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任天堂Wii Fit用于帕金森病患者的平衡康复:一项比较研究。

Nintendo Wii Fit for balance rehabilitation in patients with Parkinson's disease: A comparative study.

作者信息

Negrini Stefano, Bissolotti Luciano, Ferraris Alessandro, Noro Fulvia, Bishop Mark D, Villafañe Jorge Hugo

机构信息

Department of Clinical and Experimental Sciences, University of Brescia, Italy; IRCCS Don Gnocchi Foundation, Milan, Italy.

Casa di Cura Domus Salutis, Brescia, Italy.

出版信息

J Bodyw Mov Ther. 2017 Jan;21(1):117-123. doi: 10.1016/j.jbmt.2016.06.001. Epub 2016 Jun 11.

Abstract

BACKGROUND

Impaired postural stability places individuals with Parkinson's disease (PD) at an increased risk for falls.

OBJECTIVE

We evaluated the effectiveness of 10 vs. 15 sessions of Nintendo Wii Fit for balance recovery for outpatients PD.

METHODS

Twenty-seven patients, 48.1% female (66 ± 8 years), with PD. Patients with PD were consecutively assigned to one of two groups receiving either 10 or 15 sessions (low dose or high dose group, respectively) with Nintendo Wii Fit in recovering balancing ability. All outcome measures were collected at baseline, immediately following the intervention period, and 1-month following the end of the intervention.

MAIN OUTCOME MEASURE

Falls risk test (FRT), Stability index (PST), Berg balance scale (BBS) and Tinetti scale.

RESULTS

The patients undergoing the 10 sessions demonstrated significantly improvement on the balance performances (Tinetti balance and gait scales, BBS and BSF) (all, P < 0.05) as those undergoing 15 treatment with Nintendo Wii Fit, but no significant group effect or group-by-time interaction was detected for any of them, which suggests that both groups improved in the same way.

CONCLUSIONS

The results suggest that functional improvement can be made in fewer visits during outpatient rehabilitation sessions with Nintendo Wii Fit improving the efficiency of intervention.

摘要

背景

帕金森病(PD)患者的姿势稳定性受损,导致其跌倒风险增加。

目的

我们评估了10节与15节任天堂Wii Fit训练课程对PD门诊患者平衡恢复的效果。

方法

27例PD患者,女性占48.1%(66±8岁)。将PD患者连续分配到两组之一,分别接受10节或15节(分别为低剂量组或高剂量组)任天堂Wii Fit训练课程以恢复平衡能力。所有结局指标在基线、干预期结束后立即以及干预结束后1个月时收集。

主要结局指标

跌倒风险测试(FRT)、稳定性指数(PST)、伯格平衡量表(BBS)和Tinetti量表。

结果

接受10节训练课程的患者在平衡表现(Tinetti平衡和步态量表、BBS和BSF)方面的改善与接受15节任天堂Wii Fit训练课程的患者相当(均P<0.05),但未检测到任何一项指标有显著的组效应或组×时间交互作用,这表明两组的改善方式相同。

结论

结果表明,在门诊康复中,任天堂Wii Fit训练课程次数减少也能实现功能改善,提高了干预效率。

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