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太极拳与多模式运动训练对轻至中度特发性帕金森病患者运动及平衡功能的影响

Effects of Tai Chi and Multimodal Exercise Training on Movement and Balance Function in Mild to Moderate Idiopathic Parkinson Disease.

作者信息

Zhang Tian-Yu, Hu Yong, Nie Zhi-Yu, Jin Rong-Xiang, Chen Fei, Guan Qiang, Hu Bin, Gu Chun-Ya, Zhu Ling, Jin Ling-Jing

机构信息

From the Departments of Neurology (T-YZ, YH, Z-YN, FC, QG, LZ, L-JJ) and Spine Surgery (R-XJ, BH, C-YG), Shanghai Tongji Hospital, Tongji University School of Medicine, Shanghai, China.

出版信息

Am J Phys Med Rehabil. 2015 Oct;94(10 Suppl 1):921-9. doi: 10.1097/PHM.0000000000000351.

Abstract

OBJECTIVE

The primary aim of this study was to investigate the effects of two different patterns of rehabilitation training on movement and balance function in patients with idiopathic Parkinson disease.

DESIGN

Forty patients with Parkinson disease were randomized into the tai chi group (n = 20) or the multimodal exercise training group (n = 20). Outcome measures were assessed at baseline and after 12 wks of exercise. Balance was assessed using the Berg Balance Scale, and movement was assessed by the Unified Parkinson's Disease Rating Scale-Motor Examination, stride length, gait velocity, and Timed Up and Go Test.

RESULTS

The multimodal exercise training group improved significantly in movement from baseline, and a reduction in balance impairment was observed for the multimodal exercise training group. The questionnaire results after training showed that the multimodal exercise training is easy to learn and adhere to. No major adverse events were noted in both groups.

CONCLUSIONS

This multimodal exercise training could improve motion function and benefit balance function in patients with Parkinson disease. The multimodal exercise training is easy to learn and practice.

摘要

目的

本研究的主要目的是调查两种不同康复训练模式对特发性帕金森病患者运动和平衡功能的影响。

设计

40例帕金森病患者被随机分为太极拳组(n = 20)或多模式运动训练组(n = 20)。在基线和运动12周后评估结果指标。使用伯格平衡量表评估平衡,通过统一帕金森病评定量表-运动检查、步长、步态速度和计时起立行走测试评估运动。

结果

多模式运动训练组的运动能力较基线时有显著改善,且该组平衡障碍有所减轻。训练后的问卷调查结果显示,多模式运动训练易于学习和坚持。两组均未出现重大不良事件。

结论

这种多模式运动训练可改善帕金森病患者的运动功能并有益于平衡功能。多模式运动训练易于学习和实践。

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