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舞蹈療法改善帕金森氏症病患運動功能障礙

Improvement of motor dysfunction in patients with Parkinson's disease by dance training therapy

摘要


帕金森氏症(Parkinson's disease,PD)是中樞神經系統的神經退行性運動障礙,尤其損害患者的運動技能,以及自主神經功能和精神狀態。步態改變、平衡能力下降以及生活質量受到負面影響是帕金森氏症病患最為常見的病症現象。傳統上對於帕金森氏症病症的治療,在醫學上主要包括藥物治療和和深度的腦刺激,這些並不能直接作用於步態和平衡感等運動功能的提升。儘管大量的研究顯示,運動可促進健康,對於帕金森氏症病患的病症也具有積極的意義,但超過50%的人群都無法每日確實完成健康所需的運動量。近年來,舞蹈被視為有效改善帕金森氏症病患運動功能的運動療法之一,主要是舞蹈擁有多元刺激可誘發病患持續參與的動機。本文通過分析、總結近年來的研究,發現10-13週,每週2-3次,每次60分鐘的舞蹈療法介入最為有效。在探究舞蹈療法對於帕金森氏症的價值功用、原理機制、治療標準等內容後,結合個人經驗,改進傳統課例,創新性地提出舞蹈療法介入帕金森症病患的實踐課例計劃,供相關領域參考。

並列摘要


Parkinson's disease (PD) is a neurodegenerative movement disorder of the central nervous system which especially impairs patients' motor skills, as well as the autonomic nervous functions and state of mind. Gait changes, balance difficulties, and adverse impact on health-related quality of life is the most important symptoms. Traditionally, medications and deep brain stimulation do not fully address gait and balance issues as medical treatments for PD. Despite mounting evidence regarding the importance of exercise for the general population and for those with PD, more than 50% of the general population does not meet the recommended daily level of physical activity. Due to multiple stimuli in hobbies and interests, dance may be a highly suitable intervention for individuals with PD recently. The evidence evaluated suggests that two or three 1-hour dance classes per week over 10 to 13 weeks may have beneficial effects. Based on effect, mechanisms, treatment standard, and benefits of dance for individuals with PD, a creative teaching plan will be discussed which is resulted from practical experience and different from the previous reach.

參考文獻


吳瑞美 (2013)。Gait Disorders in Neurodegeneratives: Clinical Characteristics and Differenial Diagnosis 。發表於Perturbation of Gait and Balance in Neurology Disorders: From Clinical Phenomena to Basic Mechanisms 研討會,臺北市,臺灣。
Alberts, J.L., Linder, S.M., Penko, A.L., Lowe, M.J., & Phillips M (2011). It is not about the bike, it is about the pedaling: forced exercise and Parkinson's disease. Exercise and Sport Sciences Reviews,39(4), 177-86
Bacon, W. E.(1996). Secular tnds in hip fracture occurrence and survival rate: age and sex differences. Aging and Health, 8(4), 538-53
Baker, K., Rochester, L., & Nieuwboer, A. (2008). The effects of cues on gait variability--reducing the attentinal cost of walking in people with Parkinson's disease. Parkinsonism and Related Disorders, 14(4), 314-20
Belardinelli, R., Lacalaprice, F., Ventrella, C., Volpe, L., & Faccenda E. (2008). Waltz dancing in patients with chronic heart failure: a new form of exercise training. Circulation: Heart Failure, 1(2), 107-14

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