Xiao Chun-Mei, Zhuang Yong-Chang
Department of Health Promotion and Physical Education, Beijing Institute of Graphic Communication, Beijing, China.
Department of Wushu, Beijing Sport University, Beijing, China.
Geriatr Gerontol Int. 2016 Aug;16(8):911-9. doi: 10.1111/ggi.12571. Epub 2015 Aug 26.
The present study investigated the effectiveness of Baduanjin Qigong on symptoms related to gait, functional mobility and sleep in Parkinson disease (PD) patients.
A total of 100 patients (age 67.53 ± 8.56 years, range 55-80 years) with mild to moderate PD were randomly assigned to two groups. Participants in the Baduanjin Qigong group (BQG) received a Baduanjin Qigong program, consisting of four 45-min sessions each week and daily walking 30 min for 6 months. Participants in the control group were carried out daily walking for 30 min. Pre- and post-intervention testing was carried out to assess sleep quality, fatigue, functional mobility and gait performance in these participants.
After the 6-month Baduanjin Qigong intervention, the BQG showed sleep quality improvements in the Unified Parkinson's Disease Rating Scale score (P = 0.049), Parkinson's Disease Sleep Scale-2 (PDSS-2) total score (P = 0.039), Motor Symptoms at Night (PDSS-2) score (P = 0.039), PD Symptoms at Night (PDSS-2) score (P = 0.029), Disturbed Sleep (PDSS-2) score (P = 0.037). The BQG showing functional mobility capacity greater improvements in the Berg Balance Scale (P = 0.041) and 6-minute walk test (P = 0.042), and greater decrease in the Timed Up & Go (s; P = 0.046). The BQG showing gait function increased in the gait speed (m/s; P = 0.011). However, this was not the case for the control group, which remained at the same level as pretest performance.
BQG improved the gait performance, functional mobility and sleep quality in older adults with PD at the 6-month follow up. It is as an alternative home exercise program for older adults in rehabilitation for PD. Geriatr Gerontol Int 2016; 16: 911-919.
本研究调查八段锦气功对帕金森病（PD）患者步态、功能活动能力和睡眠相关症状的有效性。
将100例轻度至中度PD患者（年龄67.53±8.56岁，范围55 - 80岁）随机分为两组。八段锦气功组（BQG）参与者接受八段锦气功训练，包括每周4次，每次45分钟的课程，并每天步行30分钟，共6个月。对照组参与者每天步行30分钟。在干预前后对这些参与者进行测试，以评估睡眠质量、疲劳、功能活动能力和步态表现。
经过6个月的八段锦气功干预后，BQG组在统一帕金森病评定量表评分（P = 0.049）、帕金森病睡眠量表-2（PDSS - 2）总分（P = 0.039）、夜间运动症状（PDSS - 2）评分（P = 0.039）、夜间PD症状（PDSS - 2）评分（P = 0.029）、睡眠障碍（PDSS - 2）评分（P = 0.037）方面睡眠质量得到改善。BQG组在伯格平衡量表（P = 0.041）和6分钟步行试验（P = 0.042）中功能活动能力有更大改善，在计时起立行走测试（秒；P = 0.046）中有更大下降。BQG组在步态速度（米/秒；P = 0.011）方面步态功能增强。然而，对照组情况并非如此，其保持在与测试前相同水平。
在6个月随访时，BQG改善了老年PD患者的步态表现、功能活动能力和睡眠质量。它可作为老年PD患者康复的一种替代性家庭锻炼方案。《老年医学与老年病学国际杂志》2016年；16：911 - 919。
