ebiebi 2010-7-12 11:26
探戈可能對巴金森氏症患者有幫助
作者：Megan Brooks
出處：WebMD醫學新聞
June 18, 2010（阿根廷布宜諾斯艾利斯）－根據一項發表於運動異常學會第14屆巴金森氏疾病與運動異常國際年會的研究，探戈可能是巴金森氏疾病一個全新的復健策略。
來自義大利Turin大學、義大利拉尼埃羅Auxologico住院醫療及護理研究所科學Piancavallo（Verbania）的神經學家Giovanni Albani醫師在一封電子郵件中向Medscape神經學表示，巴金森氏症疾病患者一個關鍵期是軀幹的伸展，這經常與開始失去姿勢反射有關。
在那之後，病患開始跌倒，使他們暴露在骨折與住院的風險之下，且恢復時間很長。
【彎曲姿勢降低】
Albani醫師的團隊發現，在一項收納10位中度巴金森氏症患者的研究中，為期5週的阿根廷探戈療程，其中一個好處是姿勢改善。這個療程包括與2位探戈老師、每週長度2小時的團體課程，以及使用探戈DVD在家練習。
Albani醫師表示，這個DVD包括一系列的探戈跳舞運動，對病患來說據信是有效的，由神經學家組成的科學委員會、探戈教師、學生、生物工程學家、物理治療師以及心理學家在一年的研究後挑選出來。
在執行這項計劃一個月後，除了自尊與情緒的改善，統一巴金森氏症評分量表的運動分數也有進步，特別是那些對多巴胺激性治療或神經外科手術反應較差的項目：交談、姿勢與行走。
他表示，這些病患中許多在我們實驗室進行3D運動學行走分析，我們記錄到踏步週期節奏的改善，且髖骨與骨盆彎曲姿勢顯著減少（介入前後所有P值皆 <0.05）。
【物理治療具有規律且無法預測的價值】
未參與這項研究的伊利諾州芝加哥Rush大學醫學中心運動異常計劃主任、同時也是運動異常學會一員Christopher G. Goetz醫師表示，這些發現支持了舞蹈治療在巴金森氏症好處的許多觀察結果。在伊利諾州芝加哥，Hubbard街舞公司已經為巴金森氏症病患與照護者研發了舞蹈計劃。
Goetz醫師附帶表示，物理治療的價值在於蘊含於治療中規律、且無法預測的舞動，我們所觀察到的好處並非特定一種舞蹈型式，而是可以被特定環境與文化接受，結合神經、肌肉、關節與情緒許多型式的活化。
Albani醫師與Goetz醫師表示沒有相關資金上的往來。
Tango May Help Patients With Parkinson's
By Megan Brooks
Medscape Medical News
June 18, 2010 (Buenos Aires, Argentina) — Tango lessons may be a novel rehabilitation strategy for patients with Parkinson's disease, according to a study presented here at the Movement Disorder Society 14th International Congress of Parkinson's Disease and Movement Disorders.
"One of the critical stages of Parkinson's disease is the flexion of the trunk, which is frequently associated with starting of loss of postural reflexes," neurologist Giovanni Albani, MD, from the Department of Neurosciences and Neurorehabilitation at the University of Turin and Istituto Auxologico Italiano, Istituto Di Ricovero e Cura a Carattere Scientifico, Piancavallo (Verbania), Italy, noted in an email to Medscape Neurology.
After this point, he added, patients begin to fall down, exposing them to risks for bone fractures and hospitalization, with long recovery times.
Reduction in Flexed Posture
An improvement in posture was one of the benefits of 5 weeks of Argentine tango lessons Dr. Albani's team noted in a study of 10 patients with middle-stage Parkinson's disease. The lessons included 2 hour-long group classes per week with 2 tango instructors and home practice using a tango DVD.
"The DVD includes a series of tango dancing movements believed useful for patients, selected by a scientific committee of neurologists, teachers of tango, patients, bioengineers, physiotherapists, and psychologists after a 1-year study," Dr. Albani noted.
After 1 month of this protocol, in addition to improvements in self-esteem and mood, there was an amelioration of motor scores on the Unified Parkinson's Disease Rating Scale, "especially for those items less responsive to dopaminergic therapy or neurosurgery: speech, posture, and gait," Dr. Albani said.
"In many of these patients," he noted, "during the 3-dimensional kinematic gait analysis in our lab, we registered significant improvement of cadence of step cycle and a reduction of hip and pelvis flexed posture" (for all, P < .05 pre- vs postintervention).
Rhythmic and Unpredictable
Christopher G. Goetz, MD, director of the Movement Disorders Program at Rush University Medical Center, Chicago, Illinois, and member of the Movement Disorder Society, who was not involved in the study, said these findings support "several observations on the benefits of dance therapy in Parkinson's disease. In Chicago, Illinois, the Hubbard Street Dance Company has a fully developed dance program for Parkinson's disease patients and caregivers.
"The value of physical therapy that has both rhythmic and unpredictable moves embedded in the therapy," Dr. Goetz added, "suggests that benefits seen are not specific to one dance form or another but, rather, to the composite neurological, muscle, joint and emotional activation of various modalities of intervention that can be adapted to a given environment or culture."
Dr. Albani and Dr. Goetz have disclosed no relevant financial relationships.
Movement Disorder Society (MDS) 14th International Congress of Parkinson's Disease and Movement Disorders: Abstract LB-20. Presented June 16, 2010.