The effect of sensory-motor training on hand and upper extremity sensory and motor function in patients with idiopathic Parkinson disease

摘要

Study designBlinded randomized controlled trial. IntroductionPatients with Parkinson disease (PD) have sensory problems, but there is still no accurate understanding of the effects of sensory-motor interventions on PD. Purpose of the studyTo investigate the effects of sensory-motor training (SMT) on hand and upper extremity?sensory and motor function in patients with PD. MethodsForty patients with PD were allocated to the SMT group or the control group (CG) (mean ages ± standard deviation: SMT, 61.05 ± 13.9 years; CG, 59.15 ± 11.26 years). The CG received the common rehabilitation therapies, whereas the SMT group received SMT. The SMT included discrimination of temperatures, weights, textures, shapes, and objects and was performed 5 times each week for 2 weeks. ResultsSignificantly reducing the error rates in the haptic object recognition test (dominant hand [DH]:F?= 15.36,P= .001, and effect size [ES] = 0.29; nondominant hand [NDH]:F= 9.33,P= .004, and ES?=?0.21) and the error means in the wrist proprioception sensation test (DH:F= 9.11,P= .005, and ES?= 0.19; NDH:F= 13.04,P= .001, and ES = 0.26) and increasing matched objects in the hand active sensation test (DH:F= 12.15,P= .001, and ES = 0.24; NDH:F= 5.03,P= .03, and ES = 0.12) founded in the SMT. Also, the DH (F= 6.65,P= .01, and ES = 0.15), both hands (F= 7.61,P= .009, and ES = 0.17), and?assembly (F= 7.02,P= .01, and ES = 0.15) subtests of fine motor performance, as well as DH (F= 10.1,P= .003, and ES = 0.21) and NDH (F= 8.37,P= .006, and ES = 0.18) in upper extremity functional performance, were improved in the SMT. DiscussionSMT improved hand and upper extremity sensory-motor function in patients with PD. ConclusionThe SMT group showed improved sensory and motor function. But these results were limited to levels 1 to 3 of the Hoehn and Yahr Scale.