Cakit Burcu Duyur, Saracoglu Meryem, Genc Hakan, Erdem Hatice Rana, Inan Levent
2nd Department of Physical Medicine and Rehabilitation, Ankara Education and Research Hospital, Turkey.
Clin Rehabil. 2007 Aug;21(8):698-705. doi: 10.1177/0269215507077269.
To detect the effectiveness of incremental speed-dependent treadmill training on postural instability, dynamic balance and fear of falling in patients with idiopathic Parkinson's disease.
Randomized controlled trial.
Ankara Education and Research Hospital, 2nd PM&R Clinic, Cardiopulmonary Rehabilitation Unit.
Fifty-four patients with idiopathic Parkinson's disease in stage 2 or 3 of the Hoehn Yahr staging entered, and 31 patients (21 training, 10 control) had outcome data.
Postural instability of patients with Parkinson's disease was assessed using the motor component of the Unified Parkinson's Disease Rating Scale (UPDRS), Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale. Twenty-one patients with Parkinson's disease participated in an eight-week exercise programme using incremental speed-dependent treadmill training. Before and after the training programme, balance, gait, fear of falling and walking distance and speed on treadmill were assessed in both Parkinson's disease groups.
Walking distance and speed on treadmill, UPDRS, Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale.
Initial total walking distance of the training group on treadmill was 266.45 +/- 82.14 m and this was progressively increased to 726.36 +/- 93.1 m after 16 training session (P < 0.001). Tolerated maximum speed of the training group on treadmill at baseline was 1.9 +/- 0.75 km/h and improved to 2.61 +/- 0.77 km/h (P < 0.001). Berg Balance Test, Dynamic Gait Index and Falls Efficacy Scale scores of the training group were improved significantly after the training programme (P < 0.01). There was no significant improvement in any of the outcome measurements in the control group (P > 0.05).
Specific exercise programmes using incremental speed-dependent treadmill training may improve mobility, reduce postural instability and fear of falling in patients with Parkinson's disease.
检测递增速度依赖性跑步机训练对特发性帕金森病患者姿势不稳、动态平衡及跌倒恐惧的效果。
随机对照试验。
安卡拉教育与研究医院第二物理医学与康复诊所心肺康复科。
54例处于Hoehn Yahr分期2期或3期的特发性帕金森病患者入组，31例患者（21例训练组，10例对照组）有结局数据。
使用统一帕金森病评定量表（UPDRS）的运动部分、伯格平衡测试、动态步态指数和跌倒效能量表评估帕金森病患者的姿势不稳情况。21例帕金森病患者参加了一项为期8周的运动计划，采用递增速度依赖性跑步机训练。在训练计划前后，对两个帕金森病组的平衡、步态、跌倒恐惧以及跑步机上的行走距离和速度进行评估。
跑步机上的行走距离和速度、UPDRS、伯格平衡测试、动态步态指数和跌倒效能量表。
训练组在跑步机上的初始总行走距离为266.45±82.14米，经过16次训练后逐渐增加至726.36±93.1米（P<0.001）。训练组在基线时跑步机上可耐受的最大速度为1.9±0.75千米/小时，提高至2.61±0.77千米/小时（P<0.001）。训练组在训练计划后伯格平衡测试、动态步态指数和跌倒效能量表得分显著改善（P<0.01）。对照组的任何结局测量指标均无显著改善（P>0.05）。
采用递增速度依赖性跑步机训练的特定运动计划可能改善帕金森病患者的运动能力，减少姿势不稳和跌倒恐惧。
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