平衡训练对特发性帕金森病患者姿势不稳的影响。

Effect of balance training on postural instability in patients with idiopathic Parkinson's disease.

机构信息

Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy.

出版信息

Neurorehabil Neural Repair. 2010 Nov-Dec;24(9):826-34. doi: 10.1177/1545968310376057.

DOI:10.1177/1545968310376057

PMID:21045119

Abstract

BACKGROUND

Postural instability (PI) is a disabling sign of Parkinson's disease (PD) not easily amenable to treatment with medication.

OBJECTIVE

To evaluate the effects of balance training on PI in patients with PD.

METHODS

A total of 64 patients with PI were randomly assigned to the experimental group (n = 33) for balance training or to the control group (n = 31) for general physical exercises. Each patient received 21 treatment sessions of 50 minutes each. Patients were evaluated by a blinded rater before and after treatment as well as 1 month posttreatment using the Berg Balance Scale (BBS), Activities-Specific Balance Confidence Scale (ABC), postural transfer test, self-destabilization of the center of foot pressure test, number of falls, Unified Parkinson's Disease Rating Scale (UPDRS), modified Hoehn and Yahr (H&Y) Staging Scale, and Geriatric Depression Scale (GDS).

RESULTS

At the end of treatment, the experimental group showed significant improvements in all outcome measures, except for the UPDRS and the H&Y scale. Improvement was maintained at the 1-month follow-up in all outcome measures except for the GDS. No significant changes in performance were observed in the control group.

CONCLUSIONS

A program of balance training can improve PI in patients with PD.

摘要

背景

姿势不稳（PI）是帕金森病（PD）的一种致残迹象，药物治疗难以改善。

目的

评估平衡训练对 PD 患者 PI 的影响。

方法

共有 64 名 PI 患者被随机分配到实验组（n = 33）进行平衡训练或对照组（n = 31）进行一般体育锻炼。每位患者接受 21 次 50 分钟的治疗。在治疗前、治疗后以及治疗后 1 个月，由盲法评估者使用 Berg 平衡量表（BBS）、活动特异性平衡信心量表（ABC）、姿势转移测试、足底压力中心自我失稳测试、跌倒次数、统一帕金森病评定量表（UPDRS）、改良 Hoehn 和 Yahr（H&Y）分期量表和老年抑郁量表（GDS）对患者进行评估。