Physical, occupational, speech and swallowing therapies and physical exercise in Parkinson's disease.
Identifieur interne : 000199 ( Main/Exploration ); précédent : 000198; suivant : 000200Physical, occupational, speech and swallowing therapies and physical exercise in Parkinson's disease.
Auteurs : G. Ransmayr [Autriche]Source :
- Journal of neural transmission (Vienna, Austria : 1996) [ 1435-1463 ] ; 2011.
Descripteurs français
- KwdFr :
- MESH :
- méthodes : Ergothérapie, Orthophonie, Traitement par les exercices physiques.
- physiologie : Déglutition.
- rééducation et réadaptation : Maladie de Parkinson.
- Humains.
English descriptors
- KwdEn :
- MESH :
- methods : Exercise Therapy, Occupational Therapy, Speech Therapy.
- physiology : Deglutition.
- rehabilitation : Parkinson Disease.
- Humans.
Abstract
Former studies on the effects of physical exercise, physical and occupational therapy (PT, OT) and speech and swallowing therapy (ST, SwT) in Parkinson's disease (PD) have demonstrated little or uncertain effects. New pathophysiological concepts have been developed. Recent controlled high-level studies demonstrate improvement of mobility and balance after training of muscular strength and endurance, trunk control, and amplitude and rhythmicity of movements (treadmill). Attentional and cognitive strategies were found to enforce body awareness and improve movement sequences. Dance, sensory (auditory, visual, tactile) and cognitive cueing are effective for problems of gait and balance. Whether PT and OT reduce the risk of falls remains uncertain. ST including Lee Silverman Voice Treatment has been shown to relieve speech problems. SwT and OT are frequently applied, however, further studies are necessary. Therapeutic interventions need to be evaluated with regard to consistency, intensity, frequency, duration, side effects, home versus institution based and standardized versus individualized training, quality standards, practicability in real life, and cost-effectiveness. Parkinson patients should resume or continue physical exercise as long as possible. There is hope that regular sport may modify PD risk and progression.
DOI: 10.1007/s00702-011-0622-9
PubMed: 21461962
Affiliations:
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Le document en format XML
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Ransmayr</name><affiliation wicri:level="1"><nlm:affiliation>Department of Neurology and Psychiatry, General Hospital of the City of Linz, Linz, Austria. gerhard.ransmayr@akh.linz.at</nlm:affiliation><country xml:lang="fr">Autriche</country><wicri:regionArea>Department of Neurology and Psychiatry, General Hospital of the City of Linz, Linz</wicri:regionArea><wicri:noRegion>Linz</wicri:noRegion></affiliation></author></analytic><series><title level="j">Journal of neural transmission (Vienna, Austria : 1996)</title><idno type="eISSN">1435-1463</idno><imprint><date when="2011" type="published">2011</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass><keywords scheme="KwdEn" xml:lang="en"><term>Deglutition (physiology)</term><term>Exercise Therapy (methods)</term><term>Humans (MeSH)</term><term>Occupational Therapy (methods)</term><term>Parkinson Disease (rehabilitation)</term><term>Speech Therapy (methods)</term></keywords><keywords scheme="KwdFr" xml:lang="fr"><term>Déglutition (physiologie)</term><term>Ergothérapie (méthodes)</term><term>Humains (MeSH)</term><term>Maladie de Parkinson (rééducation et réadaptation)</term><term>Orthophonie (méthodes)</term><term>Traitement par les exercices physiques (méthodes)</term></keywords><keywords scheme="MESH" qualifier="methods" xml:lang="en"><term>Exercise Therapy</term><term>Occupational Therapy</term><term>Speech Therapy</term></keywords><keywords scheme="MESH" qualifier="méthodes" xml:lang="fr"><term>Ergothérapie</term><term>Orthophonie</term><term>Traitement par les exercices physiques</term></keywords><keywords scheme="MESH" qualifier="physiologie" xml:lang="fr"><term>Déglutition</term></keywords><keywords scheme="MESH" qualifier="physiology" xml:lang="en"><term>Deglutition</term></keywords><keywords scheme="MESH" qualifier="rehabilitation" xml:lang="en"><term>Parkinson Disease</term></keywords><keywords scheme="MESH" qualifier="rééducation et réadaptation" xml:lang="fr"><term>Maladie de Parkinson</term></keywords><keywords scheme="MESH" xml:lang="en"><term>Humans</term></keywords><keywords scheme="MESH" xml:lang="fr"><term>Humains</term></keywords></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Former studies on the effects of physical exercise, physical and occupational therapy (PT, OT) and speech and swallowing therapy (ST, SwT) in Parkinson's disease (PD) have demonstrated little or uncertain effects. New pathophysiological concepts have been developed. Recent controlled high-level studies demonstrate improvement of mobility and balance after training of muscular strength and endurance, trunk control, and amplitude and rhythmicity of movements (treadmill). Attentional and cognitive strategies were found to enforce body awareness and improve movement sequences. Dance, sensory (auditory, visual, tactile) and cognitive cueing are effective for problems of gait and balance. Whether PT and OT reduce the risk of falls remains uncertain. ST including Lee Silverman Voice Treatment has been shown to relieve speech problems. SwT and OT are frequently applied, however, further studies are necessary. Therapeutic interventions need to be evaluated with regard to consistency, intensity, frequency, duration, side effects, home versus institution based and standardized versus individualized training, quality standards, practicability in real life, and cost-effectiveness. Parkinson patients should resume or continue physical exercise as long as possible. There is hope that regular sport may modify PD risk and progression.</div></front></TEI><affiliations><list><country><li>Autriche</li></country></list><tree><country name="Autriche"><noRegion><name sortKey="Ransmayr, G" sort="Ransmayr, G" uniqKey="Ransmayr G" first="G" last="Ransmayr">G. Ransmayr</name></noRegion></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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