理疗是否有益于帕金森氏症
2012-09-12 21:15:19   来源：   作者：  评论：0 点击：

背景

药物治疗是帕金森氏症治疗的支柱。 有人建议，多学科方法（包括康复治疗）可能有益于患者。 理疗是该方法的重要组成部分，其旨在改善上肢功能、平衡、步态和体能等因素。 本文介绍了一项荟萃分析的结果，该分析纳入了在帕金森氏症患者中对有或无理疗进行比较的临床试验。

• 来自 29 项试验的数据纳入了这一荟萃分析。 其中包括范围广泛的理疗技术。
• 研究人员共计评估了 18 项预后指标，包括步态、平衡、患者评价的生活质量、临床医生评价的缺陷和残疾指标等。
• 与无理疗相比，理疗在 9 项预后方面存在显著收益。 上述收益中具有临床意义者包括：速度、Berg 平衡量表评分及帕金森氏症统一评分量表评分。
• 在患者评价的生活质量方面无显著改善。
• 目前尚无证据表明任何特定的理疗技术优于其他技术。
• 

结论

“理疗可为帕金森氏症带来短期收益。 研究人员现已将范围广泛的物理治疗技术用于治疗帕金森氏症，且这些技术的治疗效果差异甚微。”

Tomlinson CL, Patel S, Meek C, et al. Physiotherapy intervention in Parkinson’s disease: systematic review and meta-analysis. BMJ. 2012;345:e5004.doi:10.1136/bmj.e5004.

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