Exercise for Parkinson's

以體能訓練治療
帕金森病

50年來,運動鍛練一直被視為治療帕金森病的其中一種方法1

最近文獻亦同意運動鍛練對改善帕金森病患者的功能、步態、平衡和力量有益處2,3,4

對帕金森有益的運動種類

研究顯示,輕度至中度帕金森患者一星期三次40分鐘,在監督下使用跑步機,觀察到下肢功能有顯著改善,如行走、平衡、敏捷,以及促進攝氧峰值和增加代謝當量的熱量消耗5

另一研究發現力量訓練可增加患者的力量、肌肉質量和骨質密度,對帕金森患健康非常有用6

系統性運動訓練更有效

美國運動醫學學院(ACSM)

美國運動醫學學院(ACSM)已經公佈了帕金森病運動的多個建議,包括在監督之下進行帶氧運動和負重運動7

7. Paul M. Gallo CEG. Parkinson's disease: A comprehensive approach to exercise prescription for the health fitness professional. ACSM’s Health Fit. J. 2011;15(4):8–17.

運動鍛練能有效促進帕金森病的治療,除可預防和維持身體健康外,亦對心理健康有改善作用8

1. Bilowit D.S. Establishing physical objectives in the rehabilitation of patients with Parkinson’s disease; gymnasium activities. Phys. Ther. Rev. 1956;36(3):176–178. doi: 10.1093/ptj/36.3.176.
2. Goodwin V.A., Richards S.H., Taylor R.S., Taylor A.H., Campbell J.L. The effectiveness of exercise interventions for people with Parkinson’s disease: a systematic review and meta-analysis. Mov. Disord. 2008;23(5):631–640. doi: 10.1002/mds.21922.
3. 
Deslandes A., Moraes H., Ferreira C., Veiga H., Silveira H., Mouta R., Pompeu F.A., Coutinho E.S., Laks J. Exercise and mental health: many reasons to move. Neuropsychobiology. 2009;59(4):191–198. doi: 10.1159/000223730.
4. Mehrholz J., Friis R., Kugler J., Twork S., Storch A., Pohl M. Treadmill training for patients with Parkinson’s disease. Cochrane Database Syst. Rev. 2010;(1):CD007830.
5.Kurtais Y., Kutlay S., Tur B.S., Gok H., Akbostanci C. Does treadmill training improve lower-extremity tasks in Parkinson disease? A randomized controlled trial. Clin. J. Sport Med. 2008;18(3):289–291.
6. Scandalis T.A., Bosak A., Berliner J.C., Helman L.L., Wells M.R. Resistance training and gait function in patients with Parkinson’s disease. Am. J. Phys. Med. Rehabil. 2001;80(1):38–43.

8. Oliveira de Carvalho A, Filho ASS, Murillo-Rodriguez E, Rocha NB, Carta MG, Machado S. Physical Exercise For Parkinson's Disease: Clinical And Experimental Evidence. Clin Pract Epidemiol Ment Health. 2018;14:89–98. Published 2018 Mar 30.

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