《中国康复理论与实践》

中国康复理论与实践 >

2018 , Vol. 24 >Issue 7: 763 - 766

DOI: https://doi.org/10.3969/j.issn.1006-9771.2018.07.003

专题

帕金森病康复治疗研究进展

  • 王会奇 ,
  • 方伯言 ,
  • 刘翠 ,
  • 公维军 ,
  • 刘爱贤
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  • 首都医科大学附属北京康复医院,北京市 100144
王会奇(1987-),女,汉族,河南舞钢市人,硕士,医师,主要研究方向：帕金森病康复。通讯作者：刘爱贤(1971-),男,汉族,北京市人,硕士,主任医师,主要研究方向：神经介入治疗。

收稿日期: 2018-02-11

  修回日期: 2018-05-07

  网络出版日期: 2018-08-01

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Advance in Rehabilitation for Parkinson's Disease (review)

  • WANG Hui-qi ,
  • FANG Bo-yan ,
  • LIU Cui ,
  • GONG Wei-jun ,
  • LIU Ai-xian
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  • Beijing Rehabilitation Hospital of Capital Medical University, Beijing 100144, China

Received date: 2018-02-11

  Revised date: 2018-05-07

  Online published: 2018-08-01

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摘要

帕金森病的核心症状包括运动症状和非运动症状。运动症状的康复训练包括四肢关节基本训练,步态训练,核心肌群、姿势平衡训练,口周、面部、颈部肌肉训练和咽部反射训练,舌唇运动、发声、音量、韵律、语速训练,深吸气、深呼气训练和腹部加压训练。非运动症状康复训练包括记忆力、注意力、处理问题能力、日常生活能力等训练,心理疗法、家人支持、社会参与等综合治疗并配合药物治疗。

关键词： 帕金森病; 运动症状; 非运动症状; 康复; 综述

本文引用格式

王会奇 , 方伯言 , 刘翠 , 公维军 , 刘爱贤 . 帕金森病康复治疗研究进展[J]. 中国康复理论与实践, 2018 , 24(7) : 763 -766 . DOI: 10.3969/j.issn.1006-9771.2018.07.003

Abstract

The core symptoms of Parkinson's disease include motor symptoms and non-motor symptoms. For the motor symptoms, the rehabilitation includes the basic training of joints, gait training, the training of core muscle group and posture balance, the training of oral, facial, neck muscle and pharyngeal reflex, the training of lip movement, vocalization, sound volume, rhythm and speed, and the training of deep breathing exercises and abdominal pressure. For the non-motor symptoms, the rehabilitation includes the training of memory, attention, problem solving ability, activities of daily living and others, psychotherapy, family support, social participation, and other comprehensive treatments combined with medicine.

Key words： Parkinson's disease; motor symptoms; non-motor symptoms; rehabilitation; review

