運動介入對帕金森氏症患者功能障礙之改善效益：文獻回顧

A review on the benefits of exercise intervention in improving functional disabilities in patients with parkinson's disease

人口高齡化間接使得帕金森氏症(parkinson's disease, PD)患者遽增，造成全球公衛系統重大挑戰，亦對患者本身及照護者形成極大的壓力。本文藉相關文獻之蒐集與整理，希望能從所得結果釐清運動介入對帕金森氏症臨床病程之影響及其輔助療效。研究結果發現，運動介入可改善帕金森氏症患者的動作和非動作障礙，例如減輕運動緩慢、肌肉力量下降、抑鬱狀況、生活質量下降等問題，提高因帕金森氏症造成之睡眠障礙的品質，對患者的整體認知功能、處理速度、持續注意力和心理靈活性同樣有積極和顯著的影響。根據本研究結果，建議患者及家人應嘗試與醫療人員討論運動介入的可能性，政府及醫療體系也應與運動專業人員攜手擬定帕金森氏症等功能障礙相關疾病之運動復健指南，並積極培訓專業人員對功能障礙者運動指導之能力，讓患者在醫療外，可以找到進行規律運動計畫之場所與指導人員。

The aging population indirectly led to a rapid increase in Parkinson's disease (PD) patients, which posed significant challenges to global public health systems and placed immense stress on both patients and caregivers. This study, through the collection and organization of relevant literature, aimed to clarify the impact of exercise intervention on the clinical course of Parkinson's disease and its auxiliary effects. The research findings indicated that exercise intervention improved both motor and non-motor impairments in PD patients. These improvements included alleviating motor slowness, muscle strength decline, depressive symptoms, and reduced quality of life. Exercise intervention also enhanced the quality of sleep disrupted by PD and had a positive and significant impact on patients' overall cognitive function, processing speed, sustained attention, and psychological flexibility. Based on the results of this study, it was recommended that patients and their families explored the possibility of discussing exercise intervention with healthcare professionals. Furthermore, it was suggested that governments and healthcare systems collaborated with exercise professionals to develop exercise rehabilitation guidelines for conditions such as Parkinson's disease and other functional disorders. Additionally, there was active training of professionals in the field to provide exercise guidance to individuals with functional impairments. This enabled patients to access suitable venues and instructors for regular exercise programs outside of medical institutions.