[PD-WEBB训练对帕金森病患者平衡障碍及跌倒的影响]
[Effect of PD-WEBB training on balance impairment and falls in people with Parkinson's disease].
作者信息
Gu Shaojuan, Song Zhi, Fan Xuejun, Chen Ru, Zheng Wen, Yan Wenguang
机构信息
Department of Neurology, Third Xiangya Hospital, Central South University, Changsha 410013, China.
出版信息
Zhong Nan Da Xue Xue Bao Yi Xue Ban. 2013 Nov;38(11):1172-6. doi: 10.3969/j.issn.1672-7347.2013.11.015.
OBJECTIVE
To determine the effect of Parkinson's disease-weight bearing exercise for better balance (PD-WEBB) exercise on balance impairment and falls in people with Parkinson's disease (PD).
METHODS
A single-blind, randomized controlled clinical trial was conducted. The falls efficacy scale score, unified Parkinson disease rating scale (UPDRS) score and Mini-BESTest score were measured and compared between a PD-WEBB group and a control group.
RESULTS
The falls efficacy scale score, UPDRS-2 score, UPDRS-3 score and Mini-BESTest score were improved in the PD-WEBB group compared with the control group (P<0.05), with no significant change in UPDRS-1 score between the two groups.
CONCLUSION
PD-WEBB training can significantly improve the balance impairment and quality of life to prevent falls. PD-WEBB training is suitable for PD patients in China, and is a reasonable, effective and sustainable training of family and community assessment model.
目的
确定帕金森病负重锻炼改善平衡能力（PD-WEBB）锻炼对帕金森病（PD）患者平衡功能障碍及跌倒的影响。
方法
进行一项单盲随机对照临床试验。在PD-WEBB组和对照组之间测量并比较跌倒效能量表评分、统一帕金森病评定量表（UPDRS）评分和简短BESTest评分。
结果
与对照组相比，PD-WEBB组的跌倒效能量表评分、UPDRS-2评分、UPDRS-3评分和简短BESTest评分均有所改善（P<0.05），两组间UPDRS-1评分无显著变化。
结论
PD-WEBB训练可显著改善平衡功能障碍和生活质量以预防跌倒。PD-WEBB训练适合中国的PD患者，是一种合理、有效且可持续的家庭和社区评估模式训练。
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