Short-term effects of behavioral treatment on movement initiation and postural control in Parkinson's disease: A controlled clinical study

被引:47
作者
Muller, V
Mohr, B
Rosin, R
Pulvermuller, F
Muller, F
Birbaumer, N
机构
[1] UNIV TUBINGEN,INST MED PSYCHOL & BEHAV NEUROBIOL,D-72074 TUBINGEN,GERMANY
[2] UNIV TUBINGEN,DEPT NEUROL,D-72074 TUBINGEN,GERMANY
[3] UNIV PADUA,DEPT PSYCHOL,I-35100 PADUA,ITALY
关键词
Parkinson's disease; behavioral treatment; optoelectronic movement analysis; gait initiation; posture;
D O I
10.1002/mds.870120308
中图分类号
R74 [神经病学与精神病学];
学科分类号
摘要
In a controlled clinical study, we investigated the effects of behavioral treatment on postural and gait initiation problems in idiopathic Parkinson's disease (PD). Comparable groups of patients received behavioral therapy (experimental group, n = 15) and nonspecific psychological treatment (control group. n = 14) for 10 weeks. We monitored various variables reflecting properties of posture and gait initiation by using an optoelectronic motion analyzer (electronic movement analysis system, ELITE). A clinician blind to group membership of the patients assessed PD severity with the Unified Parkinson's Disease Rating Scale (UPDRS) before and after the treatment period. ELITE measures of postural stability and movement initiation revealed treatment-specific effects, In addition, UPDRS motor scores showed significant improvement only after behavioral treatment. We conclude that behavioral treatment in Parkinson's disease may improve motor disabilities in moderately advanced PD patients.
引用
收藏
页码:306 / 314
页数:9
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