Dynamic Neuro-Cognitive Imagery Improves Mental Imagery Ability, Disease Severity, and Motor and Cognitive Functions in People with Parkinson's Disease
Dynamic Neuro-Cognitive Imagery Improves Mental Imagery Ability, Disease Severity, and Motor and Cognitive Functions in People with Parkinson's Disease
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DOI：
10.1155/2018/6168507
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发表时间：
2018-01-01
影响因子：
3.1
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.
帕金森病（PD）患者会出现动觉缺陷，影响运动和非运动功能，包括心理意象。意象训练是PD康复中推荐但研究不足的方法。动态神经认知表象（DNI（TM））是一种编码的表象训练方法。20例特发性PD（Hoehn和Yahr分期I-III）受试者被随机分配到DNI训练组（实验组; n = 10）或家庭学习和锻炼计划组（对照组; n = 10）。两组人都在两周内完成了至少16小时的训练。DNI训练侧重于解剖体现和动觉意识。干预前后评估成像能力、疾病严重程度、运动和非运动功能。DNI参与者在心理意象能力、疾病严重程度以及运动和空间认知功能方面有所改善（p <0.05）。参与者还报告了平衡，行走，情绪和协调性的改善，并且他们的身体更加活跃。两组人都强烈同意他们喜欢他们的节目，而且精神上更活跃。DNI训练是一种很有前途的康复方法，可以改善PD患者的成像能力、疾病严重程度以及运动和非运动功能。这种训练可以作为一种补充的PD治疗方法。未来的研究应探讨DNI对运动学习和控制策略的影响。
People with Parkinson's disease (PD) experience kinesthetic deficits, which affect motor and nonmotor functions, including mental imagery. Imagery training is a recommended, yet underresearched, approach in PD rehabilitation. Dynamic Neuro-Cognitive Imagery (DNI (TM)) is a codified method for imagery training. Twenty subjects with idiopathic PD (Hoehn and Yahr stages I-III) were randomly allocated into DNI training (experimental; n = 10) or in-home learning and exercise program (control; n = 10). Both groups completed at least 16 hours of training within two weeks. DNI training focused on anatomical embodiment and kinesthetic awareness. Imagery abilities, disease severity, and motor and nonmotor functions were assessed pre- and postintervention. The DNI participants improved (p < .05) in mental imagery abilities, disease severity, and motor and spatial cognitive functions. Participants also reported improvements in balance, walking, mood, and coordination, and they were more physically active. Both groups strongly agreed they enjoyed their program and were more mentally active. DNI training is a promising rehabilitation method for improving imagery ability, disease severity, and motor and nonmotor functions in people with PD. This training might serve as a complementary PD therapeutic approach. Future studies should explore the effect of DNI on motor learning and control strategies.