Gao Qiang, Leung Aaron, Yang Yonghong, Wei Qingchuan, Guan Min, Jia Chengsen, He Chengqi
Department of Rehabilitation Medicine, West China Hospital, Sichuan University, Sichuan, China Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Institute for Disaster Management and Reconstruction, Sichuan University - Hong Kong Polytechnic University, Sichuan, China Interdisciplinary Division of Biomedical Engineering, The Hong Kong Polytechnic University, Hong Kong, China.
Clin Rehabil. 2014 Aug;28(8):748-753. doi: 10.1177/0269215514521044. Epub 2014 Feb 11.
To examine the effects of Tai Chi on balance and functional mobility in people with Parkinson's disease, and determine whether fall incidence could be reduced by the Tai Chi exercise.
Single blinded randomized control trial with 6 months' follow-up.
A hospital and general community.
Patients (n=76) diagnosed with idiopathic Parkinson's disease, over 40 years old, able to walk independently and fell at least one time during the past 12 months.
The Tai Chi group (n=37) received 24-form Yang style Tai Chi exercise for 60 minutes each time, three times a week and lasted for 12 weeks. The control group (n=39) received no intervention.
Berg Balance Scale (BBS), Unified Parkinson's Disease Rating Scale (UPDRS) III, Timed Up&Go (TUG) and occurrences of falls.
The Tai Chi group improved more than the control group on the BBS (p<0.05), but there was no difference on UPDRS III scores and Timed Up&Go (p>0.05). During the 6-month follow-up, only 8 (21.6%) out of 37 patients in the Tai Chi group had experience of falls comparing to 19 (48.7%) out of 39 patients in the control group (p<0.05). The average times of falls were 0.30±0.62 in the Tai Chi group compared with 0.64±0.74 in the control group (p<0.05).
Our findings suggested that Tai Chi exercise could improve the balance and decrease the fall risks in patients with Parkinson's disease.
研究太极拳对帕金森病患者平衡能力和功能性活动能力的影响，并确定太极拳运动是否能降低跌倒发生率。
单盲随机对照试验，随访6个月。
一家医院和普通社区。
76例被诊断为特发性帕金森病的患者，年龄超过40岁，能够独立行走，且在过去12个月内至少跌倒过一次。
太极拳组（n = 37）每次进行60分钟的24式杨氏太极拳练习，每周三次，持续12周。对照组（n = 39）不进行干预。
伯格平衡量表（BBS）、帕金森病统一评分量表（UPDRS）III、计时起立行走测试（TUG）以及跌倒发生率。
太极拳组在BBS上的改善程度高于对照组（p < 0.05），但在UPDRS III评分和计时起立行走测试方面无差异（p > 0.05）。在6个月的随访期间，太极拳组37例患者中只有8例（21.6%）有跌倒经历，而对照组39例患者中有19例（48.7%）有跌倒经历（p < 0.05）。太极拳组的平均跌倒次数为0.30±0.62次，而对照组为0.64±0.74次（p < 0.05）。
我们的研究结果表明，太极拳运动可以改善帕金森病患者的平衡能力并降低跌倒风险。