参考文献

[1] 刘疏影,陈彪. 帕金森病流行现状[J]. 中国现代神经疾病杂志, 2016, 16(2): 98-101.
[2] Pringsheim T, Jette N, Frolkis A, et al.The prevalence of Parkinson's disease: a systematic review and meta-analysis[J]. Mov Disord, 2014, 29(13): 1583-1590.
[3] Hirsch MA, Farley BG.Exercise and neuroplasticity in persons living with Parkinson's disease[J]. Phys Rehabil Med, 2009, 45(2): 215-229.
[4] 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.
[5] King LA, Wilhelm J, Chen Y, et al.Effects of group, individual, and home exercise in persons with Parkinson disease: a randomized clinical trial[J]. Neurol Phys Ther, 2015, 4: 204-212.
[6] Frazzitta G, Maestri R, Bertotti G, et al.Intensive rehabilitation treatment in early Parkinson's disease: a randomized pilot study with a 2-year follow-up[J]. Neurorehabil Neural Repair, 2015, 29(2): 123-131.
[7] 吴澄,朱玉连,刘强,等. 改良强制性运动对老年帕金森病病人运动功能的影响[J]. 老年医学与保健, 2011, 17(6): 351-353.
[8] 王俊,廖麟荣,杨振辉,等. 运动想象结合下肢康复机器人训练对脑卒中患者步行障碍的影响[J]. 中国康复医学杂志, 2015, 30(6): 542-546.
[9] 崔立玲,于洋,朱志中,等. 暗示策略对帕金森病患者平衡功能和步态的康复作用[J]. 中国现代神经疾病杂志, 2017, 17(6): 428-433.
[10] Zhao Y, Nonnekes J, Storcken EJ, et al.Feasibility of external rhythmic cueing with the Google Glass for improving gait in people with Parkinson's disease[J]. Neurology, 2016, 263(6): 1156-1165.
[11] Winfree KN, Pretzer-Aboff I, Hilgart D, et al.An untethered shoe with vibratory feedback for improving gait of Parkinson's patients: the PDShoe[J]. IEEE Eng Med Biol Soc, 2012: 1202-1205.
[12] Gallagher R, Damodaran H, Werner WG, et al.Auditory and visual cueing modulate cycling speed of older adults and persons with Parkinson's disease in a Virtual Cycling (V-Cycle) system[J]. Neuroeng Rehabil, 2016, 13(1): 77.
[13] Ellis T, De Goede CJ, Feldman RG, et al.Efficacy of a physical therapy program in patients with Parkinson′s disease: a randomized controlled trial[J]. Arch Phys Med Rehabil, 2005, 86(4): 626-632.
[14] Zhang TY, Hu Y, Nie ZY, et al.Effects of Tai Chi anti multimodal exercise training on movement and balance function in mild to moderate idiopathic Parkinson disease[J]. Phys Med Rehabil, 2015, 94(10): 921-929.
[15] 孔德刚,高虹,王璐. 太极拳运动对老年人足底压力的影响[J]. 中国老年学杂志, 2013, 33(9): 2029-2031.
[16] 黄豪,张文召,杨朴,等. 太极拳对早期帕金森病人平衡能力和运动能力的影响[J]. 中国康复医学杂志, 2015, 30(3): 281-282.
[17] 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: 141-144.
[18] Hass CJ, Buckley TA, Pitsikoulis C, et al.Progressive resistance training improves gait initiation in individuals with Parkinson's disease[J]. Gait Posture, 2012, 35(4): 669-673.
[19] 于梅,李连涛,董同宝. 强化核心肌力训练对帕金森病康复的效果[J]. 广东医学, 2015, 36(1): 77-79.
[20] 王轶钊,赵骅,冯诗淳,等. 水中运动训练对帕金森病患者运动功能、平衡功能和行走能力的康复作[J]. 中国现代神经疾病杂志, 2017, 17(5): 346-351.
[21] 王轶钊,黄力平,张琳瑛,等. 水中运动训练对恢复期脑卒中患者下肢肌肉力量和步行能力的影响[J]. 中国康复医学杂志, 2013, 28(10): 929-933.
[22] Giardini M, Nardone A, Godi M, et al.Instrumental or physical-exercise rehabilitation of balance improves both balance and gait in Parkinson's disease[J]. Neural Plasticity, 2018, 2018: 5614242.
[23] Rossi M, Soto A, Santos S, et al.A prospective study of alterations in balance among patients with Parkinson's disease[J]. Eur Neurol, 2009, 61(3): 171-176.
[24] Acarer A, Karapolat H, Celebisoy N, et al.Is customized vestibular rehabilitation effective in patients with Parkinson's?[J]. NeuroRehabilitation, 2015, 37(2): 255-262.
[25] Prodoehl J, Rafferty MR, David FJ, et al.Two-year exercise program improves physical function in Parkinson's disease: the PRET-PD randomized clinical trial[J]. Neurorehabil Neural Repair, 2015, 29(2): 112-122.
[26] Fasano A, Visanji NP, Liu LW, et al.Gastrointestinal dysfunction in Parkinson's disease[J]. Lancet Neurol, 2015, 14(6): 625-639.
[27] 袁强,周红雨. 卒中患者床旁吞咽评估研究[J]. 华西医学, 2009, 24(1): 35-37.
[28] Argolo N, Sampaio M, Pinho P, et al.Do swallowing exercises improve swallowing dynamic and quality of life in Parkinson's disease?[J]. NeuroRehabilitation, 2013, 32(4): 949-955.
[29] 朱小霞,陈曦. 帕金森病言语障碍的评定及康复治疗研究进展[J]. 中国康复医学杂志, 2013, 28(4): 377-380.
[30] Haneishi E.Effects of a music therapy voice protocol on speech intelligibility, vocal acoustic measures, and mood of individuals with Parkinson's disease[J]. J Music Ther, 2001, 38(4): 273-290.
[31] Murdoch BE, Ng ML, Barwood CH.Treatment of articulatory dysfunction in Parkinson's disease using repetitive transcranial magnetic stimulation[J]. Eur J Neurol, 2012, 19(2): 340-347.
[32] 冯慧,潘化平,朱丽,等. 床边深度呼吸训练可改善晚期帕金森病病人吸气肌功能和日常生活能力[J]. 临床研究, 2017, 31(11): 1065-1068.
[33] 赵建法,陈升东,乔莉霞,等. 盐酸美金刚治疗帕金森痴呆的近期临床效果观察[J]. 中国临床医师杂志, 2013, 7(13): 6000-6001.
[34] Wu CC, Chiu CJ, Wong JD.The effect of rehabilitation on the development of dementia in Parkinson's disease[J]. Neuropsychiatry, 2017, 7(4): 433-437.
[35] 陈炳,叶祥明,陈建飞,等. 认知功能康复训练与盐酸多奈哌齐治疗帕金森病痴呆的对比研究[J]. 中华物理医学与康复杂志, 2014, 36(3): 181-184.
[36] Grover S, Somaiya M, Kumar S, et al.Psychiatric aspects of Parkinson's disease[J]. Neurosci Rural Pract, 2015, 6(1): 65-76.
[37] Lersen JP, Tandberg E.Sleep disorders in patients with Parkinson's disease: epidemiology and management[J]. CNS Drugs, 2001, 15(4): 267-275.
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