University of Florida, Department of Neurology, Gainesville, FL, USA.
Parkinsonism Relat Disord. 2009 Dec;15(10):742-5. doi: 10.1016/j.parkreldis.2009.07.002. Epub 2009 Jul 28.
Loss of function and postural instability occur in Parkinson disease (PD). Dynamic exercise interventions are successful in improving motor control and physical function. However, most programs are based in a health facility or physical therapy setting and involve travel. With the limitations associated with PD (e.g. health care and medication cost as well as travel limitations) these therapies may be inaccessible and exclude some individuals from maintaining or increasing their function. The purpose of this study was to evaluate the effectiveness of a home-based exercise intervention on postural control in individuals with PD. Multivariate analysis of covariance was performed on individuals with PD (N = 10) and healthy aged-matched controls (N = 10). Participants were assessed utilizing computerized dynamic posturography (CDP) before and after a 10-week exercise intervention. Participants were instructed on proper technique prior to the intervention, were given an illustrated home program, and were monitored weekly concerning their progress. Pre-intervention assessment demonstrated that individuals with PD had statically lower scores on a Sensory Organization Test (p < .05). Following the intervention, results indicated no statistical difference between individuals with PD and aged match controls (p > .05). This initial study indicates that a home exercise intervention is an effective method of improving postural control in individuals with PD. Results from this investigation support further study to determine the extent to which both preventative and restorative home-based programs can improve postural control.
功能丧失和姿势不稳发生在帕金森病（PD）中。动态运动干预在改善运动控制和身体功能方面是成功的。然而，大多数方案都基于健康设施或物理治疗环境，并且需要旅行。由于 PD 相关的限制（例如医疗保健和药物成本以及旅行限制），这些治疗可能无法获得，并且将一些人排除在维持或增加其功能之外。本研究的目的是评估基于家庭的运动干预对 PD 患者姿势控制的有效性。对 10 名 PD 患者（N=10）和 10 名健康年龄匹配的对照组进行协方差的多变量分析。在 10 周的运动干预前后，利用计算机动态姿势描记术（CDP）对参与者进行评估。在干预之前，向参与者介绍适当的技术，向他们提供了一个说明性的家庭方案，并每周监测他们的进展情况。干预前评估表明，PD 患者在感觉组织测试（SOT）上的得分明显较低（p<0.05）。干预后，PD 患者与年龄匹配的对照组之间的结果没有统计学差异（p>0.05）。这项初步研究表明，家庭运动干预是改善 PD 患者姿势控制的有效方法。该研究的结果支持进一步研究，以确定预防和恢复性家庭方案在多大程度上可以改善姿势控制。
