McEwen S, et al. Exercise-enhanced neuroplasticity targeting motor and cognitive circuitry in Parkinson's disease[J]. Lancet Neurol, 2013, 12(7): 716-726.
[13] Monteiro-Junior RS, Cevada T, Oliveira BR, et al.We need to move more: neurobiological hypotheses of physical exercise as a treatment for Parkinson's disease[J]. Med Hypotheses, 2015, 85(5): 537-541.
[14] Nieuwboer A, Rochester L, Muncks L, et al.Motor learning in Parkinson's disease: limitations and potential for rehabilitation[J]. Park Relat Disord, 2009, 15(3): S53-S58.
[15] Marinelli L, Crupi D, Di Rocco A, et al.Learning and consolidation of visuo-motor adaptation in Parkinson's disease[J]. Park Relat Disord, 2009, 15(1): 6-11.
[16] Nieuwboer A, Kwakkel G, Rochester L, et al.Cueing training in the home improves gait-related mobility in Parkinson's disease: the RESCUE trial[J]. J Neurol Neurosurg Psych, 2007, 78(2): 134-140.
[17] Reis J, Fritsch B.Modulation of motor performance and motor learning by transcranial direct current stimulation[J]. Curr Opin Neurol, 2011, 24(6): 590-596.
[18] Moisello C, Blanco D, Fontanesi C, et al.TMS enhances retention of a motor skill in Parkinson's disease[J]. Brain Stimul, 2015, 8(2): 224-230.
[19] Corcos DM, Robichaud JA, David FJ, et al.A two year randomized controlled trial of progressive resistance exercise for Parkinson's disease[J]. Mov Disord, 2013, 28(9): 1230-1240.
[20] Marchese R, Diverio M, Zucchi F, et al.The role of sensory cues in the rehabilitation of Parkinsonian patients: a comparison of two physical therapy protocols[J]. Mov Disord, 2000, 15(5): 879-883.
[21] De Natale ER, Paulus KS, Aiello E, et al.Dance therapy improves motor and cognitive functions in patients with Parkinson's disease[J]. NeuroRehabilitation, 2017, 40(1): 141-144.
[22] Studer V, Maestri R, Clerici I, et al.Treadmill training with cues and feedback improves gait in people with more advanced Parkinson's disease[J]. J Parkinsons Dis, 2017, 7(4): 729-739.
[23] Li F, Harmer P, Fitzgerald K, et al.Tai chi and postural stability in patients with Parkinson's disease[J]. N Engl J Med, 2012, 366(6): 511-519.
[24] Kwok JY, Choi KC, Chan HY.Effects of mind-body exercises on the physiological and psychosocial well-being of individuals with Parkinson's disease: A systematic review and meta-analysis[J]. Complement Ther Med, 2016, 29: 121-131.
[25] Monticone M, Ambrosini E, Laurini A, et al.In-patient multidisciplinary rehabilitation for Parkinson's disease: a randomized controlled trial[J]. Mov Disord, 2015, 30(8): 1050-1058.
[26] Mirelman A, Maidan I, Deutsch JE.Virtual reality and motor imagery: promising tools for assessment and therapy in Parkinson's disease[J]. Mov Disord, 2013, 28(11): 1597-1608.
[27] Abbruzzese G, Trompetto C, Mori L, et al.Proprioceptive rehabilitation of upper limb dysfunction in movement disorders: a clinical perspective[J]. Front Hum Neurosci, 2014, 25(8): 961.
[28] Mirelman A, Rochester L, Reelick M, et al.V-TIME: a treadmill training program augmented by virtual reality to decrease fall risk in older adults: study design of a randomized controlled trial[J]. BMC Neurol, 2013, 13: 15-26.
[29] Galli M, Cimolin V, De Pandis MF, et al.Robot-assisted gait training versus treadmill training in patients with Parkinson's disease: a kinematic evaluation with gait profile score[J]. Funct Neurol, 2016, 31(3): 163-170.
[30] Picelli A, Tamburin S, Passuello M, et al.Robot-assisted arm training in patients with Parkinson's disease: a pilot study[J]. J Neuroeng Rehabil, 2014, 11: 28-31.
[31] Barry G, Galna B, Rochester L.The role of exergaming in Parkinson's disease rehabilitation: a systematic review of the evidence[J]. J Neuroeng Rehabil, 2014, 11: 33-42.
[32] Bonnechère B, Jansen B, Omelina L, et al.The use of commercial video games in rehabilitation: a systematic review[J]. Int J Rehabil, 2016, 39(4): 277-290.
[33] Lamotte G, Rafferty MR, Prodoehl J, et al.Effects of endurance exercise training on the motor and non-motor features of Parkinson's disease: a review[J]. J Parkinsons Dis, 2015, 5(1): 21-41.
[34] Frazzitta G, Bertotti G, Uccellini D, et al.Parkinson's disease rehabilitation: a pilot study with 1 year follow up[J]. Mov Disord, 2010, 25(11): 1762-1763.
[35] Flach A, Jaegers L, Krieger M, et al.Endurance exercise improves function in individuals with Parkinson's disease: A meta-analysis[J]. Neurosci Lett, 2017, 659: 115-119.
[36] Biundo R, Weis L, Fiorenzato E, et al.Cognitive rehabilitation in Parkinson's disease: Is it feasible?[J]. Arch Clin Neuropsychol, 2017, 32(7): 840-860.
[37] Biundo R, Weis L, Abbruzzese G, et al.Impulse control disorders in advanced Parkinson's disease with dyskinesia: The ALTHEA study[J]. Mov Disord, 2017, 32(11): 1557-1565.
[38] Marinelli L, Quartarone A, Hallett M, et al.The many facets of motor learning and their relevance for Parkinson's disease[J]. Clin Neurophysiol, 2017, 128(7): 1127-1141.
[39] Winward C, Sackley C, Meek C, et al.Weekly exercise does not improve fatigue levels in Parkinson's disease[J]. Mov Disord, 2012, 27(1): 143-146.

物理治疗在帕金森病患者运动功能康复中应用的研究进展

Advance in Physical Therapy for Motor Function Rehabilitation of Patients with Parkinson's Disease (review)

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