Wong-Yu Irene S K, Mak Margaret K Y
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
Department of Rehabilitation Sciences, The Hong Kong Polytechnic University, Hung Hom, Hong Kong, China.
Parkinsonism Relat Disord. 2015 Jun;21(6):615-21. doi: 10.1016/j.parkreldis.2015.03.022. Epub 2015 Mar 31.
Previous studies have demonstrated that exercise interventions can improve balance and gait performance in people with Parkinson's disease (PD), but most training did not target all balance domains and was conducted mainly indoors.
To investigate the short- and long-term effects of a multi-dimensional indoor and outdoor exercise programme on balance, balance confidence and gait performance in people with PD.
Eligible subjects with PD were randomly assigned to an eight-week indoor and outdoor balance training (EXP, N = 41) group or upper limb exercise (CON, N = 43) group. Outcome measures included BESTest total and subsection scores, gait speed, dual-task timed-up-and-go (dual-task TUG) time and Activities-specific Balance Confidence (ABC) score. All outcomes were assessed before training (Pre), immediately after intervention (Post) and at six-month (FU6m) and twelve-month (FU12m) follow-ups.
Immediately after training, EXP group showed more significant improvements than CON group in BESTest total and subsection scores, gait speed and dual-task TUG time (p < 0.05). At both FU6m and FU12m, EXP group showed significantly greater gains than CON group in BESTest total and subsection scores and dual-task TUG time (p < 0.05). EXP group also showed significantly greater increase in the gait speed than CON group at FU6m (p < 0.05).
The positive findings of this study provide evidence that this multi-dimensional balance training programme can enhance balance and dual-task gait performance up to 12-month follow-up in people with PD.
先前的研究表明，运动干预可以改善帕金森病（PD）患者的平衡和步态表现，但大多数训练并未针对所有平衡领域，且主要在室内进行。
研究一项多维室内外运动计划对PD患者平衡、平衡信心和步态表现的短期和长期影响。
符合条件的PD患者被随机分配到为期八周的室内外平衡训练组（实验组，N = 41）或上肢运动组（对照组，N = 43）。结果测量包括BESTest总分及各分项得分、步速、双任务计时起立行走（双任务TUG）时间和特定活动平衡信心（ABC）得分。所有结果在训练前（Pre）、干预后立即（Post）以及六个月（FU6m）和十二个月（FU12m）随访时进行评估。
训练后立即进行评估，实验组在BESTest总分及各分项得分、步速和双任务TUG时间方面的改善比对照组更显著（p < 0.05）。在FU6m和FU12m时，实验组在BESTest总分及各分项得分和双任务TUG时间方面的提升均显著大于对照组（p < 0.05）。在FU6m时，实验组的步速提升也显著大于对照组（p < 0.05）。
本研究的阳性结果提供了证据，表明这种多维平衡训练计划可以在长达12个月的随访中增强PD患者的平衡和双任务步态表现。
