"Will you draw me a pelvis?" Dynamic neuro-cognitive imagery improves pelvic schema and graphic-metric representation in people with Parkinson's Disease: A randomized controlled trial
"Will you draw me a pelvis?" Dynamic neuro-cognitive imagery improves pelvic schema and graphic-metric representation in people with Parkinson's Disease: A randomized controlled trial
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DOI：
10.1016/j.ctim.2018.11.020
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发表时间：
2019-04-01
影响因子：
3.6
通讯作者：
Hackney, Madeleine E.
中科院分区：
文献类型：
--
作者：
Abraham, Amit;Hart, Ariel;Hackney, Madeleine E.
背景：身体模式（即，身体的心理表征），对运动和认知功能至关重要，在帕金森病（PD）患者中经常被扭曲。身体，特别是骨盆，图式的缺陷可以进一步加剧与PD相关的运动和认知缺陷。这种缺陷，包括图形和度量的误判，可以表现在绘画任务。心理意象是PD康复的推荐方法，具有改善身体图式的潜力。目的：探讨为期两周的动态神经认知意象（DNI）训练与在家学习和运动控制（学习/运动）对骨盆图式和图形表征（即，设计：20名患有特发性PD的参与者（Hoehn&Yahr M年龄：65.75 +/-10.13）被随机分配到DNI组或学习/锻炼组。参与者被要求完成“画出你的骨盆”测试，在测试中，他们在干预前后画出自己的骨盆。评估图纸的骨盆图式评分和图纸尺寸（即，身高和体重）。干预措施：DNI解剖学和隐喻成像，重点是骨盆解剖学和生物力学。结果：在基线时，在绘制的骨盆高度和宽度之间没有检测到差异（p > 0.05）。干预后，DNI组的骨盆图式（p <0.01），骨盆宽度（p <0.05）和宽高差（p <0.05）的改善更大。结论：本研究表明，DNI可以作为改善PD患者身体图式的康复途径。未来的研究应探讨DNI的作用机制和增强骨盆图式对该人群运动和非运动缺陷的影响。
Background: Body schema (i.e., the mental representations of the body), vital for motor and cognitive functions, is often distorted in people with Parkinson's disease (PD). Deficits in body, and especially pelvic, schema can further exacerbate motor and cognitive deficits associated with PD. Such deficits, including those in graphic and metric misjudgments, can manifest in drawing tasks. Mental imagery is a recommended approach for PD rehabilitation with potential for ameliorating body schema.Objective: To investigate the effect of a two-week dynamic neuro-cognitive imagery (DNI) training versus in-home learning and exercise control (leaming/exercise) on pelvic schema and graphic representation (i.e., drawing height and width).Design: Twenty participants with idiopathic PD (Hoehn&Yahr M age: 65.75 +/- 10.13) were randomly allocated into either a DNI or a learning/exercise group. Participants were asked to complete the "Draw Your Pelvis" test in which they drew their pelvis at pre- and post-intervention. Drawings were assessed for pelvic schema score and drawing dimensions (i.e., height and weight). Intervention: DNI anatomical and metaphorical imagery focusing on pelvic anatomy and biomechanics.Results: No difference (p >.05) was detected at baseline between drawn pelvis height and width. Following intervention, improvements were greater in the DNI group for pelvic schema (p < .01), drawn pelvic width (p < .05) and width-height difference (p < .05).Conclusions: This study suggests that DNI could serve as a rehabilitation path for improving body schema in people with PD. Future studies should explore DNI mechanisms of effect and the effect of enhanced pelvic schema on motor and non-motor deficits in this population.