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首页> 美国卫生研究院文献>Annals of Rehabilitation Medicine >Correction of Camptocormia Using a Cruciform Anterior Spinal Hyperextension Brace and Back Extensor Strengthening Exercise in a Patient With Parkinson Disease
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Correction of Camptocormia Using a Cruciform Anterior Spinal Hyperextension Brace and Back Extensor Strengthening Exercise in a Patient With Parkinson Disease

机译：帕金森病患者使用十字形前脊髓超伸大括号和后伸肌加强锻炼矫正弯腰

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摘要

Parkinson disease, one of the most common neurodegenerative diseases, is characterized by cardinal motor features including bradykinesia, rigidity, resting tremor, postural instability, freezing gait, and fatigue. Of these, postural instability in the form of hyperflexion of the thoracolumbar spine upon standing and walking that disappears on recumbent positioning is called camptocormia. Many different trials have been conducted on the treatment of camptocormia, including physiotherapy, corsets, medications, and deep brain stimulation. However, there is insufficient evidence as to which treatment modality is the most valid in terms of effectiveness, cost, safety, and patient satisfaction. In this study, we present a patient whose symptom of camptocormia was effectively resolved using a cruciform anterior spinal hyperextension (CASH) brace and back extensor strengthening exercise which was modified through follow-ups based on a short-term outpatient setting for proper application with minimal discomfort. The patient was satisfied with the amount of correction provided by the brace and exercise.
机译：帕金森病是最常见的神经退行性疾病之一，其主要特征是运动迟缓，僵硬，静息性震颤，姿势不稳，步态冻结和疲劳。在这些姿势中，以站立和行走时胸腰椎过度屈曲的形式出现的姿势不稳定性（在卧位时消失）称为坎皮层。已经对弯曲弯曲症的治疗进行了许多不同的试验，包括物理疗法，紧身胸衣，药物和深部脑刺激。但是，就有效性，成本，安全性和患者满意度而言，关于哪种治疗方式最有效的证据不足。在这项研究中，我们介绍了一个患者，其十字形前腰椎过度扩张（CASH）支架和后伸肌强化锻炼可以有效地解决坎皮症的症状，该锻炼通过短期门诊就诊后的随访进行了修改，以尽量减少使用量不适。病人对支架和运动提供的矫正量感到满意。

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