Department of Neurological, Neuropsychological, Morphological and Movement Sciences, University of Verona, Verona, Italy.
Neurorehabil Neural Repair. 2010 Nov-Dec;24(9):826-34. doi: 10.1177/1545968310376057.
Postural instability (PI) is a disabling sign of Parkinson's disease (PD) not easily amenable to treatment with medication.
To evaluate the effects of balance training on PI in patients with PD.
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).
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.
A program of balance training can improve PI in patients with PD.
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。
评估平衡训练对 PD 患者 PI 的影响。
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。
治疗结束时，实验组除 UPDRS 和 H&Y 量表外，所有结局指标均有显著改善。除 GDS 外，所有结局指标在 1 个月随访时均保持改善。对照组的表现无显著变化。
平衡训练计划可改善 PD 患者的 PI。
