Action Imagery and Observation in Neurorehabilitation for Parkinson's Disease (ACTION-PD): Development of a User-Informed Home Training Intervention to Improve Functional Hand Movements.
Action Imagery and Observation in Neurorehabilitation for Parkinson's Disease (ACTION-PD): Development of a User-Informed Home Training Intervention to Improve Functional Hand Movements.
复制标题
DOI：
10.1155/2021/4559519
复制
发表时间：
2021
期刊：
影响因子：
--
通讯作者：
Poliakoff E
中科院分区：
文献类型：
--
作者：
Bek J;Holmes PS;Craig CE;Franklin ZC;Sullivan M;Webb J;Crawford TJ;Vogt S;Gowen E;Poliakoff E
帕金森病（PD）导致手部运动困难，很少有研究在治疗上解决。动作观察（AO）和运动想象（MI）的训练可以提高健康个体的表现，特别是当这些技术同时应用时（AO + MI）。AO和MI都在PD患者中显示出有希望的效果，但以前的研究仅单独使用这些。 本文介绍了开发和试点测试相结合的干预AO + MI和物理实践，以改善功能性手动动作的人与PD。 基于家庭的干预，使用平板电脑应用程序提供，由一个跨学科团队迭代设计，包括PD患者，并通过焦点小组和初始现场测试进一步开发。通过一项为期6周的初步随机对照试验（ISRCTN 11184024）获得了可行性的初步数据，该试验纳入了10例轻度至中度PD受试者（6例干预; 4例常规治疗）。在培训过程中记录使用和依从性数据，并与参与者进行半结构化访谈。探索性结局指标包括灵巧性和定时动作表现。 使用和定性数据提供了可接受性和可用性的初步证据。探索性结果还表明，手动操作的主观和客观性能应在更大的试验中进行测试。强调了个性化、选择和动机的重要性，以及促进运动想象参与的必要性。 结果表明，需要进行更大规模的随机对照试验，研究结果也与PD和其他疾病的AO + MI干预的可行性和发展具有更广泛的相关性。
Parkinson's disease (PD) causes difficulties with hand movements, which few studies have addressed therapeutically. Training with action observation (AO) and motor imagery (MI) improves performance in healthy individuals, particularly when the techniques are applied simultaneously (AO + MI). Both AO and MI have shown promising effects in people with PD, but previous studies have only used these separately. This article describes the development and pilot testing of an intervention combining AO + MI and physical practice to improve functional manual actions in people with PD. The home-based intervention, delivered using a tablet computer app, was iteratively designed by an interdisciplinary team, including people with PD, and further developed through focus groups and initial field testing. Preliminary data on feasibility were obtained via a six-week pilot randomised controlled trial (ISRCTN 11184024) of 10 participants with mild to moderate PD (6 intervention; 4 treatment as usual). Usage and adherence data were recorded during training, and semistructured interviews were conducted with participants. Exploratory outcome measures included dexterity and timed action performance. Usage and qualitative data provided preliminary evidence of acceptability and usability. Exploratory outcomes also suggested that subjective and objective performance of manual actions should be tested in a larger trial. The importance of personalisation, choice, and motivation was highlighted, as well as the need to facilitate engagement in motor imagery. The results indicate that a larger RCT is warranted, and the findings also have broader relevance for the feasibility and development of AO + MI interventions for PD and other conditions.
登录
查看更多内容
影响因子：
6
作者：
Agosta, Federica;Gatti, Roberto;Filippi, Massimo
通讯作者：
Filippi, Massimo
影响因子：
4.2
作者：
Heremans, Elke;Feys, Peter;Helsen, Werner
通讯作者：
Helsen, Werner
影响因子：
5.7
作者：
Caspers S;Zilles K;Laird AR;Eickhoff SB
通讯作者：
Eickhoff SB
影响因子：
2.2
作者：
Ewan, Louise M.;Kinmond, Kathryn;Holmes, Paul S.
通讯作者：
Holmes, Paul S.
影响因子：
3.5
作者：
Hariz, G-M.;Forsgren, L.
通讯作者：
Forsgren, L.